CPT code 99605 corresponds to which service?

CPT code 99605 corresponds to which service?

• A. Initial 15 minutes for a new patient
• B. Initial 15 minutes for an established patient
• C. Follow-up 15 minutes
• D. Initial 30 minutes

Answer: (A)

This code is used for the initial medication therapy management (MTM) service provided to a patient who is new to MTM. It specifies a 15-minute session—the first encounter where the pharmacist conducts an MTM review, discusses the care plan with the patient, and provides education or recommendations. Because it is labeled as the initial visit for a new patient, it does not apply to established patients or to follow-up encounters, which use different MTM codes or longer time increments. If the session extends beyond 15 minutes, other MTM codes (or different time-based codes) would be used to capture the additional time.

This code is used for the initial medication therapy management (MTM) service provided to a patient who is new to MTM. It specifies a 15-minute session—the first encounter where the pharmacist conducts an MTM review, discusses the care plan with the patient, and provides education or recommendations. Because it is labeled as the initial visit for a new patient, it does not apply to established patients or to follow-up encounters, which use different MTM codes or longer time increments. If the session extends beyond 15 minutes, other MTM codes (or different time-based codes) would be used to capture the additional time.