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Part of Transitional Care Management

CPT 99495: Transitional Care Management, moderate complexity

TCM for a discharge requiring moderate complexity medical decision making, with a face-to-face visit within 14 days.

Time threshold & code combinations

One service per discharge, covering the 30 days following discharge; face-to-face visit must occur within 14 calendar days.

  • Mutually exclusive with 99496 for the same discharge: choose based on the visit timing window and complexity actually documented
  • Do not separately bill the required face-to-face visit as its own E/M code

Who can bill

  • Physicians
  • Non-physician practitioners eligible to bill E/M services

Eligibility & billing requirements

  • Patient discharged to a community setting from an inpatient or qualifying institutional stay
  • Medical decision making of moderate complexity related to the transition
  • Interactive contact within 2 business days of discharge
  • Medication reconciliation no later than the face-to-face visit
  • Face-to-face visit within 14 calendar days of discharge

When to use it

Post-hospitalization follow-up

A patient discharged home after a pneumonia admission is called within 2 business days, has medications reconciled, and is seen face-to-face on day 10.

Billing: 99495

SNF-to-home transition

A patient discharged from a skilled nursing facility to assisted living is contacted the next business day and seen in clinic on day 12 with moderate complexity decision making.

Billing: 99495

Documentation checklist

  • Discharge date and setting
  • Contact date/method (including unsuccessful attempts, if any)
  • Medication reconciliation notes
  • Face-to-face visit note dated within 14 days, supporting moderate complexity

Common billing mistakes

  • Billing 99495 when the visit actually happened within 7 days and decision making was high complexity (should be 99496)
  • No documented 2-business-day contact attempt