Your team saw the patient after a hospital discharge, documented the visit, and sent the claim. The denial came back anyway. Practices that treat the 99495 cpt code like a routine hospital follow-up see this denial repeat.
The code pays for Transitional Care Management (TCM), a 30-day service that starts the day a patient leaves the hospital. The visit is one piece of it. Before the claim is safe to submit, the record has to prove contact within two business days, moderate medical decision-making, and a face-to-face visit within 14 calendar days. Miss one requirement and the payment is at risk. At One O Seven RCM, we work these claims for providers who want to bill TCM the right way, avoid denials, and protect compliant reimbursement.
On 99495, revenue leaks when a billing requirement never makes it into the chart. Reading the code is the easy part. This guide covers the rules, the documentation, the denial risks, and the 99495 billing guidelines that keep the claim clean. If your team bills post-discharge visits, you will see where these claims break before they turn into denials, underpayments, or aging AR.
Quick Answer: What Is the 99495 CPT Code?
The 99495 cpt code bills TCM for a patient who was discharged from a qualifying facility and needs moderate medical decision-making, contact within two business days, and a face-to-face visit within 14 calendar days.
| Requirement | 99495 Rule |
|---|---|
| Service type | Transitional Care Management |
| MDM level | Moderate complexity |
| Initial contact | Within 2 business days of discharge |
| Face-to-face visit | Within 14 calendar days of discharge |
| Service period | 30 days from discharge |
| Visit billing | Required face-to-face visit is part of the TCM service |
| Telehealth | Allowed when CMS or payer rules are met |
A short 99495 cpt code description helps here. The code covers a full 30-day service, and the required face-to-face visit is bundled into it. You do not bill that visit a second time on its own. As one of the core TCM codes, 99495 lives or dies on that timing, so when the record is incomplete, the claim fails.
For Medicare-aligned billing, CMS is the source of truth. CMS states that 99495 requires communication with the patient or caregiver within two business days, at least moderate MDM, and a face-to-face visit within 14 calendar days, and that the TCM face-to-face visit should not be reported separately. You can confirm each rule in the CMS Transitional Care Management Services booklet.
What Does CPT Code 99495 Cover?
The 99495 cpt code pays for a package of TCM work, not a single appointment. Across a 30-day window after discharge, the code covers care coordination, review of the discharge information, medication reconciliation, communication with the patient or caregiver, referral coordination, and the required face-to-face visit.
The 99495 cpt code covers the entire 30-day TCM service period that follows a qualifying discharge. It sits among the TCM CPT codes built for post-discharge care, and the face-to-face visit is only one part of that period.
CPT 99495 Covers a 30-Day TCM Period
The clock starts on the discharge date. CMS describes the TCM period as beginning that day and running for the next 29 days. The transition has to move the patient from an inpatient or partial hospitalization setting back into the community.
The Code Is More Than a Hospital Follow-Up Visit
The visit matters, but it is one piece of the bundle. Your team also supports the transition, documents the contact, reconciles medications, and handles the non-face-to-face TCM services that are reasonable and necessary during the period. Providers searching for a hospital follow up cpt often land on 99495, then bill it like a basic recheck.
Because the 99495 cpt code depends on timing, documentation, claim submission, and payer follow-up, it belongs inside a disciplined medical billing services workflow rather than a one-off charge entry.
Plenty of practices already do this coordination. They never capture it in a way that survives a payer review, and that is where the revenue starts to leak.
Why CPT 99495 Matters for Providers in 2026
The 99495 cpt code still runs on the same CMS TCM rules it always has. What changed in 2026 is the pressure around them: payment context, telehealth policy, tighter payer documentation reviews, and thinner margins that make every denied TCM claim hurt more.
The 2026 Update Is About Accuracy, Not a New Rule
The core requirements have not been rewritten. CMS still centers 99495 on timing, moderate MDM, documentation, and clean billing. The current TCM booklet carries an August 2025 revision date with no substantive content changes, so the smart move for 2026 is accuracy, not chasing a rule that does not exist.
Payment is a separate question. CMS finalized broader physician payment changes for the year in the CMS 2026 Physician Fee Schedule final rule, which sets context for what practices collect. Treat that as background for reimbursement planning, not as a change to the 99495 billing guidelines themselves.
