Medical Policy Update: Navigated Transcranial Magnetic Stimulation (nTMS)

Effective November 10, 2017, Horizon Blue Cross Blue Shield of New Jersey will change the way we consider claims for navigated transcranial magnetic stimulation (nTMS) provided to Horizon BCBSNJ Medicare Advantage (MA) plan members.

The guidelines of our medical policy, Navigated Transcranial Magnetic Stimulation (nTMS), identify when nTMS is considered medically necessary and when it is considered investigational.

We encourage you to review this policy in our Medical Policy Manual.

Based on the guidelines of our medical policy, Navigated Transcranial Magnetic Stimulation (nTMS), CPT® code 0310T included on claims for services provided on and after November 10, 2017 to patients enrolled in Horizon BCBSNJ MA plans will be denied as an experimental/investigational service regardless of the submitted diagnosis code(s).

Unless Horizon BCBSNJ gives written notice that all or part of the above changes have been cancelled or postponed, the changes will be applied to claims for dates of service on and after November 10, 2017.

CPT® is a registered mark of the American Medical Association.