Family physicians often manage their patients’ transitional care. The two CPT codes used to report TCM services are: Contact the beneficiary or caregiver within two business days …

TCM codes are care management codes. Auxiliary personnel may assign them for TCM non-face-to-face services under the general supervision of the physician or NPP subject to applicable …

Under the Physician Fee Schedule (PFS), Medicare recognizes the importance of Transitional Care Management (TCM) and provides reimbursement for two specific CPT codes when …

Jan 22, 2025 · There are two CPT codes for TCM reimbursement: 99495 and 99496. Only one code can be billed per patient per TCM completion. The most appropriate code is based on …

Jun 1, 2022 · Get all the details on transitional care management/TCM codes CPT 99495 & CPT 99496, including reimbursement available to billing practitioners.

Oct 1, 2021 · Unlike most other evaluation and management (E/M) codes, TCM services span a period of time versus a single snapshot date of service. Time devoted to the entirety of the …

Transitional Care Management (TCM) Services CPT code 99495 or 99496 is filed on a claim when the patient’s care is transferred to a physician or other qualified healthcare provider (MD, …

Jun 6, 2025 · Get a complete overview of CPT codes for Transitional Care Management (TCM), including CMS guidance, billing requirements, coding tips, and compliance strategies for better …

Aug 8, 2025 · The codes must be billed using the seventh or 14th day as the date of service and only one healthcare professional may report this service. If more than one physician assumes …

CPT Code 99496 – Transitional care management services with high medical decision complexity (face-to-face visit within 7 days of discharge). The face-to-face visit is part of the TCM service …