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Take Charge of TCM Claims Using CPT Assistant's What-to-Watch List
June 27, 2013

You can sum up CPT's transitional care management (TCM) guidelines in a single word: indispensable. To help you navigate this complex but crucial maze of rules, CPT® Assistant April 2013 shines a light on the major denial triggers tucked away in the 99495 and 99496 guidelines. You'll also find important documentation reminders and master how to code services that meet only one of 99496's timing and complexity requirements. To see what CPT® Assistant April 2013 has to say about TCM and other coding challenges, search these keywords or codes using SuperCoder.com's Code Connect:

  • Chemodenervation, muscles: 64612-64615, 64999, 95873, 95874
  • Ophthalmic imaging, anterior segment: 76513, 92132, 0187T
  • Photodynamic therapy: 31641, 43228, 43272, 96570, 96571
  • TCM: 90951-90970, 98960-98962, 98969, 99071, 99078, 99080, 99090, 99091, 99339, 99340, 99358, 99359, 99363, 99364, 99366-99368, 99374-99380, 99441-99444, 99487-99489, 99495, 99496, 99605-99607.

If you're in search of advice for a specific scenario, Code Connect also will link you to CPT® Assistant FAQs. Enter the keywords or codes below to discover the authoritative guidance unveiled in the April issue:
  • Cardiac device interrogation: 93290, 93297, 93299
  • Closed repair, ulnar styloid fracture: 25600, 25605, 25650
  • Foreign body removal, ear: 10120, 69205
  • Laboratory panels, instruments: 80047, 82330, 82374, 82435, 82565, 82947, 84132, 84295, 84520
  • Pacemaker replacement, pocket creation: 33206-33208, 33227-33229
  • Paravertebral nerve destruction, imaging guidance: 64633-64636, 64999.