Transitional Care Management -TCM

Transitional care management  is comprised of one face-to-face visit within the time frames, in combination with non-face-to-face services that may be performed by the physician or other qualified health care professionals .

99495 Transitional Care Management Services :

Communication with the patient and/or caregiver within 2 business days post-discharge.

Medical decision making of at least moderate complexity during the service period.

Face-to-face visit, within 14 calendar days post-discharge.

99496 Transitional Care Management Services :

Communication  with the patient and/or caregiver within 2 business days post-discharge.

Medical decision making of high complexity during the service period.

Face-to-face visit, within 7 calendar days post-discharge. 

The codes can be billed only once per patient within 30 days after the original discharge
date.