AMA CPT® Assistant - 2013 Issue 7 (July)

Evaluation and Management: Transitional Care Management Services (Q & A) (July 2013)

July 2013 page 11 Evaluation and Management: Transitional Care Management Services Question: How are the new Transitional Care Management Services codes reported? Answer: Codes 99495 and 99496 are used to report transitional care management services (TCM). TCM commences upon the date of discharge and continues for the next 29 days. TCM requires one face-to-face visit within the time frame associated with the specific TCM code being reported, in combination with non - face-to-face services that may be performed by the physician or other qualified health care professional and/or licensed clinical staff under the physician's direction. The choice of which...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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