Banner
  • Revenue Cycle Management
  • COVID-19
  • Reimbursement
  • Diabetes Awareness Month
  • Risk Management
  • Patient Retention
  • Staffing
  • Medical Economics® 100th Anniversary
  • Coding and documentation
  • Business of Endocrinology
  • Telehealth
  • Physicians Financial News
  • Cybersecurity
  • Cardiovascular Clinical Consult
  • Locum Tenens, brought to you by LocumLife®
  • Weight Management
  • Business of Women's Health
  • Practice Efficiency
  • Finance and Wealth
  • EHRs
  • Remote Patient Monitoring
  • Sponsored Webinars
  • Medical Technology
  • Billing and collections
  • Acute Pain Management
  • Exclusive Content
  • Value-based Care
  • Business of Pediatrics
  • Concierge Medicine 2.0 by Castle Connolly Private Health Partners
  • Practice Growth
  • Concierge Medicine
  • Business of Cardiology
  • Implementing the Topcon Ocular Telehealth Platform
  • Malpractice
  • Influenza
  • Sexual Health
  • Chronic Conditions
  • Technology
  • Legal and Policy
  • Money
  • Opinion
  • Vaccines
  • Practice Management
  • Patient Relations
  • Careers

Coding Cues: Medication management

Article

Patients with multiple health problems and multiple meds often ask-in many cases, repeatedly-why they take so many pills or why they need a particular drug. A time-consuming review of the function of each medication generally follows, along with a discussion of the benefit to the patient, indications and contraindications, and possible alternatives. Since this typically occurs after I've completed a physical exam, can I use code 90862 "Pharmacologic Management" in addition to the level of service for these patients?

Patients with multiple health problems and multiple meds often ask-in many cases, repeatedly-why they take so many pills or why they need a particular drug. A time-consuming review of the function of each medication generally follows, along with a discussion of the benefit to the patient, indications and contraindications, and possible alternatives. Since this typically occurs after I've completed a physical exam, can I use code 90862 "Pharmacologic Management" in addition to the level of service for these patients?

The 90862 code would not be appropriate under the circumstances you describe. That's because the full description of this code is "Pharmacologic management, including prescription, use and review of medication with no more than minimal medical psychotherapy." You may, however, bill the visit based upon time if more than 50 percent of the visit was devoted to counseling and coordination of care. Be sure to document the total length of the visit and what percentage was spent in counseling, as well as the topics discussed.

Related Videos
Jennifer N. Lee, MD, FAAFP
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health
© National Institute for Occupational Safety and Health