Coding Clarification: Reporting of Transitional Care Management (TCM) Services with Discharge Services (December 2013)

December 2013 page 11 Coding Clarification: Reporting of Transitional Care Management (TCM) Services with Discharge Services A frequently asked question (page 11), in the July 2013 issue of the CPT Assistant newsletter addressed the reporting of Transitional Care Management (TCM) services and discharge services by the same individual. The answer inadvertently provided incorrect information stating that TCM services and discharge services may not be reported by the same individual. To correct this error, the same frequently asked question was revised to the following: Question: Can code 99495 be reported by the same individual who is reporting the discharge service...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article is a short CPT Assistant clarification focused on a corrected FAQ about reporting transitional care management alongside discharge services. It is relevant to coders, billing staff, and clinicians who need to understand the scope of the clarification and the article’s limited guidance context.

Why This Topic Matters

Clarifications like this can affect how readers interpret CPT Assistant guidance and may help prevent reliance on an incorrect prior statement. It is useful for anyone reviewing documentation and reporting practices tied to transitional care and discharge-related services.

What You Will Learn

  • The article’s purpose as a clarification notice
  • The general topic of transitional care management and discharge services
  • That the piece corrects a previously published FAQ response
  • The article’s limited scope within CPT Assistant guidance

Who Should Read This

  • Medical coders
  • Billing staff
  • Physicians and other clinicians
  • Compliance and documentation reviewers

Codes Discussed


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