All PlansAdministrativeMedium impact
07.03.22g, Therapeutic Transcranial Magnetic Stimulation (TMS)
Independence Blue Cross·Psychiatry, Neurology, Pain Management·Medical Policy
Effective date
Dec 29, 2025
We identified it
Jun 19, 2026
Summary
Policy 07.03.22g regarding Therapeutic Transcranial Magnetic Stimulation (TMS) has been updated effective 12/29/2025. This is a general description, guidelines, or informational update to the existing TMS policy. The billing team should review the full policy text to identify any changes to coverage criteria, prior authorization requirements, or billing guidelines that may affect claims processing.
Action Required
By 12/29/2025: Billing team must access and review the complete policy text at the provided URL to identify specific changes to TMS coverage, authorization requirements, or documentation standards. Update internal billing guidelines, prior authorization procedures, and provider communication materials accordingly. Confirm with clinical staff any changes to medical necessity criteria or patient eligibility requirements. Update billing system rules if prior authorization requirements or coding guidelines have changed. Failure to implement changes may result in claim denials or improper reimbursement.