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Transitional Care Management Services CPT® Code range 99495- 99496

The Current Procedural Terminology (CPT) code range for Evaluation and Management 99495-99496 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99495- 99496
Section 99495-99496
Transitional Care Management Services
99495
99496
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.
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Transitional Care Management (99495 and 99496) with a Medicare Wellness
[QUOTE="TThivierge, post: 516062, member: 216725"] Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual w... [ Read More ]
Transitional Care Management (99495 and 99496) with a Medicare Wellness
Hi Ivy Girl :) In medical office use to work in we did bill both CPT 99495 or CPT 99496 and annual wellness same date. Adding modifier 25 on annual wellness CPT. However documentation had to be such ... [ Read More ]
Transitional Care Management (99495 and 99496) with a Medicare Wellness
Hi everyone, Can you bill Transitional Care Management (99495 and 99496) with a Medicare Wellness on the same day? I have checked on my MACs website and NCCI edits, but found nothing. I have a provid... [ Read More ]
Modifier 25 with 99223 and 99497
Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
Billing 99495
Hi! I code for the CPT often, and we sometimes get kickback on it. In order for the Transition of Care codes to be accepted, the following must be met. [LIST=1] [*]Patient must be admitted, not an E... [ Read More ]
TCM
Does anyone have any detailed information on billing transitional care management codes? 99495/99496... [ Read More ]
Telehealth Examination Guidelines
[QUOTE="lori.l.thompson@state.or.us, post: 502886, member: 648034"] Hoping that I can get some guidance here. During two separate audits of telehealth visits performed during the pandemic, our audito... [ Read More ]
Physical exam in a telehealth visit
[QUOTE="csperoni, post: 503303, member: 164618"] CMS issued guidance that even in 2020, telehealth could be coded on MDM only or time. From [URL]https://www.cms.gov/files/document/03092020-covid-19-fa... [ Read More ]
Physical exam in a telehealth visit
CMS issued guidance that even in 2020, telehealth could be coded on MDM only or time. From [URL]https://www.cms.gov/files/document/03092020-covid-19-faqs-508.pdf[/URL] currently on page 96 (my emphasi... [ Read More ]
Transitional care management on dialysis patient
Medicare allows for transitional care management, 99495 or 99496 to be billed during the same time as monthly physician dialysis billing, 90960-90962. Is the TCM face-to-face visit able to be preform... [ Read More ]
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