Discharge Day Management, 30 min or less

CPT code 99456 designates transitional care management services with the following required elements: communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge and medical decision-making of at least high complexity during the service period. This code is applied when healthcare providers engage in transitional care management services, including communication with the patient or caregiver within 2 business days of discharge and medical decision-making of at least high complexity.

Details

CPT code:

99456

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Special Evaluation and Management Services

Type:

Work Related or Medical Disability Evaluation Services

In the realm of transitional care management, 99456 plays a crucial role, representing services that include communication with patients or caregivers within 2 business days of discharge and medical decision-making of at least high complexity. Healthcare providers utilize this code to ensure accurate documentation of efforts in the comprehensive management of patients transitioning from one care setting to another.

Under what category does Discharge Day Management, 30 min or less fall?

Category I

What is the billing unit for Discharge Day Management, 30 min or less?

Per Encounter

Modifiers

-

Clinical use

Care management services for behavioral health conditions, at least 70 minutes of clinical staff time, directed by a physician or other qualified healthcare professional, per calendar month.

Documentation

Prolonged service in the inpatient or observation setting, requiring direct patient contact beyond the usual service; each additional 30 minutes. Clearly document each additional 30-minute increment of prolonged inpatient or observation service, including the start and end times, and describe the specific activities or discussions justifying the additional time.

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