Transitional Care Evaluation and Management Services CPT® Code range 99495- 99496

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

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CPT® Code Range 99495- 99496
Transitional Care Evaluation and Management Services
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November 14, 2022
The 2023 CPT errata and technical corrections released by the American Medical Association AMA go into effect Jan. 1 2023. Make sure to mark these upcoming changes in your CPT code book to stay on top... [ Read More ]
November 07, 2022
The conversion factor is down but certain public health emergency flexibilities will continue. The 2023 Medicare Physician Fee Schedule MPFS and Quality Payment Program final rule released Nov. 1 allo... [ Read More ]
November 04, 2022
Auditors across the country learn what it will take to protect provider reimbursement from payer recoupment. Today concluded AAPCs second annual boutique conference that caters to the medical auditing... [ Read More ]
November 01, 2022
Industry experts explain the intricacies of the 2021 EM guidelines. During the Evaluation and Management EM Panel general session at AAPC8217s HEALTHCON in March an expert panel made up of a physician... [ Read More ]
November 01, 2022
Your words will carry more weight when you approach doctors in a thoughtful respectful way. In the coding and auditing world the provider is in the drivers seat. Generally the provider documents the s... [ Read More ]
[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 ]