diff --git a/src/__tests__/conversion.spec.ts b/src/__tests__/conversion.spec.ts
index e50af77..b089de3 100644
--- a/src/__tests__/conversion.spec.ts
+++ b/src/__tests__/conversion.spec.ts
@@ -3,9 +3,14 @@ import {
   centOffsetToFrequency,
   centsToValue,
   frequencyToCentOffset,
+  ftomts,
+  frequencyToMtsBytes,
   ftom,
   mtof,
   valueToCents,
+  mtsToMtsBytes,
+  mtsBytesToHex,
+  mtsBytesToFrequency,
 } from '../conversion';
 
 describe('Ratio to cents converter', () => {
@@ -38,6 +43,241 @@ describe('MIDI to frequency converter', () => {
   });
 });
 
+describe('Frequency to MTS converter', () => {
+  it('converts known frequency values (based on MIDI Tuning Spec)', () => {
+    expect(ftomts(8.175799)).toBe(0);
+    expect(ftomts(8.175828)).toBe(0.000062);
+    expect(ftomts(8.661957)).toBe(1);
+    expect(ftomts(16.351598)).toBe(12);
+    expect(ftomts(261.625565)).toBe(60);
+    expect(ftomts(277.182631)).toBe(61);
+    expect(ftomts(439.998449)).toBe(68.999939);
+    expect(ftomts(440)).toBe(69);
+    expect(ftomts(440.001551)).toBe(69.000061);
+    expect(ftomts(8372.01809)).toBe(120);
+    expect(ftomts(8372.047605)).toBe(120.000061);
+    expect(ftomts(12543.853951)).toBe(127);
+    expect(ftomts(12543.898175)).toBe(127.000061);
+    expect(ftomts(13289.656616)).toBe(127.999878);
+    expect(ftomts(13289.656616, true)).toBe(127.999878);
+  });
+  it('clamps values beyond the specified MTS frequency range', () => {
+    expect(ftomts(-100, false)).toBe(0);
+    expect(ftomts(14080, false)).toBe(127.999878);
+    expect(ftomts(28980, false)).toBe(127.999878);
+  });
+  it('does not clamp values above the specified MTS frequency range if ignoreLimit is true', () => {
+    expect(ftomts(-100, true)).toBe(0);
+    expect(ftomts(14080, true)).toBe(129);
+    expect(ftomts(28980, true)).toBeCloseTo(141.496923, 4);
+  });
+});
+
+describe('MTS to MTS sysex value', () => {
+  it('converts known values from MIDI Tuning spec', () => {
+    expect(mtsToMtsBytes(0)).toMatchObject(new Uint8Array([0, 0, 0]));
+    expect(mtsToMtsBytes(0.00006)).toMatchObject(new Uint8Array([0, 0, 1]));
+    expect(mtsToMtsBytes(1)).toMatchObject(new Uint8Array([1, 0, 0]));
+    expect(mtsToMtsBytes(12)).toMatchObject(new Uint8Array([12, 0, 0]));
+    expect(mtsToMtsBytes(60)).toMatchObject(new Uint8Array([60, 0, 0]));
+    expect(mtsToMtsBytes(61)).toMatchObject(new Uint8Array([61, 0, 0]));
+    expect(mtsToMtsBytes(68.99994)).toMatchObject(
+      new Uint8Array([68, 127, 127])
+    );
+    expect(mtsToMtsBytes(69)).toMatchObject(new Uint8Array([69, 0, 0]));
+    expect(mtsToMtsBytes(69.000061)).toMatchObject(new Uint8Array([69, 0, 1]));
+    expect(mtsToMtsBytes(120)).toMatchObject(new Uint8Array([120, 0, 0]));
+    expect(mtsToMtsBytes(120.000061)).toMatchObject(
+      new Uint8Array([120, 0, 1])
+    );
+    expect(mtsToMtsBytes(127)).toMatchObject(new Uint8Array([127, 0, 0]));
+    expect(mtsToMtsBytes(127.000061)).toMatchObject(
+      new Uint8Array([127, 0, 1])
+    );
+    expect(mtsToMtsBytes(127.999878)).toMatchObject(
+      new Uint8Array([127, 127, 126])
+    );
+  });
+  it('clamps values beyond the specified MTS frequency range', () => {
+    expect(mtsToMtsBytes(-1)).toMatchObject(new Uint8Array([0, 0, 0]));
+    expect(mtsToMtsBytes(127.9999)).toMatchObject(
+      new Uint8Array([127, 127, 126])
+    );
+    expect(mtsToMtsBytes(128)).toMatchObject(new Uint8Array([127, 127, 126]));
+  });
+});
+
+describe('Frequency to MTS sysex value', () => {
+  it('converts known values from MIDI Tuning spec', () => {
+    expect(frequencyToMtsBytes(8.175799)).toMatchObject(
+      new Uint8Array([0, 0, 0])
+    );
+
+    expect(frequencyToMtsBytes(8.175828)).toMatchObject(
+      new Uint8Array([0, 0, 1])
+    );
+
+    expect(frequencyToMtsBytes(8.661957)).toMatchObject(
+      new Uint8Array([1, 0, 0])
+    );
+
+    expect(frequencyToMtsBytes(16.351598)).toMatchObject(
+      new Uint8Array([12, 0, 0])
+    );
+
+    expect(frequencyToMtsBytes(261.625565)).toMatchObject(
+      new Uint8Array([60, 0, 0])
+    );
+
+    expect(frequencyToMtsBytes(277.182631)).toMatchObject(
+      new Uint8Array([61, 0, 0])
+    );
+
+    expect(frequencyToMtsBytes(439.998449)).toMatchObject(
+      new Uint8Array([68, 127, 127])
+    );
+
+    expect(frequencyToMtsBytes(440)).toMatchObject(new Uint8Array([69, 0, 0]));
+    expect(frequencyToMtsBytes(440.001551)).toMatchObject(
+      new Uint8Array([69, 0, 1])
