Results 1 to 6 of 6

Prescription Drug Management E/M ?

  1. #1
    Question Prescription Drug Management E/M ?
    Exam Training Packages
    When a patient comes in for an office visit for anything, i.e., a rash, HTN, etc., and the Provider determines "continue of current meds without changes," would that be considered Prescription Drug Management?

    Thanks in advance,

  2. #2
    Default Depends
    Some carriers have specific instruction on when you get credit for Rx management (Trailblazer comes to mind).

    Many coders will disagree on this as well even with out the carriers input.

    I give credit for Rx management in this situation.

    Anytime they give a script they are taking a risk, no matter how simple it seems. Rx issues are always among the top 7 reasons providers get sued.

    Laura, CPC, CPMA, CEMC

  3. #3
    That's the way I and my providers look at it - they are thinking, making a decision, and taking the risk.
    Thanks for the feedback, I'll check out the website -

  4. #4
    That's the way I and my providers look at it - they are thinking, making a decision, and taking the risk.
    Thanks for the feedback, I'll check out the website -

  5. #5
    Milwaukee WI
    Default Risk
    The table of risk (at least on my audit tool) is subtitled: Risk of Complications and/or Morbidity or Mortality. The table measures the risk TO THE PATIENT, not the risk to the doctor.

    Regardless, medication poses a risk to a patient. Making a decision to begin, stop, alter or continue prescription medications IS drug management in my book.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  6. #6

    I completely agree the table of risk is risk to the patient. I see where what I said could be taken the other way though. I just always refer to the reasons doctors get sued because it shows how much damage Rx drugs can and do cause every year. They are right up there with surgical errors in the big picture but they are so common place we (people in general) tend to forget there is a reason you have to have a script to get these drugs and everytime you take them you are putting yourself at risk.

    But you also have to recognize everytime the patient is put at risk, so is the provider, so really the two go hand in hand.

    Laura, CPC, CPMA, CEMC
    Last edited by LLovett; 01-28-2010 at 04:07 PM.

Similar Threads

  1. Prescription Drug Management
    By TEDWAR08 in forum Auditing General Discussion
    Replies: 1
    Last Post: 06-30-2014, 08:15 PM
  2. Prescription Drug Management
    By skaur in forum E/M
    Replies: 3
    Last Post: 01-04-2013, 11:54 AM
  3. Prescription Drug Management - charts to determine the MDM
    By cpclori in forum Auditing General Discussion
    Replies: 3
    Last Post: 08-18-2012, 10:02 AM
  4. Prescription Drug Management
    By clarkin in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-28-2011, 06:29 PM
  5. Replies: 5
    Last Post: 06-20-2008, 05:31 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.