Data Updated for Q4 2018
CPT Code: 99606
Description: Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient
Status Code
X
Statutory Exclusion. These codes represent an item or service that is not in the statutory definition of “physician services” for fee schedule payment purposes. No RVUS or payment amounts are shown for these codes,
Global Days
XXX
The global concept does not apply to the code.
Medicare RUVs and Fees
Work RVU – 0.00
Malpractice RVU – 0.00
Facility RVU – 0.00
Non-Facility RVU – 0.00
Facility Total RVU – 0.00
Non-Facility Total RVU – 0.00
Medicare National Facility Total Payment – $0
Medicare National Non-Facility Total Payment – $0
Bundling Information
Includes
36591, 36592
Included In
0405T, 90791, 90792, 90801, 90802, 90804, 90805, 90806, 90807, 90808, 90809, 90810, 90811, 90812, 90813, 90814, 90815, 90816, 90817, 90818, 90819, 90821, 90822, 90823, 90824, 90826, 90827, 90828, 90829, 90832, 90833, 90834, 90836, 90837, 90838, 90839, 90840, 90845, 90846, 90847, 90849, 90853, 90857, 90862, 90865, 90870, 92002, 92004, 92012, 92014, 93793, 97001, 97002, 97003, 97004, 97161, 97162, 97163, 97164, 97165, 97166, 97167, 97168, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99224, 99225, 99226, 99231, 99232, 99233, 99234, 99235, 99236, 99238, 99239, 99241, 99242, 99243, 99244, 99245, 99251, 99252, 99253, 99254, 99255, 99281, 99282, 99283, 99284, 99285, 99289, 99291, 99293, 99294, 99295, 99296, 99298, 99299, 99300, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99315, 99316, 99318, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99363, 99364, 99431, 99432, 99433, 99435, 99440, 99455, 99456, 99460, 99461, 99462, 99463, 99465, 99466, 99468, 99469, 99471, 99472, 99475, 99476, 99477, 99478, 99479, 99480, 99483, 99484, 99485, 99486, 99487, 99488, 99489, 99490, 99492, 99493, 99494, 99495, 99496, 99497, G0250, G0380, G0381, G0382, G0383, G0384, G0410, G0411, G0459, G0463, G0505, G0506, M0064
Mutually Exclusive
99605
If you get stuck finding the right Code, take a look at our 5 Ways to Find the Most Appropriate CPT Code.
Related CPT Codes
| CPT Code | Description |
|---|---|
| 99600 | Unlisted home visit service or procedure |
| 99600 | Unlisted home visit service or procedure |
| 99601 | Home infusion/specialty drug administration, per visit (up to 2 hours); |
| 99602 | Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure) |
| 99605 | Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient |
| 99606 | Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient |
| 99607 | Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes (List separately in addition to code for primary service) |
