[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-347330-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-347330-en":131},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","physician-prescriber-code-cheat-sheet-outpatient-psychiatryprescriber-smartcare","Physician-Prescriber Code Cheat Sheet - Outpatient Psychiatry/Prescriber SmartCare","","Outpatient Psychiatry/Prescriber SmartCare cheat sheet providing practical guidance for selecting and documenting common physician prescriber evaluation and management (E/M) and related services. It summarizes when to use initial, new, and established patient code sets, required time elements, and what clinical work to include, such as psychiatric diagnostic interviews, physical examination, lab review, care coordination, counseling, medication ordering, and synthesis for treatment or diagnosis. It also covers psychotherapy with E/M, telephone assessment limits, and medication training/support.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/healthcare/","Healthcare",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/physician-prescriber-code-cheat-sheet-outpatient-psychiatryprescriber-smartcare/347330/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/physician-prescriber-code-cheat-sheet-outpatient-psychiatryprescriber-smartcare/347330.png","ImageObject",300,407,{"name":42,"@type":43},"Rhys","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-28","2026-09-22",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",15,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"When should Prescriber Assessment E/M (OP) code 90792 be used?","Question",{"text":63,"@type":64},"Use it for initial psychiatric evaluations, especially when unsure whether the patient is new or established. It includes diagnostic interviews, clinical assessment, collateral discussions, and related synthesis, plus physical exam and review/order of diagnostic studies and labs, including prescribing medications.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How do you choose Prescriber New vs Prescriber Progress E/M (OP) codes?",{"text":68,"@type":64},"Use New E/M when the patient has not seen a practitioner with the exact same specialty and subspecialty in the same legal entity in the last three years. Use Progress (established) codes when the patient has been seen with the same specialty/subspecialty in that legal entity during the last three years, and confirm time requirements for billing.",{"name":70,"@type":61,"acceptedAnswer":71},"What restrictions apply to the Telephone Assessment and Management Service (98966/98967/98968)?",{"text":72,"@type":64},"It requires a brief phone interaction with the patient or caregiver to get current status and assess symptoms/behaviors. It cannot be based on a related assessment/management service within the last 7 days and cannot lead to an appointment with the provider within the next 24 hours.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},347330,1790469470,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,106,110,115,120,123,127],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":102,"doc_module":4,"doc_module_name":25,"category_name":103,"show_sort_weight":104,"slug":105},6,"Technology",50,"technology",{"id":107,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":108,"slug":109},7,40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":112,"show_sort_weight":113,"slug":114},8,"Research & Report",30,"research-report",{"id":116,"doc_module":4,"doc_module_name":25,"category_name":117,"show_sort_weight":118,"slug":119},9,"Religion & Spirituality",20,"religion-spirituality",{"id":118,"doc_module":4,"doc_module_name":25,"category_name":121,"show_sort_weight":118,"slug":122},"World Cup","world-cup",{"id":124,"doc_module":4,"doc_module_name":25,"category_name":125,"show_sort_weight":124,"slug":126},10,"Lifestyle","lifestyle",{"id":128,"doc_module":4,"doc_module_name":25,"category_name":129,"show_sort_weight":97,"slug":130},19,"General","general",{"code":4,"msg":82,"data":132},{"doc_id":79,"user_id":133,"nickname":42,"user_avatar":134,"doc_module":4,"category_id":107,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":135,"file_id":136,"file_url":137,"file_type":138,"file_size":139,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":97,"language":140,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":12,"update_tm":144,"read_time":145},687207024643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Outpatient Psychiatry/Prescriber SmartCare Cheat Sheet  \n\n| SmartCare Service Type | Use Cases and Tips |\n| --- | --- |\n|  | ● USE THIS for initial psychiatric evaluations, if unsure if patient is new or established and |\n| Prescriber Assessment E/M (OP)\u003Cbr>(90792)\u003Cbr>31 minute minimum to bill this service | over 31 minutes.\u003Cbr>● Psychiatric diagnostic interview with medical services\u003Cbr>● Clinical assessment interviews with patient and/or significant support people.\u003Cbr>● Collateral discussions with family and/or other individuals to inform assessment/diagnosis.\u003Cbr>● Synthesis and consolidation of clinical information to make recommendations for treatment or to make a diagnosis.