Preparation and Transmission of Patient Record

CPT code 99494 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.

CPT code:

99494

Category:

Category I

Section:

Explore Evaluation and Management CPT Codes

Specialty:

Psychiatric Collaborative Care Management Services

Type:

Psychiatric Collaborative Care Management Services

99494 holds significance in the landscape of transitional care management, 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 Preparation and Transmission of Patient Record fall?

Category I

What is the billing unit for Preparation and Transmission of Patient Record?

Per Encounter

Modifiers

Clinical use

Prolonged physician service in the inpatient or observation setting, requiring direct patient contact beyond the usual service.

Documentation

Prolonged physician service in the inpatient setting, requiring at least 15 minutes beyond the usual service. Clearly document each additional 15-minute increment of prolonged inpatient service, including the start and end times, and describe the specific activities or discussions justifying the additional time. (Critical care, each additional 30 minutes)