New Transitional Care Management (TCM) Codes

Effective January 1, 2013, two new Transitional Care Management (TCM) codes, 99495 and 99496, have been approved by CMS for use in physician office practices. The codes can be used once

during the 30 days after a patient is discharged for a hospital. The 30 day time period includes the day of discharge and 29 days after.

On March 25, 2013, CMS posted FAQs about billing for TCM services. The American Academy of Family Practitioners has also posted

guidance on these new codes.