transitional care management

Introduction

CMS allows for reimbursement of non-face-to-face transitional care services provided patients transition from an inpatient setting back into the community.

transitional care services require:

• communication (direct contact, telephone, electronic) with patient or caregiver within 2 business days of discharge
• medical decision-making of moderate or high complexity during the service period
• a face-to-face visit within 7 or 14 calendar days of discharge
• CPT codes 99495 or 99496

Additional terms

• transition of care; health care transition