I understand PSTAC was successful in obtaining CPT codes to allow pharmacists to bill third party payers for medication therapy management services (MTMS). What are CPT codes?
CPT (Current Procedural Terminology) codes were created by the American Medical Association in 1966 to be a listing of descriptive terms and identifying codes for reporting medical services and procedures performed by physicians. Historically, many pharmacists who billed for their patient care services did so using codes in the Evaluation and Management or so-called “E&M” section of the CPT coding structure. CPT codes are now used by all health care disciplines to convey their health care encounter information to health plans. Importantly, the new MTM codes are intended to be used exclusively by pharmacists (“Professional Service Billing Codes Approved for Pharmacists” press release of 7/7/2005 on PSTAC website). In January 2008, these codes that were initially approved as Category III (“emerging technology” or “tracking” codes) became available for use as Category I codes. Q: Will medication therapy management services (MTM) or professional services be billed manually or electronicall
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