CPT code 90869: TMS Redetermination, motor Threshold2026 Medicare rate & RVUs

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

What 90869 covers

This service covers a later motor-threshold reassessment during a course of therapeutic repetitive TMS, with treatment management. The threshold guides stimulation settings; this code is distinct from the initial planning and threshold-setting session and from subsequent sessions for treatment delivery and management. It is typically reported by the clinician or practice managing TMS, often in outpatient psychiatric care, when the threshold is re-determined during the treatment course.

Medicare assigns carrier-priced status: CMS publishes no national payment, and the Medicare Administrative Contractor sets payment for each claim. The code has a 0-day global period, with same-day preoperative and postoperative care included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and 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 90869 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

90869 rates by state

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

How the 90869 rate is calculated

Each of 90869’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.

Payment rules and modifiers for 90869

The CMS indicators that decide how 90869 is paid alongside other services.

90869 compared with similar codes

How to choose

90867TMS treatmentInitial mapping and treatment

Use 90867 for the initial TMS session that includes treatment planning and initial motor-threshold determination. Code 90869 describes a later redetermination with treatment management.

90868TMS treatmentPer session

Use 90868 for subsequent TMS treatment delivery and management. Code 90869 describes a later motor-threshold redetermination with treatment management.

90870Electroconvulsive therapy

Code 90870 describes electroconvulsive therapy, which uses a different treatment method. Code 90869 describes motor-threshold redetermination during a course of therapeutic repetitive TMS.

Codes related to 90869

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

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