Use the monthly examination only when any class of client is being evaluated for a routine monthly diagnostic examination. This examination may be reimbursed every 25 rolling days. This examination always includes a 30-day supply of medications regardless of level. Services may include, but are not limited to, record maintenance, clinical assessment and diagnostic procedures, nonphysician assistance with evaluation, physician consultation and evaluation, and prescribed medications/instructions.
The following procedure codes and modifiers may be billed for monthly examinations:
