Question MDM for Transitional Care Management (TCM)

firetorah

New
Messages
5
Best answers
0
Sorry to post a new thread but I can't find an answer anywhere. Here goes...

When calculating the complexity of medical decision making for a TCM (99495, 99497), do I use the MDM definitions/grid from the 1995/1997 AMA documentation guidelines or the new MDM definitions/grid from the 2021 AMA documentation guidelines? It's surprisingly hard to get a straight answer to this question.

My logic says that the new 2021 documentation guidelines (and their MDM definitions/grid) apply only to E/M encounters 99202-99215. TCMs were not included in the new guidelines and therefore we should use the MDM definitions/grid from the 1995/1997 documentation guidelines.

Ok, there you have it. Which guidelines do I use to calculate the complexity of MDM for a TCM 99495 or 99496?
 

firetorah

New
Messages
5
Best answers
0
Thank you very much. I just looked at the question long enough that I began to second guess myself. There were some ninnies posting contradictory information on the University of Google (no surprise there) so I just wanted to make double dog darn sure. 😊
 

Orthocoderpgu

True Blue
Messages
1,750
Location
Salt Lake City, UT
Best answers
9
Thank you very much. I just looked at the question long enough that I began to second guess myself. There were some ninnies posting contradictory information on the University of Google (no surprise there) so I just wanted to make double dog darn sure. 😊
Why were you doubting yourself? You already had the answer.
 
Top