Initial Hospital Care, Inpatient

Transitional care management is a critical aspect of patient care, demanding precise coding to capture the comprehensive nature of transitional services. CPT code 99450 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 moderate 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 moderate complexity.

Details

CPT code:

99450

Category:

Category I

Section:

Evaluation and Management (E/M)

Specialty:

Special Evaluation and Management Services

Type:

Basic Life and/or Disability Evaluation Services

Within the realm of transitional care management, 99450 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 moderate 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 Initial Hospital Care, Inpatient fall?

Category I

What is the billing unit for Initial Hospital Care, Inpatient?

Per Encounter

Modifiers

Clinical use

Documentation

Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant and directed by the treating physician. Document the collaborative care activities, including the start and end times, the involvement of the psychiatric consultant, and the specific care management interventions provided.