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Hello all!

I currently work at a PCP office doing medical coding. We often have this debate and I was wondering what other coders thought.

Do you count giving a simple RX of an antibiotic for sinus infection, yeast infection, cough, etc as medication management? Usually, when an acute issue is documented with that 3-7 day RX we will code a 99213. The only time we push it to a L4 is if a 30 day RX is issued, a controlled substance was RXed or if the acute issue is causing an exacerbation on a chronic (EX: acute cough is causing patients chronic BP to being elevated). But for simple 1 diagnosis visits, we keep it low risk. What are your thoughts?
 
At any visit in which the provider writes a prescription, you get medication management. (It doesn't matter how serious the condition is.) You also get medication management if the provider decided to continue, refill, or discontinue a prescription (if this was documented within the visit).
 
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