99496 Transj care management high f2f 7d
Also known as: transitional care management high-risk, urgent post-hospital visit
Transitional care management service for high-risk patient with face-to-face evaluation within 7 days of discharge from inpatient hospital setting.
Clinical Context
Used for complex or high-risk patients requiring expedited post-discharge evaluation, including medication reconciliation and care plan adjustment.
RVU Breakdown
| Work RVU | 3.79 |
| Practice Expense RVU | 4.91 |
| Malpractice RVU | 0.24 |
| Total RVU | 8.94 |
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.