TouchStar™ theta burst with Contact Sensing is a transcranial magnetic stimulation treatment protocol that involves higher frequency pulses than standard TMS protocols.
This results in a shorter duration of each treatment to around 3 minutes.
Competitive Advantage of TouchStar theta burst with Contact Sensing from NeuroStar®
Contact Sensing:
  • Only NeuroStar Advanced Therapy delivers the right dose to the right location every time, and provides real-time feedback about the coil's angle and contact.
  • When patients move during treatment, contact with the coil can be compromised. Coughing, sneezing, or fidgeting can cause the patient's head to lose contact resulting in as much as a 47% loss of the prescribed TMS dose.
NeuroStar avoids this problem in two ways:
  • Patented Contact Sensing system providing real-time feedback in three dimensions and delivering an alert when contact with the coil is compromised
  • Special contoured coil designed to fit the head
Full -3 minute theta burst dosage treatment
Without Contact Sensing, dosage may be compromised
For more information on using the new TouchStar protocol in your practice
There are two common forms of theta burst stimulation:
  • Intermittent theta burst (iTBS) often involves 3 bursts of pulses at 50 Hz every 200 milliseconds (ms) repeated every 10 seconds for 190 seconds (3 min 10 sec).
  • Continuous theta burst (cTBS) generally involves 3 bursts of pulses at 50Hz every 200 ms repeated continuously for 20 or 40 seconds.
TouchStar is intermittent theta burst, which is the more commonly used form of theta burst, as continuous theta burst puts extreme strain on existing TMS equipment.
  • NeuroStar is committed to advance the understanding of clinical outcomes with TouchStar through data collection with TrakStar™ Patient Data Management System.
  • Please reach out to your NeuroStar representative for more information on joining the NeuroStar Outcomes Registry to further the science of TouchStar and TMS.
Generally, payers with Medical Policies that cover TMS do not require that a specific protocol be utilized. Therefore, theta burst is covered and billable using the same 3 CPT codes 90867, 90868 and 90869. The only exception is if a payer specifically states that theta burst is NOT covered. For example, United Healthcare/OPTUM and Humana have stated in medical policy that theta burst is considered NOT medically necessary and unproven, therefore not covered. It is the provider's responsibility to review their specific policy information.