The codes cover discharges from a hospital or skilled nursing facility. The American Medical Association’s CPT Editorial Panel created codes 99495 and 99496.
The codes enable reporting of time spent discussing a care plan, connecting patients to community services, transitioning them from inpatient care, and certain procedures to prevent readmission. They are intended to support physicians participating in medical homes, accountable care organizations and other emerging care delivery models that emphasize coordination between providers.
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