+    );
+
+    expect(frequencyToMtsBytes(8372.01809)).toMatchObject(
+      new Uint8Array([120, 0, 0])
+    );
+
+    expect(frequencyToMtsBytes(8372.047605)).toMatchObject(
+      new Uint8Array([120, 0, 1])
+    );
+
+    expect(frequencyToMtsBytes(12543.853951)).toMatchObject(
+      new Uint8Array([127, 0, 0])
+    );
+
+    expect(frequencyToMtsBytes(12543.898175)).toMatchObject(
+      new Uint8Array([127, 0, 1])
+    );
+
+    expect(frequencyToMtsBytes(13289.656616)).toMatchObject(
+      new Uint8Array([127, 127, 126])
+    );
+  });
+  it('converts other known values', () => {
+    expect(frequencyToMtsBytes(255.999612)).toMatchObject(
+      new Uint8Array([59, 79, 106])
+    );
+
+    expect(frequencyToMtsBytes(256)).toMatchObject(
+      new Uint8Array([59, 79, 106])
+    );
+
+    expect(frequencyToMtsBytes(441.999414)).toMatchObject(
+      new Uint8Array([69, 10, 6])
+    );
+
+    expect(frequencyToMtsBytes(442)).toMatchObject(new Uint8Array([69, 10, 6]));
+  });
+  it('clamps values beyond supported MTS range', () => {
+    expect(frequencyToMtsBytes(-1)).toMatchObject(new Uint8Array([0, 0, 0]));
+    expect(frequencyToMtsBytes(14000)).toMatchObject(
+      new Uint8Array([127, 127, 126])
+    );
+  });
+});
+
+describe('MTS sysex value to frequency ', () => {
+  it('converts known values from MIDI Tuning spec', () => {
+    expect(mtsBytesToFrequency(new Uint8Array([0, 0, 0]))).toBeCloseTo(
+      8.175799,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([0, 0, 1]))).toBeCloseTo(
+      8.175828,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([1, 0, 0]))).toBeCloseTo(
+      8.661957,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([12, 0, 0]))).toBeCloseTo(
+      16.351598,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([60, 0, 0]))).toBeCloseTo(
+      261.625565,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([61, 0, 0]))).toBeCloseTo(
+      277.182631,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([68, 127, 127]))).toBeCloseTo(
+      439.998449,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([69, 0, 0]))).toBe(440);
+    expect(mtsBytesToFrequency(new Uint8Array([69, 0, 1]))).toBeCloseTo(
+      440.001551,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([120, 0, 0]))).toBeCloseTo(
+      8372.01809,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([120, 0, 1]))).toBeCloseTo(
+      8372.047605,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([127, 0, 0]))).toBeCloseTo(
+      12543.853951,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([127, 0, 1]))).toBeCloseTo(
+      12543.898175,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([127, 127, 126]))).toBeCloseTo(
+      13289.656616,
+      4
+    );
+  });
+  it('converts other known values', () => {
+    expect(mtsBytesToFrequency(new Uint8Array([59, 79, 106]))).toBeCloseTo(
+      255.999612,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([69, 10, 6]))).toBeCloseTo(
+      441.999414,
+      4
+    );
+  });
+  it('clamps values beyond supported MTS range', () => {
+    expect(mtsBytesToFrequency(new Uint8Array([68, 199, 199]))).toBeCloseTo(
+      439.998449,
+      4
+    );
+    expect(mtsBytesToFrequency(new Uint8Array([199, 199, 199]))).toBeCloseTo(
+      13289.656616,
+      4
+    );
+  });
+});
+
+describe('MTS data hex string converter', () => {
+  it('converts other known values', () => {
+    expect(mtsBytesToHex(new Uint8Array([60, 0, 0]))).toEqual('3c0000');
+    expect(mtsBytesToHex(new Uint8Array([69, 0, 0]))).toEqual('450000');
+    expect(mtsBytesToHex(new Uint8Array([69, 10, 6]))).toEqual('450a06');
+  });
+  it('clamps int values above 0x7f to 0x7f', () => {
+    expect(mtsBytesToHex(new Uint8Array([69, 240, 6]))).toEqual('457f06');
+    expect(mtsBytesToHex(new Uint8Array([128, 255, 128]))).toEqual('7f7f7f');
+  });
+  it('allow value reserved for "no tuning change"', () => {
+    expect(mtsBytesToHex(new Uint8Array([127, 127, 127]))).toEqual('7f7f7f');
+  });
+});
+
 describe('Frequency to MIDI converter', () => {
   it('converts a known value', () => {
     const [index, offset] = ftom(261.625565);
diff --git a/src/conversion.ts b/src/conversion.ts
index fa3a78a..8bc555e 100644
--- a/src/conversion.ts
+++ b/src/conversion.ts
@@ -51,13 +51,25 @@ export function centOffsetToFrequency(offset: number, baseFrequency = 440) {
 const MIDI_NOTE_NUMBER_OF_A4 = 69;
 /**
  * Convert MIDI note number to frequency.
