#### 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.

**What date of service should be used on the claim?**  
The date of service you report should be the date of the required face-to-face visit. You may submit the claim once the face-to-face visit is furnished and need not hold the claim until the end of the service period.

**What place of service should be used on the claim?**  
The place of service reported on the claim should correspond to the place of service of the required face-to-face visit.

**Can E/M be reported together with TCM?**  
Reasonable and necessary evaluation and management (E/M) services (other than the required face-to-face visit) to manage the beneficiary’s clinical issues separately can be reported together with TCM.

[CMS Transitional Care Management](https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/Transitional-Care-Management-Services-Fact-Sheet-ICN908628.pdf)

[FAQ about Billing the Medicare Physician Fee Schedule for TCM Services](https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/Downloads/FAQ-TCMS.pdf)