Under what condition should code 90863 be reported?

The correct situation for reporting code 90863 involves psychologists who are authorized to prescribe medication. This code is specifically designated for the management of medications for patients with behavioral health disorders in the context of mental health treatment. It recognizes the services provided by psychologists who have received additional training and have obtained the necessary credentials to prescribe medication.

The other conditions outlined in the choices do not meet the criteria for reporting this specific code. For instance, social workers providing therapy do not fall under the scope of this code, as it is focused on medication management by licensed psychologists. The presence or absence of an E/M service is also not a determining factor for this code—90863 is used independently of any Evaluation and Management (E/M) service that may be occurring. Additionally, while certain codes may apply during hospitalization, 90863 is relevant to outpatient scenarios where medication management is being provided by an appropriately licensed psychologist. Thus, the correct application of code 90863 is limited to those practitioners authorized to prescribe, emphasizing their role in medication management within mental health treatment.