Follow-up examination, following psychotherapy and other treatment for mental disorder

This code signifies a routine follow-up visit after a patient has completed a course of psychotherapy and/or other treatments for a mental health disorder. It indicates that the purpose of the encounter is to assess the patient's ongoing stability, monitor for relapse, and evaluate the long-term effectiveness of the prior interventions.

Apply this code when a patient presents for a scheduled check-up after their primary mental health treatment has concluded. This would include appointments to review medication adherence, assess coping mechanisms, or determine if further intervention is necessary following a period of stability.

• Always sequence this code as a secondary diagnosis, following the resolved or current mental health disorder code (if applicable).
• Ensure documentation clearly states the purpose of the visit is a follow-up after completed treatment, not ongoing active treatment.
• Do not use this code for follow-up of physical conditions or for ongoing psychotherapy sessions.