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TMS for bipolar depression

Where TMS stands for the depressive phase of bipolar disorder, FDA clearance and insurance status, what a course involves, and cost.

Updated · Checked by the Covered Mind editorial team against cited sources

Key facts

  • Last checked:
  • Sources listed: 1
  • Reading time: About 1 minute
  • FDA status: not FDA cleared for bipolar depression
  • Coverage: Most commercial policies cover TMS for major depressive disorder and either exclude or treat bipolar depression case by case
  • Cash price: $6,000 to $14,000
Key facts
FactValue
Last checked
Sources listed1
Reading timeAbout 1 minute
FDA statusnot FDA cleared for bipolar depression
CoverageMost commercial policies cover TMS for major depressive disorder and either exclude or treat bipolar depression case by case
Cash price$6,000 to $14,000

What does the evidence say about TMS for bipolar depression?

TMS (transcranial magnetic stimulation) studies in bipolar depression are small and mixed; some show benefit comparable to unipolar depression, others do not. It is not FDA cleared for bipolar depression, and guidelines list it as a possible adjunct after standard treatments.

See the coverage hub, the TMS hub, and the coverage checker.

Is TMS safe in bipolar disorder?

Treatment-emergent mania has been reported but is uncommon, and a mood stabilizer is continued throughout. Clinics monitor for mood elevation at each visit.

Who is a candidate for TMS for bipolar depression?

Adults with bipolar depression that has not responded to two or more standard treatments, stable on a mood stabilizer, with no seizure disorder or metal in the head.

Does insurance cover TMS for bipolar depression, and what does it cost?

Most commercial policies cover TMS for major depressive disorder and either exclude or treat bipolar depression case by case; some cover it with the same criteria. Original Medicare LCDs generally cover only unipolar depression. Cash courses run $6,000 to $14,000.

See TMS coverage, ketamine therapy for bipolar depression, and TMS: the complete guide.

See Spravato vs TMS: how to choose.

Read TMS vs ECT: what each is for.

Checked by the Covered Mind editorial team · · Editorial policy

Cite this

Covered Mind. "TMS for bipolar depression." https://www.coveredmind.com/conditions/bipolar-depression/tms-therapy. Last checked Sep 1, 2026.

This site provides general information about insurance coverage and treatment options. It is not medical advice, not a guarantee of coverage, and not a substitute for talking with a clinician or your health plan.