Medication management and Psychotherapy

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

In 2021

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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