Medicine: Medication Therapy Management Services (December 2008)

December 2008 page 10-end Medicine: Medication Therapy Management Services, 99607 (Q&A) Question: I would like clarification on new versus established patients with regard to codes 99605 - 99607 . Are these services clinic or pharmacist specific? When it says "upon request," does the requesting party need to be documented in the pharmacist's documentation for each visit? For add-on code 99607 , please clarify whether code 99607 may be reported in addition to either code 99605 or code 99606 for a 20-minute encounter. Must the intervention be 15 minutes beyond the initial service to report code 99607 ? Michelle L. Wendt...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains CPT Assistant guidance on medication therapy management services and how the topic is addressed in outpatient and other care settings. It is aimed at coders, pharmacists, and billing staff who need a general understanding of documentation expectations, time-based reporting, and patient-status considerations discussed in the Q&A.

Why This Topic Matters

Medication therapy management services can involve multiple care environments and time-based reporting, so understanding the article helps readers assess whether the guidance applies to their workflows and documentation practices. It is also relevant for those tracking CPT updates and clarifications affecting pharmacist-reported services.

Article Sections

  1. December 2008 page 10-end

    Introductory publication information and the start of the Q&A content for the December 2008 issue.

What You Will Learn

  • How the article frames medication therapy management services in CPT Assistant
  • The general settings discussed for pharmacist-reported services
  • The documentation topics addressed in the Q&A
  • How the article approaches time-based reporting concepts for this service
  • Where the article touches on patient-status terminology and specialty context

Who Should Read This

  • Medical coders
  • Pharmacists
  • Billing and reimbursement staff
  • Compliance staff
  • Practice managers

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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