- * @param index MIDI note number.
+ * @param index MIDI note number or MTS value.
  * @returns Frequency in Hertz.
  */
 export function mtof(index: number) {
   return 440 * Math.pow(2, (index - MIDI_NOTE_NUMBER_OF_A4) / 12);
 }
 
+/**
+ * Convert frequency to MTS number (semitones with A440=69).
+ * @param frequency Frequency in Hertz.
+ * @returns MTS value
+ */
+export function ftomts(frequency: number, ignoreLimit = false): number {
+  if (frequency <= 0) return 0;
+  if (frequency > 13289.656616 && !ignoreLimit) return 127.999878; // Highest possible MTS value, corresponding to 7F 7F 7E
+  const mts = MIDI_NOTE_NUMBER_OF_A4 + 12 * Math.log2(frequency / 440);
+  return Math.round(mts * 1000000) / 1000000;
+}
+
 /**
  * Convert frequency to MIDI note number and pitch offset measured in cents.
  * @param frequency Frequency in Hertz.
@@ -70,6 +82,80 @@ export function ftom(frequency: number): [number, number] {
   return [midiNoteNumber, centsOffset];
 }
 
+/**
+ * Convert MTS pitch value to 3-byte representation
+ * @param number MTS pitch value
+ * @returns Uint8Array 3-byte of 7-bit MTS data
+ */
+export function mtsToMtsBytes(mtsValue: number): Uint8Array {
+  if (mtsValue <= 0) return new Uint8Array([0, 0, 0]);
+  if (mtsValue > 127.999878) return new Uint8Array([127, 127, 126]);
+
+  const noteNumber = Math.trunc(mtsValue);
+  const fine = Math.round(0x4000 * (mtsValue - noteNumber));
+
+  const data = new Uint8Array(3);
+  data[0] = noteNumber;
+  data[1] = (fine >> 7) & 0x7f;
+  data[2] = fine & 0x7f;
+  return data;
+}
+
+/**
+ * Convert frequency to 3-byte MTS value
+ * @param frequency Frequency in Hertz.
+ * @returns Uint8Array of length 3
+ */
+export function frequencyToMtsBytes(frequency: number): Uint8Array {
+  const mtsValue = ftomts(frequency);
+  return mtsToMtsBytes(mtsValue);
+}
+
+/**
+ * Convert 3-byte MTS value to frequency
+ * @param Uint8Array of 3-bytes of 7-bit MTS values
+ * @returns frequency Frequency in Hertz
+ */
+export function mtsBytesToMts(mtsBytes: Uint8Array): number {
+  const msb = mtsBytes[1] > 0x7f ? 0x7f : mtsBytes[1];
+  let lsb = mtsBytes[2];
+
+  const noteNumber = mtsBytes[0] > 0x7f ? 0x7f : mtsBytes[0];
+  if (noteNumber === 0x7f) {
+    if (lsb >= 0x7f) lsb = 0x7e;
+  } else if (lsb > 0x7f) lsb = 0x7f;
+
+  const fine = ((msb << 7) + lsb) / 0x4000;
+  return noteNumber + fine;
+}
+
+/**
+ * Convert 3-byte MTS value to frequency
+ * @param Uint8Array of 3-bytes of 7-bit MTS values
+ * @returns frequency Frequency in Hertz
+ */
+export function mtsBytesToFrequency(mtsBytes: Uint8Array): number {
+  const mts = mtsBytesToMts(mtsBytes);
+  const frequency = mtof(mts);
+  return Math.round(frequency * 1000000) / 1000000;
+}
+
+/** Convert MTS Data value into readable hex string
+ * @param Uint8Array of 3-bytes of 7-bit MTS values
+ * @returns String representation of MTS value in hexadecimal
+ *          can be used in MIDI messages
+ */
+export function mtsBytesToHex(mtsBytes: Uint8Array): String {
+  const noteNumber = mtsBytes[0] > 0x7f ? 0x7f : mtsBytes[0];
+  const msb = mtsBytes[1] > 0x7f ? 0x7f : mtsBytes[1];
+  const lsb = mtsBytes[2] > 0x7f ? 0x7f : mtsBytes[2];
+  return (
+    noteNumber.toString(16).padStart(2, '0') +
+    msb.toString(16).padStart(2, '0') +
+    lsb.toString(16).padStart(2, '0')
+  );
+}
+
 /**
  * Convert cents to natural units.
  * @param cents Musical interval in cents.