General Question for the Week of April 11, 2016

General Compliance Question of the Week


Under the new policy related to billing advance care planning (ACP) services to the Medicare Physician Fee Schedule (PFS), what codes may be assigned? 


Beginning January 1, 2016, the following codes may be assigned for ACP services:

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 care 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)

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.