Well, this is contrary to my understanding, which is that CMS will allow additional billing of 9921x codes within the 30 day period but obviously only one TCM (99495 and 99496)is allowed within that time frame.

Q. If the patient needs an unrelated evaluation and management (E/M) visit during the 30 days can I bill for this?
A. Yes, although there are some restrictions on what you can bill, such as anticoagulation management and home health care certification.
http://blogs.aafp.org/fpm/gettingpaid/entry/decoding_the_new_tcm_rules

Ron