AMA CPT® Assistant - 2013 Issue 8 (August)

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

August 2013 page 13 Evaluation and Management: Transitional Care Management Services Question: Can transitional care management (TCM) services be reported if the patient is on hospice, for instance if the patient was discharged home on home hospice services? Answer: Yes. It would be appropriate to report the TCM services codes, 99495, Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge; Medical decision making of at least moderate complexity during the service period; Face-to-face visit, within 14 calendar days of discharge, and 99496, Transitional...

To read the full article, sign in and subscribe to the AMA CPT® Assistant.


Access to this feature is available in the following products:
  • AMA's CPT® Assistant - Current + Archives
  • AMA's CPT® Advanced Coding Pack
 
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.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.