Physicians and non-physician practitioners may be eligible to bill for the service – if it is within their scope of practice in the state they are licensed. The American Medical Association (AMA) has assigned CPT codes; 99495 and 99496 to report these services.
TCM services begin when your patient is discharged to home, nursing home or assisted living from the following settings:
During the 30 days after discharge three care services must occur:
This introduction to TCM is not intended to provide complete billing and coding guidelines.
Providers are encouraged to consult AMA guidelines.
Nearly 300 new codes have been created, from codes that address current social issues to codes that more accurately describe surgical wound location and depth.
Look for “Coding Alert” the Fall Quartz Communicator (September) for an exploration of these new codes and what they mean for your facility.
View List of Summer 2018 Communicator Articles
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Quartz Health Solutions, Inc., Unity Health Plans Insurance Corporation, Gundersen Health Plan, Inc., Gundersen Health Plan Minnesota, Physicians Plus Insurance Corporation, Gundersen Health System, UnityPoint Health and UW Health are separate legal entities. Plans are underwritten by Unity Health Plans Insurance Corporation unless otherwise noted.