According to an embodiment, a power transmission device performs power transmission without contact with a power reception device. A control circuit of the power transmission device obtains, as a reference value, a standby current in a standby state in which the power transmission to the power reception device is not performed. The control circuit sets, as a foreign matter detection threshold, a value obtained by adding a constant value to the reference value or a value obtained by adding a constant ratio to the reference value. Further, in the standby state, when the current value input to the power transmission circuit and detected by the current detection circuit is equal to or larger than the threshold, the control circuit determines that there is a foreign matter on the power transmission coil.