99495 -- Transitional care management moderate
I have found this code very difficult to bill. It cant be submitted till 30 days after discharge. The patient is not allowed to die in that time. If the patient is readmitted this throws a monkey wrench into the sitatuion. No home health certifications can be billed during this period. Although extra office visits other than the one included in the code are supposedly allowed to be paid I did have some denied.
Because the majority of my patients do indeed get home health post hospital discharge and home health certification is billed by me , I gave up on 99495.
