I have always been taught that a single prescription, for example one time prescription of Toradol for a shoulder strain, does not mean that this is Prescription Drug Management.
I am having an issue with a fellow coder that is stating it is. I found an article stating "The mere presence of prescription drugs does not necessarily qualify for moderate complexity. CMS has indicated that writing a prescription for a seven- or 10-day supply of an antibiotic is not considered to be a moderate level of complexity. At least one Blue Cross company has indicated that prescription drug management involves more than the use of prescription drugs. It may mean a change in regimen, the addition of an agent, or the worsening of a problem."
The link is http://www.physicianspractice.com/coding/prescription-drug-management
Can anyone tell me if they have ever seen this statement (or indication) on the CMS Website? I have just spent the last 2 hours searching and cannot find it.
Appreciate any help I can get for this.
Allana
I am having an issue with a fellow coder that is stating it is. I found an article stating "The mere presence of prescription drugs does not necessarily qualify for moderate complexity. CMS has indicated that writing a prescription for a seven- or 10-day supply of an antibiotic is not considered to be a moderate level of complexity. At least one Blue Cross company has indicated that prescription drug management involves more than the use of prescription drugs. It may mean a change in regimen, the addition of an agent, or the worsening of a problem."
The link is http://www.physicianspractice.com/coding/prescription-drug-management
Can anyone tell me if they have ever seen this statement (or indication) on the CMS Website? I have just spent the last 2 hours searching and cannot find it.
Appreciate any help I can get for this.
Allana