Medication management and psychotherapy reference sheet

This quick reference sheet illustrates the coding and documentation requirements for medication management services with, or without psychotherapy.

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

For additional details, see Medication Mangement and Psychotherapy.

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Last revised April 26, 2021 - Betsy Nicoletti
Tags: behavioral health, psychiatry

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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.