Certification of Pharmacy Technicians (ExCPT) Practice Exam

What are the CPT codes for billing Medication Therapy Management services?

1. MAC

2. PPO

3. ICD-9

4. 99605, 99606, and 99607

The correct answer is: 99605, 99606, and 99607

Medication Therapy Management (MTM) services are essential for improving medication use and enhancing patient outcomes. The specific CPT (Current Procedural Terminology) codes related to MTM billing are 99605, 99606, and 99607. These codes are used to bill for the professional services provided during medication management consultations. Code 99605 is for the initial consultation involving a detailed review of the patient's medication regimen, taking approximately 15 minutes. Code 99606 is designated for follow-up consultations, also involving a review of medications and requiring a similar amount of time. Code 99607 is used for each additional 15 minutes spent on medication therapy management after the initial service has been billed, allowing for further assessment, adjustments, and ongoing management of the patient's therapy. This structured coding system helps to ensure that appropriate resources and time spent on MTM services are recognized and compensated in healthcare settings, underlining the value of pharmacist-led medication management in patient care. Other options do not pertain to MTM services; for example, MAC refers to Maximum Allowable Cost, PPO stands for Preferred Provider Organization, and ICD-9 codes are used for diagnosing conditions, not billing for therapy management services. Therefore, the correct answer encompasses the specific codes directly