Medication management performed by psychiatrists and medical psychiatric nurse practitioners and physician assistants is billed with Evaluation and Management codes. This could be any type of E/M service, a nursing facility service or home visit, but is most typically billed as an office/outpatient visit for an established patient, using codes 99212-99215.
Members can download the medication management and psychotherapy quick reference sheet to use as a reference.
Providing only medication management at the visit
Use MDM to select a code. Or, if based on time, the typical time. In 2021, codes are defined as time ranges.
Use total time of visit on that date of service.
For other E/M services (inpatient visits, observation), use the existing 1995/1997 rules to select a level of service based on the key components, or time, if counseling dominates the visit.
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