A199

PDF page 312 / A184

Initiation of Repetitive Transcranial Magnetic Stimulation (rTMS) for treatment resistant
   depression
     Initiation of repetitive transcranial magnetic stimulation (rTMS) for treatment resistant
     depression is an assessment rendered by a specialist in Psychiatry where the physician
     spends a minimum of 30 minutes (consecutive or non-consecutive) in direct contact with the
     patient, exclusive of time spent rendering any other separately billable intervention to the
     patient. The physician must be available to intervene in a timely fashion for the duration of the
     initial therapy session to manage adverse reactions or the service is not eligible for payment.
 A199 Initiation of rTMS for treatment resistant depression ..............            159.80
     Payment rules:
     1.A199 includes educational counselling by the physician, determination of the initial treatment
        modalities of rTMS including motor threshold and coil placement, electromyography (EMG) –
        if performed, and initial treatment monitoring personally provided by or in the presence of the
        physician – if performed.
        2.A199 is only eligible for payment for a patient with an established diagnosis of treatment
          resistant depression, documented in the patient’s medical record.
        3.A199 is limited to a maximum of one service per patient per acute treatment protocol and a
          maximum of 2 services per patient 12 month period.
        4.Indirect time, when the patient is not present, may not be included towards the minimum time
          requirement. Concurrent time, with more than one patient, may not be included towards the
          minimum time requirement.

Master, record 111. Record Layout PDF, page 1.

A19920260401999999990000000000000000000000000015980000000000000000000000000

Auxiliary master fields are preserved as raw scaled values. The linked layout calls them zero-filled, but this edition contains non-zero values. They are not presented as final dollar fees or PDF units.