Services that can’t be separately billed with TCM codes

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

Article Overview

This article summarizes a CMS first-quarter National Correct Coding Initiative update related to transitional care management coding. It is intended for medical coders, billing staff, and compliance teams who need a high-level view of which service categories are addressed in the edit guidance and how the update fits into TCM billing review.

Why This Topic Matters

It helps readers identify the scope of the CMS edit update affecting transitional care management claims and understand the kinds of services discussed in the bundled-service guidance.

What You Will Learn

  • What the article is about at a high level
  • Which service categories are addressed in the CMS edit update
  • How the article frames the relationship between the update and transitional care management coding
  • What type of audience the update is intended to support

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Practice managers

Codes Discussed

Code Ranges Discussed

  • CPT: 99495–99496
  • CPT: 98960–98962
  • CPT: 98966–98969
  • CPT: 99441–99443
  • CPT: 99339–99340
  • CPT: 99374–99380
  • CPT: 99358–99359
  • CPT: 99363–99364
  • CPT: 99366–99367
  • CPT: 99090–99091
  • CPT: 99605–99607

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