Why Practices Still Lose Money on 99495
The failures repeat across specialties: a missed two-business-day contact, a face-to-face visit booked past the 14-day mark, moderate MDM that the note never supports, thin medication reconciliation, a duplicate TCM claim from another provider, a required visit billed separately as an office visit, and claims that sit untouched in AR until timely filing closes.
None of that is a clinical failure. The work happened. The proof did not reach the claim, which is a revenue cycle management services problem across intake, documentation, billing, and follow-up.
If your practice performs TCM work but cannot show the timing, the documentation, and the payer requirements on demand, the gap sits in the workflow, not in the exam room.
Who Qualifies for CPT 99495?
Two things decide eligibility: where the patient came from and how complex their care is. Knowing what qualifies as a tcm visit starts there. The patient has to leave a qualifying inpatient or observation setting, return to a community setting, and need at least moderate medical or psychosocial management during the 30-day period.
Qualifying Discharge Settings
CMS lists the settings that start a TCM period. A patient qualifies after discharge from an inpatient acute care hospital, an inpatient psychiatric hospital, an inpatient rehabilitation facility, a long-term care hospital, a skilled nursing facility, a hospital outpatient observation or partial hospitalization stay, or partial hospitalization at a community mental health center.
Community Setting Requirement
The patient also has to return to a community setting. That means home, a domiciliary, a rest home, an assisted living facility, or a nursing facility. The whole point of the service is a safe handoff from the facility back into daily life.
When 99495 May Not Be the Right Route
Some situations do not support the code. An emergency department visit with no qualifying observation or inpatient discharge usually will not qualify. A routine recheck with no moderate MDM does not meet the bar. A hospital follow up cpt code billed after a late face-to-face visit closes the door on TCM. A post-operative global period can create overlap, so check it before you bill.
Not every post-discharge visit supports the code. Deciding what qualifies as a tcm visit comes down to three things: the patient needs a qualifying discharge, the service has to meet the TCM timing rules, and the chart has to support moderate medical decision-making. Confirm all three before scheduling, not after the claim rejects.
The 3 Required Elements of CPT 99495
The cpt 99495 billing guidelines rest on three elements that have to line up before a claim is defensible: interactive contact within two business days, moderate medical decision-making across the service period, and a face-to-face visit within 14 calendar days. Miss any one and the claim is exposed. CMS spells these TCM requirements out in the CMS Transitional Care Management Services booklet.
1. Contact the Patient or Caregiver Within 2 Business Days
Clinical staff have to reach the patient or caregiver within two business days of discharge. The contact can happen by phone, by a direct in-person conversation, or by electronic means such as email or a portal message. It has to address the patient’s status and needs, not just confirm an appointment. When two or more timely attempts fail and stay documented, you can still meet the requirement and continue trying. Skip that documentation and the claim loses its footing.
2. Document Moderate Medical Decision-Making
The service requires at least moderate MDM. Writing “moderate complexity” in the note is not enough. The chart has to show the problems addressed, the data reviewed, and the risk involved during the TCM period, including the medical or psychosocial issues you managed. CMS ties TCM decision-making to the 2023 CPT E/M Guidelines and their three elements of problems, data, and risk.
3. Complete the Face-to-Face Visit Within 14 Calendar Days
The visit has to happen within 14 calendar days of discharge, counted as calendar days, not business days. That visit is part of the TCM service, so you do not report it separately as its own office visit. Miss the 14-day window and 99495 comes off the table for that patient.
| Required Element | What the Provider Must Do | Billing Risk if Missed |
|---|---|---|
| Interactive contact | Contact patient or caregiver within 2 business days | TCM claim may fail |
| Moderate MDM | Support problems, data, and risk in the note | Code may be unsupported |
| Face-to-face visit | Complete within 14 calendar days | 99495 cannot be billed |
| Medication reconciliation | Complete on or before the face-to-face visit | Documentation risk |
Two deadlines, two different clocks. Contact runs on business days. The visit runs on calendar days. Confusing the two is one of the most common reasons a 99495 claim falls apart.
99495 Timing Rules: 2 Business Days, 14 Calendar Days, and the 30-Day Period
Most articles state the timing rule. Few show you how to run it. Three clocks control a 99495 claim, and each one starts at discharge. Build your TCM billing guidelines around them and the claim stays clean.
