TMS Billing Services
Maximize Reimbursement & Minimize Denials!
FC Billing provides TMS billing services for mental & behavioral health practices by using compliant coding, payer-specific rules, and pre-submission claim reviews.
Our approach improves First-pass Claim Acceptance, reduces payer rejections, and increases collected revenue for each treatment cycle.
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Complete TMS Billing and Coding Service by FC Billing
Billing for Transcranial Magnetic Stimulation (TMS) is complex and time-consuming, requiring expertise in coding, insurance policies, prior authorizations, and documentation standards, as errors or delays can lead to claim denials, slower reimbursements, and lost revenue.
Our comprehensive TMS billing and coding services streamline every step of your practice’s financial workflow, ensuring faster payments, fewer denials, and full compliance.
1. Insurance Verification
We start by verifying patient insurance in real-time to confirm coverage for TMS sessions, preventing delays or denied treatments.
2. Prior Authorization
Next, we handle all prior authorizations, including ongoing treatment approvals, ensuring your patients can receive uninterrupted care.
3. Documentation Review
Our coding specialists apply the correct TMS related CPT codes and validate all documentation to meet medical necessity requirements, reducing claim rejections.
4. TMS Claim Submission
We submit clean claims with thorough audit checks within 24–48 hours of DOS, minimizing rejections and speeding up your payment cycle
5. Payment Posting
All received payments are accurately posted to your system, giving you a transparent and up-to-date view of revenue.
6. A/R Management
We monitor all outstanding balances, follow up on unpaid claims, and actively resolve discrepancies to ensure maximum reimbursement.
7. Denial Management
We actively track unpaid or denied claims, managing appeals and resolving payer discrepancies to recover maximum reimbursement.
8. RCM Optimization
Through transparent reporting, actionable insights, and strategic support, we help your practice improve financial performance and cash flow.
9. Contract Negotiation Support
We provide guidance on negotiating insurance contracts and reimbursement rates, helping your clinic secure favorable terms and optimize long-term revenue.
10. Compliance & Policy Monitoring
We continuously monitor payer updates, Medicare changes, and industry regulations to ensure your practice stays fully compliant and audit-ready.
Best TMS Billing Solutions in the USA
We’ve helped hundreds of TMS practices across all 50 states streamline billing, maximize reimbursements, and accelerate payments, all without disrupting your existing workflows.
Join the growing network of satisfied TMS providers and let us simplify your billing process and maximize your revenue.
Why Choose Us For Your TMS Therapy Billing Needs?
Higher TMS Revenue
Reach 99% first pass rate for TMS sessions, reducing denials and accelerating payments across all payors.
Lower Clinic Costs
Lower your clinic’s administrative costs by 25–30% while eliminating the burden of hiring, training, and managing billing staff for TMS care.
Faster Billing Results
Our TMS-focused workflows deliver results 30–40% faster than typical in-house billing teams, improving revenue speed and overall efficiency.
More Time for Care
Reclaim 10–15 hours every week by letting us manage all TMS billing tasks, allowing your team to focus on patient care and smoother operations.
Proven Expertise
With 20+ years of supporting mental health providers, we help TMS clinics optimize revenue, grow consistently, and achieve meaningful long-term savings.
Strong Compliance
We maintain 100% compliance with Medicare, Medicaid, and commercial payor rules for TMS, reducing audit risks, costly denials, and documentation issues.
Client Testimonial
We believe results speak louder than words, and our clients agree. FC Billing doesn’t just manage your practice; we recover revenue, streamline workflows, and restore financial confidence for healthcare providers across the U.S.
If you’re looking for reliable and responsive billing support, this team delivers excellent service.
Their services are highly recommended.
Farida and her team SAVED us tens of thousands every months in lost revenues and cleaned us 14 years of mess due to the previous billing company. The team is extremely capable, professional, responsive and kind.
This is a 5 stars medical billing services company that we plan on staying as customers with for a very long time into the future.
AMAZING team and AMAZING service.
Pricing Structure For TMS Billing Services
Our pricing is designed with your success in mind. After a thorough review of your practice needs and billing volume, we create a customized proposal, always with full transparency and no hidden fees. Practices are invoiced exclusively on successfully collected payments, aligning our performance directly with your revenue growth.
You Only Pay When We Deliver Results.
Our Onboarding Process
We make your TMS billing transitioning seamless and efficient, ensuring your clinic experiences minimal disruption while setting the foundation for faster reimbursements and smoother financial operations.
Results You Can Expect From Our TMS Billing Support
With FC Billing’s specialized TMS billing solutions, your practice can achieve smoother operations, faster payments, and maximized revenue while minimizing administrative challenges.
Transform Your TMS Practice Revenue with FC Billing
99% First-pass Claim Accuracy || Result 40% Faster Than In-house Teams
What TMS Billing Involves
TMS billing is more detailed than standard outpatient billing.
These steps are essential for securing timely reimbursement and preventing costly denials.
Common TMS Billing Challenges
Many TMS clinics struggle with:
FC Billing removes these bottlenecks with a team dedicated to TMS-specific billing workflows.
TMS Services Billing Codes
The following CPT and ICD-10 codes support billing and documentation of medical necessity for Transcranial Magnetic Stimulation (TMS) services based on payer requirements.
CPT Codes For TMS Services
The CPT codes below are used to report TMS services based on the stage of treatment provided.
- 90867 – Transcranial magnetic stimulation, initial motor threshold determination
- 90868 – Transcranial magnetic stimulation, subsequent treatment sessions
- 90869 – Transcranial magnetic stimulation, re-determination of motor threshold
ICD-10 Diagnostic Coding for TMS Services
- F33.2 – Major Depressive Disorder, recurrent, severe
- F32.2 – Major Depressive Disorder, single episode, severe
- F42.9 – Obsessive-Compulsive Disorder
Note: F41.1 (Generalized Anxiety Disorder) alone does not typically meet payer medical necessity criteria for TMS and generally requires a qualifying primary diagnosis, such as treatment-resistant depression.
Reimbursement Rates For TMS Services
The following table shows Average TMS Reimbursement Rates by major payers such as BCBS, Aetna, Tricare, UHC, Cigna, and Humana.
|
Sr |
CPT |
BCBS PPO |
BCBS HMO |
BCBS (Pathway) |
Aetna |
Tricare East |
UHC |
Cigna |
HUMANA |
|---|---|---|---|---|---|---|---|---|---|
|
1 |
90867 |
$433.87 |
$390.48 |
$344.49 |
$358.54 |
$2,797.87 |
$250.00 |
$240 |
$255.62 |
|
2 |
90868 |
$209.47 |
$188.52 |
$166.32 |
$178.33 |
$2,014.47 |
$275.00 |
$259 |
$170.41 |
|
3 |
90869 |
Deleted |
Deleted |
Deleted |
$448.77 |
$3,443.22 |
$300.00 |
$219 |
$213.01 |
NOTE: Rates vary by geographic location, payer fee schedules, and contract negotiation terms.
TMS Resource Hub
Medical Billing & Coding Resources For TMS Billing
TMS Billing Company You Can Rely On
FC Billing is a specialized TMS billing company focused exclusively on TMS services for mental and behavioral health practices across the United States. We help reduce claim denials, speed up payments, and improve your clinic’s financial health, giving you peace of mind and more time to grow your practice.
