TCM
(Transitional Care Management)
TCM focuses on providing support and continuity of care for patients transitioning from a hospital setting to other care environments, aiming to reduce re-admissions and improve health outcomes.
CPT Codes
Moderate Complexity
CPT 99495
Reimbursement for non-face-to-face TCM, managing moderate complexity cases. Facility rate is approximately $139; non-facility rate is around $205.
CPT 99495
TCM for moderate complexity cases, involving face-to-face services. Both facility and non-facility rates are set at approximately $139 and $205, respectively.
High Complexity
CPT 99496
Covers non-face-to-face services for high complexity TCM. Facility rate is about $190, while non-facility services fetch around $278.
CPT 99496
Provides face-to-face TCM for high complexity cases. Facility services are billed at approximately $190; non-facility rates are around $278.