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Face to Face definition for "99495 & 99496" TCM

Brad Posted Tue 25th of June, 2019 00:34:18 AM
To claim against code 99495 or 99496 have 3 requirements 1. Make initial contact with the patient within 2 days post discharge 2. Education & assessment of the patient 3. Face to face visit with the patient within 7 or 14 days depending on severity. Can the the 3rd requirement be extended to a telehealth medium as in a web conferencing call instead of in-person face-to-face meeting? If so, how would this be reported back to medicare to be claimed?
SuperCoder Answered Tue 25th of June, 2019 03:27:05 AM
Hi Thanks for your question As per CMS for Face-to-Face Visit requirement nbsp You must furnish one face-to-face visit within certain timeframes described by the following two Current Procedural Terminology CPT codes CPT Code Transitional Care Management services with the following required elements Communication direct contact telephone electronic with the...

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