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Transcranial Magnetic Stimulation denials: what the review data shows
Independent reviewers have decided 265 published cases where an insurer denied Transcranial Magnetic Stimulation — and they overturned the insurer 53.2% of the time. A denial for Transcranial Magnetic Stimulation is a starting position, not a final answer.
Published decisions
265
2001–2026
Overturned
53.2%
141 denials reversed
By condition
Published outcomes when Transcranial Magnetic Stimulation was denied for these conditions.
| Condition | Decisions | Overturned |
|---|---|---|
| Major Depressive Disorder | 141 | 57.4% |
| Depression | 44 | 59.1% |
| Mental Disorder | 27 | 33.3% |
| Major Depression | 17 | 58.8% |
How to use this in your appeal
These are outcomes from California’s external review program — an independent physician panel that binds the insurer. Every state has an equivalent process, and internal appeals succeed even more often. Cite the outcome record for Transcranial Magnetic Stimulationwhen you appeal: reviewers routinely find that denials like yours didn’t hold up.
SOURCE: CALIFORNIA DMHC INDEPENDENT MEDICAL REVIEW OUTCOMES (CHHS OPEN DATA) · DERIVED AGGREGATE STATISTICS ONLY · METHODOLOGY
Not legal or medical advice. Coverage Rights is a self-help tool that helps you prepare your own appeal. For advice about your specific situation, talk to a licensed attorney or your doctor.