CPT 99496 Description, 2026 Billing Rules, and Medicare Reimbursement Rate for Transitional Care Management
Quick AnswerThe 99496 CPT code description defines a high-complexity transitional care management service for patients seen within 7 calendar days of discharge from a hospital, skilled nursing facility, or other inpatient setting.The 2026 Medicare national average rate for CPT 99496 is about $298, roughly a 10% increase over the 2025 rate of $272.68, under the CMS […]