Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patient
CPT4 code
Name of the Procedure:
Medication Therapy Management (MTM) Service; Initial 15 Minutes, Established Patient
Summary
Medication Therapy Management (MTM) is a service provided by a pharmacist involving face-to-face consultations with the patient. During these sessions, pharmacists assess and intervene in the patient’s medication regimen, ensuring optimal therapeutic outcomes.
Purpose
Medical Condition or Problem: MTM addresses issues related to medication use, including polypharmacy, drug interactions, and non-adherence. Goals: The primary goals are to optimize therapeutic efficacy, minimize adverse effects, and ensure patient understanding and compliance with their medication regimen.
Indications
Symptoms/Conditions: Patients with chronic conditions, multiple medications, or complex medication regimens. Patient Criteria: Established patients who require ongoing medication management and have a history of medication-related problems.
Preparation
Pre-Procedure Instructions: Patients should bring all current medications, including prescriptions, over-the-counter drugs, and supplements. No specific fasting or medication adjustments required. Diagnostic Tests: A medical history review and current medication list should be provided beforehand.
Procedure Description
- Initial Assessment: The pharmacist reviews the patient's current medications and medical history.
- Consultation: Discussion of the purpose of each medication, proper usage, and potential side effects.
- Intervention: If necessary, the pharmacist makes recommendations for changes in the medication regimen.
- Documentation: All findings and recommendations are documented and shared with the patient’s primary healthcare provider.
Tools and Equipment: Patient’s medication list, medical records, and pharmacy software systems. Anesthesia/Sedation: Not applicable.
Duration
Each session lasts approximately 15 minutes.
Setting
Typically performed in an outpatient clinic or retail pharmacy setting.
Personnel
Performed by a licensed pharmacist with expertise in medication therapy management.
Risks and Complications
Common Risks: Minimal risk; possible miscommunications or misunderstandings regarding medication changes. Rare Risks: Rarely, a recommended change could lead to drug interaction or adverse reaction, but this is minimized with thorough assessment.
Benefits
Expected Benefits: Improved medication adherence, reduced adverse drug events, and enhanced therapeutic outcomes. Benefits can be realized immediately and continue ongoing.
Recovery
Post-Procedure Care: Follow-up appointments may be scheduled to reassess the medication regimen. Patients should adhere to any changes made and report any new symptoms. Recovery Time: Immediate, but ongoing monitoring might be needed.
Alternatives
Other Options: Consultation with a primary care physician or specialist for medication review. Pros and Cons: MTM with a pharmacist offers specialized expertise and usually more focused attention on medication management. Physician consultations might address broader health issues but could lack the detailed focus on pharmacotherapy.
Patient Experience
During Procedure: The patient can expect an interactive discussion, where they will be asked questions about their medication use and habits. After Procedure: Any changes or recommendations will be thoroughly explained. Pain management is not typically a concern, as the process is non-invasive and comfortable.