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CPT code 90868: TMS treatment, per session2026 Medicare rate & RVUs

Report 90868 for a transcranial magnetic stimulation treatment session after initial planning, when stimulation is delivered and managed.

CMS RVU26DEffective Oct 1, 2026109 payment localities343.6K Medicare services in 2024

Medicare rate · 90868

TMS treatment, per session

Office or facility?

Work RVUs
0
Total RVUs
0.00
Global days
000

National rate · 2026

—

Not priced in the facility setting.

See every locality for 90868 →Billed by an NP, PA or therapist? →

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 90868 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 90868 covers

The treating clinician delivers magnetic pulses with a coil positioned over the scalp, following initial treatment planning and motor-threshold determination. This is a subsequent TMS treatment session in psychiatric care, commonly for depression, and is generally provided in an outpatient setting.

Report one unit for each treatment session. Use 90867 for initial treatment planning and motor-threshold determination, and 90869 when motor-threshold redetermination is performed with treatment. Medicare lists 90868 as carrier-priced under the physician fee schedule: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. Its 0-day global period includes same-day preoperative and postoperative care. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.

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 90868 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

90868 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailableUnavailable
AlaskaUnavailableUnavailable
ArizonaUnavailableUnavailable
ArkansasUnavailableUnavailable
Atlanta, GAUnavailableUnavailable
Austin, TXUnavailableUnavailable
Bakersfield, CAUnavailableUnavailable
Baltimore area, MDUnavailableUnavailable
Beaumont, TXUnavailableUnavailable
Brazoria, TXUnavailableUnavailable

90868 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
90868 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 90868 rate is calculated

Each of 90868’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 · 90868

RVUs × geographic indexes × conversion factor

Office or facility?

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 90868

The CMS indicators that decide how 90868 is paid alongside other services.

CMS payment indicators · 90868

TMS treatment, per session

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

90868 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 90868

    TMS treatment, per session0 wRVU

    Not priced

  • 90867

    TMS treatment, initial mapping and treatment0 wRVU

    Not priced

  • 90869

    TMS Redetermination, motor Threshold0 wRVU

    Not priced

  • 90870

    Electroconvulsive therapy2.5 wRVU

    $182.03

How to choose

90867TMS treatmentInitial mapping and treatment
90867 is for initial treatment planning and motor-threshold determination. 90868 is for a subsequent treatment-delivery session.
90869TMS RedeterminationMotor Threshold
90869 applies when motor-threshold redetermination accompanies treatment; 90868 covers treatment delivery and management without that redetermination.
90870Electroconvulsive therapy
90870 describes electroconvulsive therapy, which uses electrical stimulation under anesthesia. 90868 is a transcranial magnetic stimulation session.

Codes related to 90868

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 90868
CodeHow it relatesNational office range
Same family
90867TMS treatment, initial mapping and treatmentInitial TMS planning and motor-threshold determination before treatment sessions.No office rate
90869TMS Redetermination, motor ThresholdTMS treatment session that includes motor-threshold redetermination.No office rate
Used instead
90870Electroconvulsive therapyElectroconvulsive therapy is another somatic treatment option for some patients with depression.$167.11–$232.05

90868 billing questions

When should 90868 be used instead of 90867?

Use 90867 for initial TMS treatment planning and motor-threshold determination. Use 90868 for a subsequent session delivering and managing treatment.

How does 90868 differ from 90869?

90868 represents treatment delivery and management without motor-threshold redetermination. Use 90869 when the session includes motor-threshold redetermination with treatment.

How many units are reported for a TMS session?

Report one unit for each treatment session.

How does Medicare price 90868?

Medicare assigns carrier-priced status: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim.

Can modifier 50 be used, or can an assistant at surgery be paid?

Bilateral adjustment does not apply, so modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code.

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

Open CMS sourceHow we calculate rates

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