Yes it counts - Rx drug management is the use of any Rx drug, either while in the office, or one that the patient picks up at the pharmacy. A prescription drug has to be written by a doctor and administered by a pharmacist, because it has the potential to be stronger, more complicated, and/or more dangerous than OTC drugs. There's a higher risk of an adverse reaction, or complication involving other medications that the patient may be on, so any use of an Rx drug requires a degree of MDM.
That said, be careful not to bump a whole E/M level up based solely on the fact that an Rx was mentioned; some situations don't necessarily warrant a higher level of E/M simply because a prescription was given, and this area of E/M has a tendency to produce a falsely-high result. Use your judgement in assigning the overall level, and only assign the level that is supported by medical necessity, in the event that the documentation adds up to a high level code every time. Use the clinical examples in Appendix C of the CPT book to guide you. Hope that helps!![]()
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