Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient
CPT4 code
Name of the Procedure:
Medication Therapy Management (MTM) Service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patient.
Summary
Medication Therapy Management (MTM) involves a one-on-one session with a pharmacist, focusing on a comprehensive review of your medications. The pharmacist evaluates your medication regimen, makes recommendations to optimize therapy, and addresses any concerns or questions you might have.
Purpose
MTM aims to improve medication outcomes for patients by ensuring medications are taken correctly, preventing adverse effects, and improving overall health. It is especially useful for managing chronic conditions like diabetes, hypertension, and high cholesterol.
Indications
- Multiple chronic conditions requiring complex medication regimens.
- Recent hospital discharge with new medications.
- Concerns about medication side effects or interactions.
- Difficulty managing medications due to cognitive, physical or financial barriers.
Preparation
- Bring all medications, including prescription, over-the-counter, herbal supplements, and vitamins.
- Prepare a list of any allergies and previous adverse reactions to medications.
- Have a record of your medical history and recent lab results if available.
Procedure Description
- Introduction: The pharmacist introduces themselves and explains the session's goals.
- Medication Review: All medications are reviewed for efficacy, safety, and adherence.
- Assessment: The pharmacist assesses any drug interactions, side effects, or issues.
- Intervention: Recommendations are provided, and a personalized medication action plan is developed.
- Discussion: The pharmacist addresses any patient questions or concerns.
Duration
Approximately 15 minutes for the initial session, but it can vary depending on the complexity of the case.
Setting
Typically performed in a pharmacy consultation room, a primary care clinic, or a healthcare center.
Personnel
- Pharmacist: Conducts the medication review and assessment.
Risks and Complications
- Minimal risks as the procedure is non-invasive; however, there might be slight discomfort discussing sensitive health topics.
Benefits
- Improved medication adherence and understanding.
- Reduction in medication-related complications.
- Enhanced overall health and management of chronic conditions.
- Patients often see improvements in their condition within weeks to months as medication regimens are optimized.
Recovery
- No physical recovery needed.
- Follow-up appointments may be scheduled to monitor progress and make further adjustments.
Alternatives
- Self-management of medications without professional review, which may not be as effective.
- Regular appointments with physicians or specialists can supplement MTM but might not focus as comprehensively on medication management.
Patient Experience
- Patients can expect a supportive and educational session.
- The patient may feel more confident in managing their medications post-consultation.
- Minimal to no pain, but patients might experience relief from a better understanding of their medications and potential problems being addressed.