Prior Auth Required

33398 - https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid= &ver=32&bc=0

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / Servicehttps://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid= &ver=32&bc=0
Procedure / Service Description

DISCLAIMER - * Please note that the Medicare Advantage Benefits for TMS are administered in accordance with Local Coverage Determination for Transcranial Magnetic Stimulation (L33398): https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=33398&ver=32&bc=0 If there is a discrepancy between this policy and an enrollee’s individual benefit plan, the benefit

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.