Care for older adults Medication review Physician codes medication review Documentation of at least Both a medication review and medication list code must be billed one dated and signed (COA‒MDR) for a member to be compliant. Weight = 1 medication review Medication review conducted by a CPT: 90863, 99605, 99606 CPT Category II: (Medicare SNP only) prescribing practitioner or clinical pharmacist in 2017 Medication list Percentage of adults 66 years old CPT Category II: 1159F and older who had at least one and medication review conducted by a G8427 prescribing practitioner or clinical A medication list present A transitional care management services code counts for both pharmacist along with a in the same medical the medication review and medication list. medication list or documentation record. If patient is not Transitional care management services of no medications taking any medication, CPT: 99496 notation should be documented in the chart in 2017. A review of side effects for a single medication at the time of prescription alone is not sufficient.
Care for older adults medication review (COA‒MDR) Weight = 1 (Medicare SNP only) Percentage of adults 66 years old and older who had at least one medication review conducted by a prescribing practitioner or clinical pharmacist along with a medication list or documentation of no medications Medication review Documentation of at least one dated and signed medication review conducted by a prescribing practitioner or clinical pharmacist in 2017 and A medication list present in the same medical record. If patient is not taking any medication, notation should be documented in the chart in 2017. A review of side effects for a single medication at the time of prescription alone is not sufficient. Physician codes Both a medication review and medication list code must be billed for a member to be compliant. Medication review CPT: 90863, 99605, 99606 CPT Category II: Medication list CPT Category II: 1159F G8427 A transitional care management services code counts for both the medication review and medication list. Transitional care management services CPT: 99496