All PlansCoverageMedium impact
Behavioral coverage policy update: Transcranial magnetic stimulation for major depressive disorder
Cigna·Psychiatry·Coverage
Effective date
Mar 31, 2025
We identified it
Jun 19, 2026
Summary
Cigna's behavioral coverage policy has been updated to include transcranial magnetic stimulation (TMS) as a covered treatment for major depressive disorder in adolescents aged 15-17. Initial and repeat TMS regimens will be considered medically necessary when specific coverage criteria are met.
Action Required
Before March 31, 2025: Billing team must review and implement the updated Transcranial Magnetic Stimulation (EN0383) behavioral coverage policy for adolescent patients aged 15-17 with major depressive disorder. Update prior authorization processes to ensure TMS treatments meet the new coverage criteria. Contact Provider Services at 800.926.2273 for specific policy requirements and criteria details.