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Traditional MedicareCoverageMedium impact

Transcranial Magnetic Stimulation (TMS)

Medicare/CMS - LCD·Psychiatry, Neurology·Local Coverage Determination
Effective date
Mar 26, 2026
We identified it
Jun 17, 2026
Days to comply
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Summary

This is a new Local Coverage Determination (LCD) for Transcranial Magnetic Stimulation (TMS) from WPS Insurance Corporation, effective March 26, 2026. The policy establishes coverage criteria and billing guidelines for TMS procedures under Medicare Part A and Part B.

Action Required

Action needed
Before March 26, 2026: Billing team must review the complete LCD L34641 policy document at the provided CMS URL to identify specific coverage criteria, documentation requirements, and any prior authorization needs for TMS procedures. Update billing workflows and staff training accordingly based on the full policy requirements.

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