How the 2-Business-Day Contact Deadline Works
Business days skip weekends and holidays, so the deadline shifts with the calendar.
| Discharge Day | Contact Deadline |
|---|---|
| Monday | Wednesday |
| Thursday | Monday, unless a holiday shifts the business-day count |
| Friday | Tuesday, unless a holiday shifts the business-day count |
A holiday in the middle of that window pushes the deadline out by a day. Track it per patient so a long weekend does not quietly blow the contact requirement.
How the 14-Calendar-Day Visit Deadline Works
The visit deadline counts calendar days, weekends included. Fourteen calendar days is not 14 business days, and reading it that way is how the visit slips late. Some billers even search for it in shorthand, like “hospital fu 14 d,” when they mean the 14-day hospital follow-up window. When the face-to-face visit lands outside that window, TCM cannot be billed for that patient, full period gone.
What the 30-Day TCM Period Means for Billing
The service period begins on the discharge date and runs for the next 29 days. CMS is clear that one provider reports the service once per patient during that period. Your billing team has to track the whole period, because the claim reflects the service across all 30 days, not a single date of care.
For 99495, the contact deadline is counted in business days, but the face-to-face visit deadline is counted in calendar days. Keep those two rules separate in every TCM workflow.
If your team learns about these deadlines only when the claim reaches billing, the workflow already failed upstream.
99495 vs 99496: Which TCM Code Should Providers Bill?
Both codes bill TCM, and they are not interchangeable. The right choice in a 99495 vs 99496 decision depends on two things: the complexity of the medical decision-making and how fast the patient is seen face-to-face. AAFP lays out the split, and you can read it in the AAFP Transitional Care Management guidance.
The transitional care management codes are a short family. Among the TCM CPT codes that cover post-discharge care, 99495 and 99496 are the two you bill, separated by decision-making level and visit timing.
99495 Is for Moderate Medical Decision-Making
Use 99495 when the documentation supports moderate MDM during the TCM period. Of the two TCM codes, it is the moderate-decision-making option. The billing team does not guess at complexity. It reads the chart for the problems addressed, the data reviewed, and the risk carried, then bills what the note supports.
99496 Is for High Medical Decision-Making
CPT 99496 calls for high MDM and a face-to-face visit within seven calendar days. Seeing the patient inside seven days does not make it a 99496 on its own. When the visit happens fast but the chart supports only moderate MDM, 99495 is often the more accurate code.
Why the Wrong TCM Code Causes Revenue Risk
Reaching for 99496 without high MDM invites an audit. Billing 99495 when the record supports 99496 can leave compliant revenue behind. Billing either of the TCM codes without the timing and documentation to back it drives denials. The same two-business-day contact rule applies to both.
| Feature | 99495 | 99496 |
|---|---|---|
| Code family | TCM | TCM |
| MDM level | Moderate | High |
| Initial contact | Within 2 business days | Within 2 business days |
| Face-to-face visit | Within 14 calendar days | Within 7 calendar days |
| Service period | 30 days | 30 days |
| Claim risk | Unsupported MDM or missed 14-day visit | Unsupported high MDM or missed 7-day visit |
Within the transitional care management codes, a 99495 vs 99496 call rewards accuracy over ambition. Pick the code the chart supports, and the payment holds up.
99495 CPT Code Documentation Checklist for Billing Teams
Before you bill 99495, the chart should prove the discharge date, the first interactive contact date, the face-to-face visit date, moderate MDM, medication reconciliation, and the care coordination performed during the 30-day period. Those TCM documentation requirements are not optional, and CMS lists the minimum elements in the CMS Transitional Care Management Services booklet.
Minimum Documentation Needed for 99495
Capture these before the claim goes out: the discharge date, the qualifying facility type, the first interactive contact date, the contact method, who was reached, any failed attempts, the face-to-face visit date, the moderate MDM support, the medication reconciliation, the non-face-to-face services, and the provider or NPP responsible for the TCM service.
What to Add for Audit-Ready Documentation
These are best-practice additions, not new rules. Note that the discharge summary was reviewed, pending tests were checked, medication changes were reconciled, referrals were made or re-established, community resources were arranged, patient or caregiver education was completed, high-risk issues were addressed, and the problems, data, and risk behind the MDM were spelled out. A clear 99495 cpt code description in the note, tied to the work performed, gives a payer nothing to argue with.
