CPT code 90867: TMS treatment, initial mapping and treatment2026 Medicare rate & RVUs in Oregon
Initial repetitive transcranial magnetic stimulation service for cortical mapping, motor-threshold setting, treatment planning, and treatment delivery, commonly used in outpatient depression care.
CMS doesn’t publish an office rate for 90867 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 9 sections
What 90867 covers
Code 90867 identifies the initial therapeutic repetitive transcranial magnetic stimulation (TMS) session. The clinician maps a treatment target on the cerebral cortex, determines the motor threshold used to set stimulation intensity, and establishes the treatment plan as part of the initial treatment service. Psychiatrists and other clinicians providing TMS commonly report it in outpatient psychiatric care, often for major depressive disorder.
Under physician fee schedule status C, CMS publishes no national payment; the Medicare Administrative Contractor sets payment for each claim. The 0-day global period includes same-day preoperative and postoperative care. Modifier 50 is inappropriate; assistant-at-surgery payment is barred, and co-surgeon and team-surgery billing are not permitted. Use 90868 for later treatment delivery and 90869 when motor threshold is re-determined during a subsequent treatment.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Where 90867 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland, OR | Unavailable | Unavailable |
| Rest of Oregon | Unavailable | Unavailable |
How the 90867 rate is calculated
Each of 90867’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 90867
RVUs × geographic indexes × conversion factor
Work0.00
0.00 RVUs× 1.000 GPCI
Practice expense0.00
0.00 RVUs× 1.000 GPCI
Malpractice0.00
0.00 RVUs× 1.000 GPCI
Adjusted RVUs
0.0000
Conversion factor
$33.4009
Medicare rate
$0.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 90867
The CMS indicators that decide how 90867 is paid alongside other services.
CMS payment indicators · 90867
TMS treatment, initial mapping and treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
90867 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 90868TMS treatmentPer session
- 90867 is the initial TMS service with mapping and motor-threshold determination; 90868 is for subsequent treatment delivery.
- 90869TMS RedeterminationMotor Threshold
- 90869 applies to a later TMS treatment that includes motor-threshold redetermination, rather than the initial mapping and treatment service.
- 90870Electroconvulsive therapy
- 90870 reports electroconvulsive therapy, which uses a different treatment method. It is not a TMS session.
90867 billing questions
When should 90867 be used instead of 90868?
Use 90867 for the initial TMS treatment service, including mapping and motor-threshold determination. Use 90868 for subsequent treatment delivery.
How does 90869 differ from 90867?
90869 is for a subsequent treatment when the motor threshold is re-determined. 90867 covers the initial mapping, threshold determination, and treatment service.
What should the record support?
Document the initial TMS service, including cortical mapping, motor-threshold determination, treatment planning, and treatment delivery.
Can modifier 50 be used?
No. Bilateral adjustment is inappropriate for 90867.
Is same-day preoperative or postoperative care separately included?
The 0-day global period includes same-day preoperative and postoperative care.
How does Medicare price 90867?
Status C means CMS publishes no national payment. The Medicare Administrative Contractor sets payment for each claim.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
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