MDD is a clinical diagnosis based on symptoms like persistent sadness, loss of interest, fatigue, and poor sleep. Insurance requires a qualifying score—typically 20 or higher on the PHQ-9 scale—to authorize TMS. This depression screening form is available on the Brain Wellness Center website.
No. TMS is not FDA-approved or covered by insurance for APT. If depression is also present, coverage may be available under that diagnosis.
No. Insurance does not cover TMS for APT in children or adults. TMS is only reimbursed for depression, generally starting at age 15.
No referral is required. Brain Wellness Center performs its own clinical assessment to determine if TMS or APT is appropriate. Insurance billing is only pursued for qualifying depression treatment.