Documentation Mistakes That Delay Payment
The same gaps stall payment again and again: a missing discharge date, a contact note that reads “left voicemail” with no further attempts, a call that never addressed patient status, a visit note with no MDM support, and a medication reconciliation nobody documented. Any one of them can leave the billing team unable to prove the 14-day visit even happened on time.
| Documentation Element | Required or Best Practice | Why It Matters |
|---|---|---|
| Discharge date | Required | Starts the TCM clock |
| First contact date | Required | Proves the 2-business-day rule |
| Contact method | Best practice | Supports payer review |
| Face-to-face visit date | Required | Proves the 14-calendar-day rule |
| Moderate MDM support | Required | Supports the 99495 claim |
| Medication reconciliation | Required | Must occur on or before the visit |
| Failed attempts | Best practice | Protects the claim if first contact fails |
| Non-face-to-face work | Best practice | Shows the full TCM service value |
Documentation belongs in the chart before submission, not after a denial. Meeting the TCM documentation requirements is what turns clinical work into a paid claim. A focused medical billing audit can show whether your 99495 records prove timing, MDM, medication reconciliation, and the service period before those claims turn into write-offs.
99495 CPT Code Reimbursement, RVU, and 2026 Payment Cautions
The 99495 cpt code pays differently depending on payer, locality, facility or non-facility setting, and the annual Medicare Physician Fee Schedule. Verify current allowed amounts through the CMS fee schedule or your payer contracts before you project revenue. Fixed national numbers floating around the internet do not account for your setting.
Why 99495 Payment Varies
Several inputs move the number: your Medicare locality, whether the service is billed facility or non-facility, the annual conversion factor, your specific payer contract, and any Medicare Advantage or commercial policy layered on top. Claim edits and bundling rules shift the paid amount too. Transitional care management billing is not a flat fee, and treating it like one leads to bad revenue projections.
How Providers Should Verify 99495 Payment
Check the allowed amount at the source. Pull the current rate from the CMS Physician Fee Schedule, confirm your payer fee schedules, match the place of service and provider type, compare the actual allowed amount against your contract, and watch for underpayments and denials on the remittance.
Why Reimbursement Should Not Drive Code Selection
The 99495 rvu gives you a relative weight, but it does not pick the code. Documentation does. Moderate MDM supports 99495, high MDM supports 99496, and any revenue optimization has to stay inside what the chart proves. Coding to the payment instead of the record is how audits start.
Payment does not end at submission. AR follow-up services confirm whether the claim was paid, denied, bundled, underpaid, or left aging with no payer action. Even a correct code still has to be checked against payer rules and contract expectations.
Can You Bill 99495 and 99214 Together?
You generally should not bill the required 99495 face-to-face visit as a separate 99214, because that visit is bundled into the TCM service. So can you bill 99495 and 99214 together in any case? Only when a distinct, medically necessary, separately identifiable service is documented outside the bundled TCM work and payer rules allow it. AAFP explains that TCM already includes the 30-day post-discharge services and the required visit, which is why swapping in a plain office visit does not fit.
Why the Required TCM Visit Is Bundled
The face-to-face visit is baked into the code. Reporting it again as a routine office visit double-counts the same work. The required visit supports the TCM service through its MDM component; it does not need to stand alone as a separately billed 99214.
When a Separate E/M Might Be Supported
A distinct, significant problem addressed on the same day can support a separate E/M. The note has to show that separate work on its own terms, with no overlap into the TCM service. When it qualifies, modifier 25 goes on the separate E/M code, not on 99495 itself.
Does 99495 Need a Modifier?
For standard billing, 99495 usually does not need a modifier. RHC and FQHC settings or specific payer rules can differ. Modifier 25 is not routinely appended to it, so verify the payer policy before you add anything.
| Scenario | Billing Direction |
|---|---|
| Required TCM face-to-face visit only | Bill 99495 if all requirements are met |
| Same visit documented only as hospital follow-up | Do not separately bill 99214 for the required TCM visit |
| Separate unrelated E/M problem documented | A separate E/M may be possible if payer rules allow |
| Same work used for both TCM and E/M | Do not double-count |
| Modifier question | Modifier 25, when supported, goes on the separate E/M code |
The safe rule holds in both directions. Do not default to billing 99214 with 99495, and do not treat a separate E/M as impossible. The documentation and the payer policy decide.
