Reimbursement Code for Changes in Drug Formularies

Year: 2009

Resolution Number: 91

Action Taken: Approved as Amended

Status:

Author(s): Jayne E. Courts, MD

Sponsor: Domenic R. Federico, MD

On behalf of: Kent County Delegation

Committee: A (Medical Care Delivery)

Resolved Section(s):
RESOLVED: That the Michigan Delegation to the AMA ask the AMA to create a CPT code that will allow reimbursement by payers for medication changes required by a formulary change. REFERENCE COMMITTEE RATIONALE: The original resolved asked the Insurance Commissioner to create this code; however, the Insurance Commissioner does not create reimbursement codes. Since the AMA CPT Editorial Panel creates procedure codes, the Committee amended the resolved to refer this issue to the AMA.

Fiscal Note: NULL

Resolution: View PDF for Reimbursement Code for Changes in Drug Formularies