\u003Cbr>● Includes physical examination.\u003Cbr>● Review and ordering of diagnostic studies.\u003Cbr>● Review and ordering of laboratory tests.\u003Cbr>● Prescription of medications. |\n| Prescriber New E/M (OP)\u003Cbr>(99202, 99203, 99204, 99205)\u003Cbr>New patient codes should be used when the patient has not seen a practitioner with the exact same specialty and subspecialty in the same legal entity in the last three years\u003Cbr>Include both face to face and non-face to face time spent on the same day\u003Cbr>15 minute minimum to bill this service; code changes based on duration of service | ● Psychiatric evaluation of a new patient , including medically appropriate history and/or examination.\u003Cbr>● Preparing to see the patient (e.g. review of tests) .\u003Cbr>● Care coordination, referral and consultation with other health care professionals (when not separately documented) .\u003Cbr>o Could include time spent reviewing a written report from a consulting physician (99451)\u003Cbr>● Lab review/chart review and interpretation.\u003Cbr>o Includes time spent independently interpreting results (not separately documented) and communicating results to the patient/family/caregiver.\u003Cbr>● Obtaining and/or reviewing history.\u003Cbr>o Provider may directly collect information pertaining to the history and exam and/or the patient/caregiver may provide information directly (e.g. by EHR portal or questionnaire) that is reviewed by the provider.\u003Cbr>● Ordering medications, tests or procedures.\u003Cbr>● Counseling and educating the patient/family/caregiver.\u003Cbr>● Providing initial psychiatric treatment recommendations.\u003Cbr>● Preparing a request for consultation (99451) if done on the same day as the E/M session.\u003Cbr>● Synthesis and consolidation of clinical information to make recommendations for treatment or to make a diagnosis. |\n\n\n| Prescriber Progress E/M (OP)\u003Cbr>(99212, 99213, 99214, 99215)\u003Cbr>Established patient codes should be used when the patient has seen a practitioner with the exact same specialty and subspecialty in the same legal entity in the last three years.\u003Cbr>Include both face to face and non-face to face time spent on the same day.\u003Cbr>10 minute minimum to bill this service; code changes based on duration of service | ● Psychiatric services for an established patient. If unsure if patient is new or established, choose established.\u003Cbr>● Preparing to see the patient (e.g. review of tests) .\u003Cbr>● Care coordination, referral and consultation with other health care professionals (when not separately documented) .\u003Cbr>o Could include time spent reviewing a written report from a consulting physician (99451) .\u003Cbr>● Lab review/chart review and interpretation.\u003Cbr>o Includes time spent independently interpreting results (not separately documented) and communicating results to the patient/family/caregiver.\u003Cbr>● Assessing patient’s current mental state.\u003Cbr>● Confirming adherence to the treatment plan and adjusting the plan as necessary.\u003Cbr>● Reviewing a patient’s response to medication and assessing side effects.\u003Cbr>● Counseling to the patient or support persons about medication adherence and monitoring.\u003Cbr>● Ordering medications, tests or procedures.\u003Cbr>● Counseling and educating the patient/family/caregiver.\u003Cbr>● Providing ongoing psychiatric treatment recommendations.\u003Cbr>● Preparing a request for consultation (99451) if done on","cbCail0xbgdIF2Qe","https://ap.wps.com/l/cbCail0xbgdIF2Qe","pdf",197612,"English","# SmartCare Service Types\n## Prescriber Assessment E/M (OP)\n## Prescriber New E/M (OP)\n## Prescriber Progress E/M (OP)\n## Psychotherapy with E/M\n## Telephone Assessment and Management Service\n## Medication Training and Support","[{\"question\":\"When should Prescriber Assessment E/M (OP) code 90792 be used?\",\"answer\":\"Use it for initial psychiatric evaluations, especially when unsure whether the patient is new or established. It includes diagnostic interviews, clinical assessment, collateral discussions, and related synthesis, plus physical exam and review/order of diagnostic studies and labs, including prescribing medications.\"},{\"question\":\"How do you choose Prescriber New vs Prescriber Progress E/M (OP) codes?\",\"answer\":\"Use New E/M when the patient has not seen a practitioner with the exact same specialty and subspecialty in the same legal entity in the last three years. Use Progress (established) codes when the patient has been seen with the same specialty/subspecialty in that legal entity during the last three years, and confirm time requirements for billing.\"},{\"question\":\"What restrictions apply to the Telephone Assessment and Management Service (98966/98967/98968)?\",\"answer\":\"It requires a brief phone interaction with the patient or caregiver to get current status and assess symptoms/behaviors. It cannot be based on a related assessment/management service within the last 7 days and cannot lead to an appointment with the provider within the next 24 hours.\"}]","Physician-Prescriber Code Cheat Sheet - Outpatient Psychiatry/Prescriber SmartCare | PDF",1790066412,13]