Transitional Care Management

To increase the quality of patient care and reduce hospital re-admissions.

CPT Code 99495 – TCM services with moderate medical decision complexity (face-to-face visit within 14 days of discharge)
CPT Code 99496 – TCM with high medical decision complexity (face-to-face visit within 7 days of discharge)

The 30-day TCM period begins on the date the beneficiary is discharged from the inpatient hospital setting and continues for the next 29 days.

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