Transitional Care Management Services, High Complexity

Under what category does Transitional Care Management Services, High Complexity fall?

Category I

What is the billing unit for Transitional Care Management Services, High Complexity?

Per Encounter

Modifiers

-

Clinical use

Transitional care management services with high medical decision complexity, including face-to-face visit within 7 days of discharge.

Documentation

Transitional care management services, provided within 14 days of discharge, including medical decision-making of high complexity during the service period, face-to-face visits, and communication with the patient and/or caregiver within two business days of discharge. Document the date of discharge, face-to-face visits, medical decision-making complexity, and communication with the patient or caregiver.