Medication Therapy Management Services (April 2006)

Why This Topic Matters

It helps readers understand how this pharmacist service category is framed in CPT and why it was introduced for standardized reporting and data collection. The article is useful for organizations that need to recognize the scope of medication therapy management documentation and distinguish it from routine dispensing activities.

Article Sections

1. April 2006 pages 8-10

   Introduces the topic and places the discussion in the April 2006 CPT Assistant issue.

2. Coding Communication: Medication Therapy Management Services

   Summarizes the service concept, the rationale for standardized reporting, and the general clinical and administrative context for pharmacist-provided medication management services.

3. Historical Rationale

   Reviews the background and evolution of pharmaceutical care concepts that led to the reporting framework discussed in the article.

4. MTMS as It Relates to Governmental Regulations

   Describes the broader legislative, regulatory, and transaction-reporting environment associated with pharmacist services and related identifiers.

5. The Focus of MTMS

   Outlines the general categories of drug-related issues addressed by the service family.

6. Category III MTMS Guidelines and Codes

   Explains the service structure, documentation themes, and reporting framework for the Category III codes associated with medication therapy management.

7. Clinical Example: 0115T

   Provides an illustrative scenario and procedural description for the initial service encounter.

8. Clinical Example: 0116T

   Provides an illustrative scenario and procedural description for the subsequent service encounter.

9. Clinical Example: 0117T

   Provides a brief example of the add-on time-based service.

10. Endnotes

    Lists cited references and source materials supporting the discussion.