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These include: No suicidal ideation. No psychotic symptoms. No metal in the cranium. No neurological conditions (seizures). Not pregnant or nursing. No substance abuse.
Transcranial Magnetic Stimulation (TMS) is FDA approved for the treatment of depression and obsessive-compulsive disorders.
The patient must have a DSM diagnosis of F33. 2 (Recurrent Depressive Disorder, Current Episode Severe Without Psychotic Symptoms) or F32. 2 (Severe Depressive Episode Without Psychotic Symptoms). The severity of depression required, as measured by a clinical rating scale, differs by insurance plan.
Most insurance companies that are in-network will only take five to seven business days to approve the procedure. In rare cases, it can take up to fifteen days. If a patient has out-of-network coverage, then a TMS provider may offer whats called a single case agreement with the insurance company.
Initially introduced to the public in 2008, TMS treatment was extremely costly, with only one available device (NeuroStar) that medical practitioners could obtain at a high cost, resulting in high treatment prices. Many doctors using this device would bill upwards of $16,000 for a complete treatment regimen.
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There are people who cannot be treated with TMS. Patients with any metal implants are not eligible for this treatment. Those with bullet fragments near the head cannot have transcranial magnetic stimulation either. People who have had seizures in the past or are at high risk of having seizures must avoid TMS as well.
In the US, for example, privileges to prescribe Deep TMS vary by state. While psychiatrists can universally offer Deep TMS treatment, many states allow other physicians, as well as nurse practitioners, physicians assistants, and prescribing clinical psychologists to do so, too.
Due to the nature and effects of magnetic energy, patients with some forms of implant should avoid TMS therapy. This includes patients with implants that work with physiological signals such as pacemakers, vagus nerve stimulators (VNS), and implantable cardioverter defibrillators (ICDs).

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