99495 Transj care management mod f2f 14d
Also known as: transitional care management moderate, post-hospital visit
Transitional care management service for moderate-risk patient with face-to-face evaluation within 14 days of discharge from inpatient hospital setting.
Clinical Context
Used when physician evaluates recently discharged patient to assess transition to home care, medication reconciliation, and preventive care continuity.
RVU Breakdown
| Work RVU | 2.78 |
| Practice Expense RVU | 3.62 |
| Malpractice RVU | 0.19 |
| Total RVU | 6.59 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.