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

CMS doesn’t publish a rate for 90869 in South Dakota.

Check a contract rate as a % of Medicare · 90869 nationwide

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.

How South Dakota compares for 90869

Every other payment area

90869 rates by state

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

See 90869 in every payment locality

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.

Codes related to 90869

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

How 90869 has changed in South Dakota

Price 90869 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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