General Question for the Week of September 4, 2017

General Compliance Question of the Week

Question:

What codes would be assigned for advance care planning (ACP)?

Answer:

There are two CPT® codes for ACP:

99497 ACP 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)

Be sure to check with your local payer about coverage as there is no Medicare national coverage determination for the ACP codes.

CPT® is a registered trademark of the American Medical Association.

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.