2022 | CPT 99495 & 99496 (Transitional Care E/M Services)

CPT Codes For Transitional Care Evaluation and Management Services

Be aware that the codes were revised on 01-01-2023. This article is about the previous code descriptions.

CPT 99495 Description: CPT 99495 can be used when the patient’s care requires medical decision making of moderate complexity. During the transition to home care (after discharge from a healthcare facility) the provider manages the care of a patient with an ongoing condition.

CPT 99496 Description: CPT 99496 can be used when the patient’s care requires medical decision making of high complexity. During the transition to home care (after discharge from a healthcare facility) the provider manages the care of a patient with an ongoing condition.

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