CCM (99490) vs TCM (99495 / 99496) in the Same Month: The 2026 Rules
CMS permits certain care-management services alongside TCM when each qualifies independently and no time or effort is counted twice.
Check each service separately
TCM has an eligible transition, a 30-day period, contact and visit deadlines, and MDM requirements. CCM has its own chronic-condition, care-plan, consent and time requirements.
Keep distinct records
Maintain records showing the work and time attributed to each service. The TCM face-to-face visit is included in TCM, not an additional office E/M.
Check the current concurrent-billing table
Use CMS's current TCM booklet and the payer's code-specific rules. Do not rely on an older blanket prohibition or assume every care-management code can be combined.
Related code pages
Sources and next steps
Source links checked 2026-09-23. RVUDoc editorial reference; not an independently certified coding review.
Educational reference, not billing or legal advice. Verify against payer contracts and your compliance team before claim submission. Last updated 2026-09-23.