Common CPT 99495 Denials and How to Prevent Them
Most 99495 denials have nothing to do with misreading the code description. They happen because the billing record cannot prove timing, eligibility, MDM, bundling, or a payer-specific requirement.
Timing Denials
These come from the clock. There is no proof of the two-business-day contact, the face-to-face visit lands outside 14 calendar days, failed contact attempts went undocumented, or the contact note reads “scheduled visit” and never addresses patient status.
Documentation Denials
These come from thin charts. The MDM support is missing, the discharge date is absent, the medication reconciliation was never recorded, the non-face-to-face work has no evidence, or the patient and caregiver communication is incomplete.
Bundling and Duplicate Billing Denials
These come from overlap. The required TCM visit was billed separately, a second provider billed TCM for the same patient, another care management code overlapped the same time, or a global surgery period collided with the TCM window. CMS is clear that only one physician or NPP may report TCM, that the service is reported once per patient during the period, and that the required face-to-face visit cannot be reported separately. CMS also warns that TCM cannot be billed inside a post-operative global surgery period when the 30-day window overlaps a global period for a procedure the same practitioner billed.
| Denial Cause | Why It Happens | RCM Prevention Step |
|---|---|---|
| No 2-business-day contact proof | Outreach happened but went undocumented | Log every outreach with date, time, method, and outcome |
| Late face-to-face visit | Scheduling missed the 14-calendar-day deadline | Set discharge-based visit deadline alerts |
| Weak MDM support | Note says moderate but lacks problems, data, risk | Require an MDM support paragraph in the visit note |
| Visit billed separately | Required visit treated like a 99214 | Scrub for the bundled TCM visit before the claim |
| Duplicate TCM billing | More than one provider bills TCM | Assign a single TCM owner before submission |
| Global period conflict | Same practitioner billed surgery with a global period | Run a global-period check before claim release |
| CCM time overlap | Same time counted for TCM and CCM | Block double-counting in billing review |
| Underpayment | Claim pays below the expected allowed amount | Compare payment to the payer contract and fee schedule |
Every denial on that list is preventable with a claim scrub, a documentation check, and disciplined payer follow-up. The fixes live in the workflow, not in a coding manual. When 99495 revenue is slipping into aging AR, denial management services can tighten the process before those claims age out for good.
How to Build a 99495 Billing Workflow That Gets Paid
Run the 99495 cpt code as a discharge-to-payment workflow. The work starts the moment you spot the discharge and ends only when the claim pays correctly, and the cpt 99495 billing guidelines fall into five stages that keep it on track.
Step 1. Capture the Discharge Event
Pull discharges from a daily report, the hospital portal, or an ADT feed if you have one. Confirm the facility type and the discharge date on day one. The TCM clock has already started, so you cannot afford to find the discharge a week late.
Step 2. Assign a TCM Owner
Name one provider or NPP as the owner of the service. That single assignment prevents duplicate TCM billing and forces coordination with the PCP or specialist. Settle ownership before anyone creates a claim.
Step 3. Complete Outreach and Schedule the Visit
Reach the patient or caregiver inside the two-business-day window, and book the face-to-face visit inside 14 calendar days. Document any failed attempts. Use telehealth where CMS and payer rules allow it, and keep the communication focused on patient status.
Step 4. Build the Documentation Before Billing
Write the MDM support, the medication reconciliation, the discharge summary review, the care plan, the referrals, the patient education, and the non-face-to-face work into the chart. This is the record that survives a payer review, and it has to exist before the claim, not after. Solid TCM billing guidelines put this step ahead of charge entry, every time.
Step 5. Scrub the Claim and Follow Payment
Review the code selection, validate the MDM, check for 99214 or E/M bundling, run the global-period check, and confirm payer policy. Post the payment, review any underpayment, and work the denial if one lands. AAFP notes that the TCM claim is submitted on the 30th day of the post-discharge period, with that 30th day as the date of service.
| Workflow Step | Responsible Team | Billing Goal |
|---|---|---|
| Identify discharge | Front desk or care coordinator | Start the TCM clock correctly |
| Verify eligibility | Billing or intake team | Confirm qualifying discharge and payer |
| Contact patient | Clinical staff | Meet the 2-business-day rule |
| Schedule visit | Scheduling team | Meet the 14-calendar-day rule |
| Document MDM | Provider or NPP | Support the 99495 claim |
| Reconcile medications | Provider or clinical team | Meet the TCM requirement |
| Scrub claim | Billing team | Prevent bundling and timing denials |
| Track payment | AR team | Catch denials and underpayments |
For most practices, the clinical work already happens. The missing piece is a workflow that captures the work, proves the requirements, submits the claim, and follows payment to resolution. Independent clinics and small groups can lean on private practice billing services to run that full transitional care management billing workflow without adding headcount.
