90868
No office rateTcranial magn stim tx deli
Use 90870 for an ECT session that induces a seizure under anesthesia; 90868 is for delivery of transcranial magnetic stimulation.
On this page
CMS RVU26D · Effective 2026-10-01
90870 Electroconvulsive therapy Medicare reimbursement rates in Michigan
Report this service for a psychiatrist-administered electroconvulsive treatment session using electrical stimulation to induce a therapeutic seizure under anesthesia. Compare 90870 office and facility rates across CMS payment localities in Michigan.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 90870 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$174.11–$180.75
2 of 2 localities have a supported rate.
Facility setting
$97.87–$100.17
2 of 2 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Psychiatric treatment
About 90870: Electroconvulsive therapy treatment session
Report this service for a psychiatrist-administered electroconvulsive treatment session using electrical stimulation to induce a therapeutic seizure under anesthesia.
Electroconvulsive therapy (ECT) is a treatment session in which a clinician applies a brief electrical stimulus through scalp electrodes to produce a controlled seizure. A psychiatrist typically directs or performs the treatment for severe mood disorders, catatonia, or other psychiatric conditions when ECT is clinically selected. It is commonly delivered in a hospital or ambulatory procedure setting with anesthesia, muscle relaxation, and physiologic monitoring; anesthesia services are generally furnished by a separate anesthesia professional.
Report 90870 for the ECT treatment itself, not for psychotherapy or an entire course of treatment. The record should identify the treatment session and support that ECT was performed, including the clinical indication and procedural details. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. An assistant-at-surgery service is payable only when medical necessity is documented; co-surgeons and team surgery are not permitted.
CMS billing rules for 90870
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU2.50 · 46%
- Practice expense (office) RVU2.86 · 52%
- Malpractice RVU0.09 · 2%
82.2K
Medicare services in 2024 · #619 by national volume
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.
90870 compared with similar codes
Office rates for Michigan, from the same CMS release.
90867
No office rateTcranial magn stim tx plan
90867 reports planning and mapping for transcranial magnetic stimulation. It does not describe an ECT treatment session.
$163.60–$166.06
90837 is a time-based individual psychotherapy service. It does not include electrical seizure induction or ECT procedural care.
Compare 90870 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
2 of 2 payment localities
Detroit →
Office / nonfacility
$180.75
Facility
$100.17
Rest Of Michigan →
Office / nonfacility
$174.11
Facility
$97.87
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
90870 billing questions
How does 90870 differ from transcranial magnetic stimulation?
90870 reports ECT, which uses electrical stimulation to induce a therapeutic seizure under anesthesia. Code 90868 reports a transcranial magnetic stimulation treatment session.
Can anesthesia be reported separately?
An anesthesia professional may report 00104 for anesthesia furnished for ECT when the service is performed and documented. Code 90870 reports the ECT treatment itself.
Does 90870 cover an entire course of ECT?
No. Report the code for each ECT treatment session performed, rather than for the overall course or treatment plan.
Should modifier 50 be appended for bilateral electrode placement?
No. CMS identifies bilateral adjustment as inappropriate for 90870, regardless of electrode placement.
When can an assistant-at-surgery service be paid?
CMS permits assistant-at-surgery payment only when medical necessity is documented. Co-surgeons and team surgery are not permitted 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
11,54490867,,Tcranial magn stim tx plan,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54590868,,Tcranial magn stim tx deli,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54690869,,Tcran magn stim redetemine,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,000,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54790870,,Electroconvulsive therapy,A,,2.50,2.86,,0.36,,0.09,5.45,2.95,0,000,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54890875,,Psychophysiological therapy,N,+,1.20,0.54,,0.27,,0.07,1.81,1.54,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,54990876,,Psychophysiological therapy,N,+,1.90,1.17,,0.41,,0.12,3.19,2.43,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
11,55090880,,Hypnotherapy,A,,2.19,0.90,,0.17,,0.02,3.11,2.38,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00