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
Transitional Care Management Services
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[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 ]
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 ]
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 ]
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 ]
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 ]
Does anyone have any detailed information on billing transitional care management codes? 99495/99496... [ Read More ]
[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 ]
[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 ]
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 ]
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 ]