Group: TCM

Billing Codes

You must provide 1 face-to-face visit within the timeframes described by these 2 CPT codes: 99495 —Transitional Care Management services.

What documentation is required?

Patient discharge date Patient or caregiver first interactive contact date Face-to-face visit date Medical complexity decision making (moderate or high)

What are the requirements for patient qualification?

Required patient transitional care management (TCM) services include: Supporting a patient’s transition to a community setting Health care professionals who.