Repetitive Transcranial Magnetic Stimulation Request Form

Massachusetts providers may submit the standard Repetitive Transcranial Magnetic Stimulation Request Form (rTMS) as outlined below:

Secure Email:     Commercial: BHPriorAuthCommercial@point32health.org

Fax:                     Commercial: 617.673.0315
                            Tufts Health Public Plans: 888.977.0776
Mail:                    Behavioral Health Department
                            Mail Stop C2
                            1 Wellness Way
                            Canton, MA 02021

Note: F33.2 is the correct code for Major Depressive Disorder, Recurrent Episode, Severe (Without Psychotic Features). Currently, the code listed for this service on the standard form posted on the DOI website is incorrect.