Summary & Overview
CPT 0892T: Accelerated MRI‑Guided Theta‑Burst Brain Stimulation
Headline: New CPT code 0892T defines accelerated, MRI‑guided theta‑burst brain stimulation service
Lead: CPT code 0892T denotes a treatment‑day service for accelerated, repetitive high‑dose functional connectivity MRI‑guided theta‑burst stimulation, a noninvasive neuromodulation technique that uses neuronavigation and motor threshold redetermination to guide delivery and patient management.
CPT code 0892T represents a procedure increasingly used in specialized neuropsychiatric and neuromodulation programs for disorders where targeted, high‑dose theta‑burst stimulation is indicated. It matters nationally as access, coverage policy, and reimbursement for advanced MRI‑guided neuromodulation influence availability of this resource‑intensive therapy at tertiary centers and ambulatory specialty clinics.
Key payers covered include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the service and clinical context, typical sites of service, common modifiers, and where to look for policy and coverage considerations. The publication provides benchmarks and coding guidance relevant to billing staff, revenue cycle teams, and clinical program managers.
What readers will learn: concise description of the service defined by the code; likely clinical and operational settings for use; typical payer landscape addressed in the analysis; and pointers to related billing considerations and coding resources. Data not available in the input is noted where applicable.
Billing Code Overview
CPT code 0892T describes a treatment-day service for an accelerated, repetitive high–dose functional connectivity MRI–guided theta–burst stimulation procedure. The provider performs neuronavigation, conducts a redetermination of the motor threshold (the minimum power required), delivers the noninvasive brain stimulation treatment, and manages the patient during the session.
Service type: Noninvasive brain stimulation therapy (accelerated, MRI-guided theta‑burst stimulation)
Typical site of service: Outpatient hospital setting or ambulatory specialty clinic with MRI-guided neuronavigation capabilities
Clinical & Coding Specifications
Clinical Context
A 36-year-old patient with treatment-resistant major depressive disorder presents for an accelerated, repetitive high–dose functional connectivity MRI–guided theta–burst stimulation (TBS) treatment course. The patient has failed at least two adequate antidepressant trials and prior standard transcranial magnetic stimulation (TMS) produced incomplete response. Pre-procedure workflow includes review of prior imaging and medications, screening for TMS contraindications (e.g., implanted electronic devices, active seizure disorder), informed consent, and planning using functional connectivity MRI to localize the individualized target. On the treatment day the provider re-determines the motor threshold using neuronavigation, documents threshold and stimulation parameters, delivers the accelerated high-dose TBS session, monitors the patient during and immediately after treatment for adverse effects (headache, scalp discomfort, rare seizure), and provides post-treatment instructions and scheduling for subsequent sessions. Typical site of service is an outpatient specialty clinic within a hospital or freestanding TMS center with MRI-guided neuronavigation capability.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
52 | Reduced services | Use when the full TBS treatment session is partially reduced or not completed but some therapeutic work was performed. |
53 | Discontinued procedure | Use when treatment is started but terminated due to patient condition or adverse event before planned dose delivered. |
78 | Unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the postoperative period | Rarely applicable; use only if an unplanned return to procedure area for a repeat stimulation or corrective intervention occurs during the global period. |
80 | Assistant surgeon | Use when an assistant surgeon or credentialed clinician participates in a manner meeting assistant requirements for the procedure. |
82 | Assistant surgeon (when a qualified resident is not available) | Use when an assistant is required and a resident is not available, per payer policy. |
AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for Medicare | Use when a qualifying advanced practice clinician furnishes professional services under Medicare billing rules; follow local payer rules for supervisory requirements. |
TG | Service furnished under a research protocol funded by NIH | Use when the TBS treatment is provided under an NIH-funded clinical trial and payer requires the TG designation. |
| Taxonomy Code | Specialty | Notes |
|---|---|---|
| 2084P0800X | Neuromodulation Specialist (Neuropsychiatry) | Providers specializing in brain stimulation and neuromodulation therapies. |
| 2084N0400X | Psychiatry & Neurology | Psychiatrists with expertise in procedural treatments for mood disorders. |
| 261QM0800X | Neurology | Neurologists who perform or supervise neuromodulation procedures and motor threshold determination. |
| 363A00000X | Behavioral Health Nurse Practitioner | Advanced practice clinicians who may deliver treatments under supervision depending on payer rules. |
| 2085R0201X | Interventional Psychiatrist | Psychiatrists focused on procedural interventions such as TMS and theta-burst protocols. |
Related Diagnoses
| ICD-10 Code | Description | Clinical Relevance |
|---|---|---|
| Data not available in the input. |
Related CPT Codes
| CPT Code | Description | Relationship to This Procedure |
|---|---|---|
0892T | Accelerated, repetitive high–dose functional connectivity MRI–guided theta–burst stimulation; treatment day including neuronavigation, motor threshold redetermination, delivery, and management | Primary code describing the treatment day for this specific MRI-guided high-dose TBS protocol. |
77021 | Magnetic resonance guidance for percutaneous image-guided procedures (e.g., MRI guidance) | Used when MRI guidance or functional connectivity mapping is billed contemporaneously for localization/planning if payer accepts separate billing. |
95822 | Electroencephalogram (EEG) during TMS or intra-procedure monitoring (if performed) | Use when continuous EEG monitoring is performed during high-risk stimulation sessions for seizure monitoring. |
96127 | Brief emotional/behavioral assessment (e.g., 1–8 items) | May be used for brief pre- or post-treatment symptom rating when documented and billed per payer rules. |
99499 | Unlisted evaluation and management service | May be used for non-standard management services related to complex TBS sessions when no specific CPT applies; follow payer guidance. |