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The CPT® Code 90862 refers to the process of pharmacologic management, which encompasses the prescription, utilization, and review of medications prescribed to patients. This code is specifically designed for situations where the management of pharmacotherapy is conducted with minimal medical psychotherapy involved. In this context, pharmacologic management includes not only the initial prescription of medication but also the ongoing management of the patient's treatment, which may involve monitoring for side effects and assessing the effectiveness of the prescribed therapy. The emphasis on 'minimal medical psychotherapy' indicates that while some level of therapeutic interaction may occur, the primary focus remains on the pharmacological aspects of treatment rather than extensive psychotherapeutic interventions. This code is particularly relevant for healthcare professionals who are involved in the management of patients requiring medication for mental health conditions, ensuring that the treatment is both effective and safe while adhering to the necessary clinical guidelines.
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The CPT® Code 90862 is indicated for use in the management of patients who require pharmacotherapy for various mental health conditions. The following are specific indications for this procedure:
The procedure associated with CPT® Code 90862 involves several key steps that ensure effective pharmacologic management of the patient’s treatment. Each step is crucial for maintaining the quality of care and optimizing therapeutic outcomes.
After the pharmacologic management procedure coded as 90862, the patient is expected to continue with regular follow-up appointments to monitor their progress and medication effectiveness. It is important for the healthcare provider to maintain open communication with the patient regarding any side effects or concerns that may arise during treatment. Additionally, the provider may offer guidance on lifestyle modifications or adjunct therapies that could enhance the overall treatment outcome. The focus remains on ensuring that the patient receives comprehensive care while adhering to the principles of pharmacologic management.
| Short Descr | MEDICATION MANAGEMENT | Medium Descr | MEDICATION MANAGEMENT | Long Descr | Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Discontinued Code | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | M5B - Specialist - psychiatry | MUE | Not applicable/unspecified. | CCS Clinical Classification | 218 - Psychological and psychiatric evaluation and therapy |
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