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Revisions to Medical Policies Related to Transcranial Magnetic Stimulation

Effective March 23, 2021, Horizon BCBSNJ will change the way we consider certain claims based on revisions to the following medical policies:

Access our Medical Policy Manual to review the content of these medical policies.

Claims submitted for services provided on March 23, 2021 and after to patients enrolled in Horizon BCBSNJ commercial and Administrative Services Only (ASO) employer plans will be processed as follows:

  • Regardless of the submitted diagnosis code(s), the services represented by CPT® codes 90867, 90868 or 90869 will be denied as experimental or investigational non-covered services.

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

Published on: December 22, 2020, 09:23 a.m. ET
Last updated on: April 22, 2021, 05:35 a.m. ET