Transitional Care Managment thru Telehealth

Worxs43

Networker
Messages
30
Best answers
0
Good Morning,
Quick question regarding TCM done thru telehealth. Well the office received a phone call stating pt was discharged 2 days ago which we called the following day speaking with patient to setup for televist with provider which took place 5 days from discharge. Well everything as far as the contact is good but running into a problem with the provider not stating the level of complexity in the documentation of seeing pt within 7 or 14, 99495/99496 he only documented how long the phone call took, will I need to just code to E/M 99212-99214?

Let me know your thoughts on this.

Thank you,
 

thomas7331

True Blue
Messages
2,573
Best answers
5
The provider does not need to state the level of complexity for TCM - that measure is based on complexity of the MDM, so you should be able to arrive at the code based on the MDM that is documented, the same as you would for any other E/M code.
 

Worxs43

Networker
Messages
30
Best answers
0
The provider does not need to state the level of complexity for TCM - that measure is based on complexity of the MDM, so you should be able to arrive at the code based on the MDM that is documented, the same as you would for any other E/M code.
Thank you! :)
 
Top