Final Takeaway: 99495 Is a Billing Workflow, Not Just a Hospital Follow-Up Code
The 99495 cpt code rewards structure. It bills moderate-complexity TCM, it demands contact within two business days, it requires a face-to-face visit within 14 calendar days, and it covers a 30-day post-discharge period. The documentation has to prove the timing, the MDM, the medication reconciliation, and the care coordination behind all of it.
Read plainly, 99495 is a 30-day TCM billing workflow with strict timing and documentation requirements, not a routine office visit code. Practices that build that workflow collect the revenue. Practices that treat it as a quick recheck keep feeding denials and AR.
If your 99495 claims are getting missed, denied, underpaid, or delayed, One O Seven RCM can review your billing workflow and strengthen documentation, claim submission, denial prevention, and AR follow-up from discharge through payment. When you want a second set of eyes on it, talk to an RCM specialist.
Frequently Asked Questions
What does CPT code 99495 mean?
CPT code 99495 means TCM for a patient discharged from a qualifying setting who needs moderate medical decision-making, receives patient or caregiver contact within two business days, and has a face-to-face visit within 14 calendar days. That cpt code 99495 description ties payment to the required visit, which is bundled into the service.
When should providers bill 99495?
Bill 99495 once every TCM requirement is met: a qualifying discharge, contact within two business days, moderate MDM, a face-to-face visit within 14 calendar days, medication reconciliation on or before that visit, and documentation that proves each step. These 99495 billing guidelines protect the claim, and missing any element puts payment at risk.
What is the difference between 99495 and 99496?
The 99495 vs 99496 split comes down to complexity and timing. 99495 requires moderate MDM and a face-to-face visit within 14 calendar days. 99496 requires high MDM and a visit within seven calendar days. Both TCM CPT codes need patient or caregiver contact within two business days and cover the same 30-day period.
Can you bill 99495 and 99214 together?
The required 99495 face-to-face visit should not be billed separately as 99214, because it is included in the TCM service. So can you bill 99495 and 99214 together? Only for a significant, separately identifiable problem that is documented on its own and allowed under payer policy, with modifier 25 on the separate code.
Does 99495 need a modifier?
For standard billing, 99495 usually does not need a modifier. When a separate, distinct E/M service is billed on the same date and meets payer rules, modifier 25 may apply to that separate E/M code, not to 99495 itself. Always confirm the specific payer policy first.
Can 99495 be billed through telehealth?
CMS states that 99495 and 99496 can be provided through telehealth when the service meets Medicare and payer requirements. Confirm current telehealth rules, place of service, and modifier requirements before you submit. HHS notes that many Medicare telehealth flexibilities extend through December 31, 2027. See the HHS telehealth policy updates for the current status.
How often can 99495 be billed?
99495 is reported once per patient during the 30-day TCM period by one eligible billing practitioner. When more than one provider bills TCM for the same patient in the same period, duplicate billing risk climbs and the later claim is often denied. Assign a single owner to avoid the overlap.
Can pharmacists bill 99495?
Pharmacists generally do not bill 99495 directly unless payer rules and provider status allow it. Pharmacists can still support the TCM work, including medication reconciliation and patient education, when that work is documented under the practice’s workflow and applicable supervision rules.
What happens if the patient is readmitted before the 30-day TCM period ends?
If the patient is readmitted before the period ends, review whether 99495 remains billable. AAFP notes that the face-to-face visit may become the appropriate E/M service instead, and the TCM period can restart after the next qualifying discharge. Confirm the timing before you submit.
Is 99495 the same as a hospital follow-up visit?
99495 often turns up in hospital follow up cpt code searches, but it is not a routine office follow-up. It is a 30-day TCM service with contact, MDM, face-to-face visit, documentation, and care coordination requirements attached to it. The follow-up visit is only one part.
