Advance Care Planning (ACP) and the Use of ACP CPT® Codes
Starting January 1, 2016, CMS began to recognize and reimburse physicians and Non-Physician Practitioners to provide Advance Care Planning (ACP), using CPT® codes 99497 & 99498. CodingIntel shares how to utilize ACP CPT® codes in this article.
99497 (Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health professional; first 30 minutes, face- to-face with the patient, family member(s) and/or surrogate);
99498 each additional 30 minutes (List separately in addition to code for primary procedure.)
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More CodingIntel Resources
CMS Resources
- CMS Fact Sheet – “Advance Care Planning”
- CMS FAQ page – “Frequently Asked Questions about Billing the Physician Fee Schedule for Advance Care Planning Services”
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