CPT Billing Codes reimburse for Care Coordination (Medicare)

Let's face it: physicians spend a lot of time coordinating care for their older adult patients, especially when patients leave hospitals or nursing homes. These "transitions of care" are becoming increasingly important opportunities for primary care providers to check medication reconciliation, prevent readmission, and facilitate appropriate follow-up.

Medicare is now accepting newly created Current Procedural Terminology (CPT) codes for care coordination to pay physicians for the management of patients who have recently been discharged from a hospital or skilled nursing facility.

The American Medical Association CPT Editorial Panel created new codes (99495 and 99496) to capture transitional care management services.

Learn more about these CPT codes here.