I posted the below information on a previous thread started by Vistaril recently. APA has been able to successfully lobby CMS into higher rates for psychotherapy provided by psychiatrists (MD's) when doing medication management starting this year. I believe an add-on psychotherapy code of 90833 (16-27 minutes) pays an additional ~1.8 RVUs or ~$60. Therefore, a 20-25 minute visit where you spend 5-10 minutes of med management with 16 minutes of time dedicated to therapy would now pay (99213+90833) $125-130 at Medicare rates. Before switching to E&M (prior to 12/31/2012) the same service would be billed as a 90805 and pay ~$70-75. This is a significant increase in reimbursement for the same service. Overall, this means you can schedule 2 follow-ups per hour and do OK.