© Copyright 2026 American Medical Association. All rights reserved.
Transcutaneous magnetic stimulation (TMS) by focused low-frequency electromagnetic pulse is a non-invasive therapeutic technique aimed at managing chronic pain, particularly following traumatic injuries. This procedure specifically targets peripheral nerves, which are the nerves located outside the brain and spinal cord. The process begins with the identification of the nerve pain, often located at the trauma site or adjacent to a palpable neuroma, which is a growth or tumor on a nerve. The clinician utilizes a specialized device that emits electromagnetic pulses to stimulate the nerve. During the procedure, the clinician moves the coil head of the stimulator along the area of pain, applying electromagnetic impulses until the patient indicates that the precise point of pain is being stimulated. The amplitude of the impulses is gradually adjusted to optimize the stimulation until the patient reaches a threshold of pain relief. This targeted approach not only helps in alleviating pain but also involves marking the identified treatment location on the skin with permanent ink and documenting the position with a photograph for future reference. The treatment session typically lasts between 15 to 20 minutes. For billing purposes, CPT® Code 0766T is used for the first nerve treated, which includes the identification and marking process, while CPT® Code 0767T is designated for each additional nerve treated and marked during the session.
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