Transitional Care confusion

0383806

New
Messages
5
Best answers
0
We are new to this and I am still not understanding.
Patient sees dr with in the first 7 days....dr marks a 99214 on the route...so I would bill a 99495 for the toc code?
pt sees dr with in the first 7 days...dr marks a 99215...I bill a 99496?
pt sees dr 8-14 days...no matter what he marks...I bill a 99495?

Thank you to whom ever helps!
 

Pam Brooks

True Blue
Local Chapter Officer
NAB Member
Messages
2,118
Location
South Berwick, ME
Best answers
0
I wouldn't code the TCM based on a fee ticket with an E&M code indicated. You will need to review the documentation to determine the level of MDM. There are a number of threads on this forum that discuss TCM billing. Do a search and review the documentation criteria. You cannot bill the TCM unless you are positive that the patient has not been readmitted within 30 days from the original inpatient discharge.
 
Top