Wiki Transitional Care Management

[LeighR]

We are trying to bill Transitional Care Mgmt-Moderate (99495) to Cigna, but have received a denial.
N572: THIS PROCEDURE IS NOT PAYABLE UNLESS APPROPRIATE NON-PAYABLE REPORTING CODES AND ASSOCIATED MODIFIERS ARE SUBMITTED.
This is the first time that I am seeing this denial. Does anyone have experience billing these codes and know which code/modifier they might be looking for?
I am researching it online, but figured I would ask here as well.
Thank you in advance!!

 

[lbortzfield]

Cigna posted that on Feb 15th, 2020 they were no longer going to pay for Transitional care codes. We will appropriate E/M level codes for these visits as of that date.

 

[RebeccaPerez]

Hello, Thank you for the information regarding Transitional Care Codes with Cigna. Could you please share where Cigna posted this information? Thank you for your help!