Use the DOT/DOPT examination only when any class of client is DOT or DOPT in the clinic and other settings. This examination is the only type of examination that can be billed more than once per day. Services may include, but are not limited to, the following:
•Monitoring and maintenance-Record documentation of each and every DOT/DOPT dose observed and swallowed.
•Monitoring the reporting of the completion of drug therapy.
•Toxicity assessment for each DOT/DOPT dose observed.
The following procedure codes and modifiers may be billed for DOT/DOPT examinations:
Service
Client Class
Procedure Code/Modifier
Maximum Fee
DOT/DOPT Exam Level 01: Nonphysician services only
1 or 2
D-99211 with modifier TF
$9.69
3 or 5
D-99211 with modifier TG
$15.77
Texas Medicaid & Healthcare Partnership CPT only copyright 2007 American Medical Association. All rights reserved.
Monitoring and maintenance-Record documentation of each and every DOT/DOPT dose observed and swallowed.