TMS Billing Services
Billing for TMS clinics, from a team that knows TMS claims inside and out.
TMS clinics are our specialty. Becker Credentialing Services provides TMS billing for TMS clinics and behavioral health practices that offer transcranial magnetic stimulation, in any state. A TMS course means many sessions and many claims for every patient, and we keep them moving: benefit checks, payment plans, claims, follow-up, payment posting, and reporting.
The TMS Codes We Bill
TMS has its own set of CPT codes, and getting them right on every session is what keeps a course of treatment paid from start to finish.
| What it covers | CPT code |
|---|---|
| The first TMS treatment, including cortical mapping, motor threshold determination, and delivery and management of the treatment | 90867 |
| Each later TMS treatment session in the course (delivery and management) | 90868 |
| A later session that includes re-determining the patient's motor threshold, along with delivery and management | 90869 |
Which code applies to each session, and how often, depends on the treatment provided and each insurance company's rules. We bill the related behavioral health visits for TMS patients too, such as psychiatric evaluations and medication management.
Why TMS Billing Takes Specialized Attention
TMS isn't billed like a typical therapy visit.
Many claims per patient
A TMS course is a series of sessions over several weeks, so one patient can mean dozens of claims. A small error at the start can repeat on every one of them.
Approved dates and session counts
Insurers usually approve TMS for a set number of sessions within specific dates. Claims for sessions outside those dates, or beyond the approved count, can be denied.
Larger patient balances
Deductibles and coinsurance add up across a full course. Checking benefits up front and offering payment plans keeps patients informed and balances from going unpaid.
Documentation for every session
Each TMS claim needs to be supported by the session's documentation. Claims that don't match what was documented are a common source of denials.
What We Handle for TMS Clinics
- Insurance eligibility and benefits checks before each course of treatment
- Payment plans for patient balances
- Claim creation and submission for every TMS session
- Follow-up on unpaid and denied claims until they're resolved
- Payment posting and reconciliation
- Patient statements and invoicing (if requested)
- Monthly revenue and performance reporting
We bill commercial insurance, Medicare, and Medicaid claims for TMS clinics in any state.
How It Works
A clear process, and one person who knows your clinic.
Free Billing Review
We start with a conversation about your clinic, how you're handling billing today, and how we can help.
Setup
We set up access to your clinic's billing system, confirm your payers and effective dates, and set a start date.
Claims & Follow-Up
We check benefits, submit claims for each session, and follow up on anything unpaid or denied.
Payments & Reporting
We post payments, reconcile them against what you're owed, and send monthly reports.
Free Billing Review for TMS Clinics
Wondering whether outside billing help makes sense for your clinic? A free billing review is simply a conversation about your clinic, how you're handling billing today, and how we can help.
TMS Billing Questions
Which CPT codes are used for TMS billing?
TMS is billed with CPT 90867 for the first treatment (including cortical mapping and motor threshold determination), 90868 for later treatment sessions, and 90869 for a later session that includes re-determining the motor threshold. Which code applies depends on the session and each insurer's rules.
Do you bill TMS claims to Medicare and Medicaid?
Yes. Our billing services cover commercial insurance, Medicare, and Medicaid claims, including TMS.
Do you only work with TMS clinics in Idaho?
No. Becker Credentialing Services is based in Idaho and provides TMS billing for clinics in any state.
Can you take over billing from our current billing company?
Yes. We start by understanding your payers and open claims, set a clear start date, and talk through claims already in progress so nothing falls through the cracks. More on switching billing companies.
Can you work with the EHR or practice management system our clinic uses?
We've worked with a number of different EHR and practice management systems. Reach out to us to see if we can work with yours.
How is TMS billing priced?
Every practice's needs are different, so we price billing based on your practice. Request a free billing review and we'll talk through what makes sense for your clinic.
Let Us Handle Your TMS Billing
Spend less time on claims and more time with patients.
Get a Free Billing ReviewPrefer to talk first? Book a free consultation.