CodingIntel

Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

Medication management and psychotherapy reference sheet

This quick reference sheet illustrates the coding and documentation requirements for medication management services with, or without psychotherapy.  This is a compliance issue that behavioral health practices must review. When reporting both an E/M service and psychotherapy by the same clinician on the same calendar day, a practitioner must use MDM to select the E/M service and may not double count any time.

  • May be any type (category) of E/M service
  • Usually an established patient visit (99212-99215) but can be used with other E/M codes
  • Performed by a psychiatrist, psychiatric NP or PA

For additional details, see Medication Management and Psychotherapy.

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.