Care Management

Transitional Care Management

Table of Contents

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Billing Codes

  • 99495: Moderate complexity F2F 7 to 14 days
  • 99496: High complexity F2F 7 days

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Billing Information

When Billing TCM Services you can concurrently bill:

  • Patient/caregiver training for initiation of home INR 93792
  • ESRD codes 90951–90970
  • Anticoagulant management for patient taking warfarin 93793
  • Remote therapeutic monitoring/treatment services 98975–98978, 98980, 98981
  • Collect and interp of physiologic data 99091
  • Prolonged E/M service 99358–99359
  • Remote monitoring of physiologic parameters 99453, 99454
  • Remote physiologic monitoring treatment management 99457, 99458
  • Complex chronic care 99487, 99489
  • Chronic care management 99490, 99491, 99439
  • Care plan oversight codes G0181, G0182

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Documentation

  • Date the beneficiary was discharged
  • Date you made an interactive contact
  • Date you furnished the F2F visit
  • Complexity of medical decision making:
    • Moderate
    • High

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Related Content

Revised 3/7/2025