Psychotherapy Add-On to Medication Management (30 min)
What is this procedure?
Brief psychotherapy session (30 minutes) provided in addition to a psychiatric medication management visit. Allows psychiatrists and other prescribers to provide both medication management and psychotherapy in a single visit. Used when patients need both medication adjustment and therapeutic intervention.
Does this require prior authorization?
Medical Necessity Tips
What clinical evidence supports approval
- Must be billed with an evaluation and management code
- Document distinct therapeutic intervention separate from medication discussion
- Time-based documentation required (30 minutes of psychotherapy)
- Some insurers restrict which provider types can bill this add-on
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What to Do If Denied
If your psychotherapy add-on to medication management (30 min) is denied, you have the right to appeal. Most denials are overturned on appeal when proper documentation is provided.
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