Alicia R. Ruelaz, MD
Dr Ruelaz is a faculty psychiatrist of the consultation-liaison division in the department of psychiatry and behavioral neurosciences at Cedars Sinai Medical Center in Los Angeles.
I would like to thank Dr Jay Pomerantz for his comments ("From Our Readers," Psychiatric Times, November 2006, page 80) on the limitations of allotting 15 minutes for a medication management session. I would, however, like to comment that most insurance companies do not pay much more for a psychiatric procedure code 90805 charge than for a 90862 charge, so even if you receive the authorization for the former, it does not compensate you commensurately for the additional time spent, which is why many psychiatrists stick with the 15-minute format. I have made the decision to schedule in 30-minute blocks and accept the reduced income, but it is a significant reduction and I can readily understand how others might proceed differently.
Robert Murdock, MD
Dr Murdock is in private practice.