The guidelines for selecting office visit codes changed in January, reducing the documentation burden on practitioners. Psychiatrists and psychiatric NPs and PAs must now use the new guidelines when selecting a code for medication management and for medication management and psychotherapy. Watch the video below for an explanation about how to select your level of service.
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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