Find policies, billing codes, payers, states, and providers
HCPCS M0064: Brief Psychiatric Medication Management Visit
HCPCS Level II code M0064 represents a brief office visit solely for monitoring or changing drug prescriptions used to treat mental, psychoneurotic, and personality disorders. Nationally, this code identifies a focused encounter centered on medication management rather than comprehensive psychiatric evaluation, which affects billing workflows, encounter documentation, and service categorization across outpatient settings.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of the clinical context for using M0064, typical sites of service, and which types of encounters the code is intended to capture. The publication also outlines common benchmarking topics and policy considerations that affect billing and claims adjudication, including payer coverage variations, documentation expectations, and how M0064 is positioned relative to other outpatient psychiatric visit codes.
This summary provides a national perspective useful for clinicians, billing professionals, and policy analysts seeking to understand when a focused medication-management visit should be coded as M0064, what payers generally consider in coverage decisions, and which operational and clinical factors influence appropriate use. Data not available in the input.
Customize your policy alerts
Sign up for hcpcs M0064 policy alerts
Get alerted when payer policies referencing M0064 are released or updated.
Monitor payer policy activity
Billing Code Overview
HCPCS Level II code M0064 denotes a brief office visit provided solely for the purpose of monitoring or changing drug prescriptions used in the treatment of mental, psychoneurotic, and personality disorders.
Service type: Medication management visit for psychiatric conditions.
Typical site of service: Outpatient office or clinic setting where a prescriber or qualified clinician evaluates medication effectiveness and adjusts prescriptions as needed.
Data not available in the input.