99496
Transj care mgmt high f2f 7d
Transitional care management with high MDM and the required visit within 7 calendar days.
Published by RVUDoc. Numeric data: CMS RVU26C, effective 2026-07-01. Page updated 2026-09-23. Calculation limits and editorial policy.
Fee-schedule estimate before claim adjustments. Coverage, setting and payer rules still apply.
Review Medicare CCM and TCM concurrent-service requirements, separate time accounting and TCM contact and visit deadlines.
Compare 99495 and 99496 discharge contact, face-to-face timing, MDM, and medication reconciliation requirements with a practical checklist.
Billing guidance for 99496 is locked
- When to use it: the exact clinical situations that support billing 99496
- Documentation checklist: the 2 elements your note needs before submitting
- Common pitfalls: the 3 mistakes that get 99496 downcoded or denied
Payer notes
One reporting practitioner and one TCM code per applicable period. Concurrent care-management services require separate qualifying work and payer eligibility.
Related codes
These include alternative services and possible add-ons. Listing codes together does not establish that they can be billed together; check the applicable edits and payer policy.
See what 99496 adds to your year
Add it to the wRVU calculator with your own volume, or paste a note and let the chart audit check your coding.