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Advance Care Planning CPT® Code range 99497- 99498

The Current Procedural Terminology (CPT) code range for Evaluation and Management 99497-99498 is a medical code set maintained by the American Medical Association.

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CPT® Code Range 99497- 99498
Section 99497-99498
Advance Care Planning
99497
99498
On a CPT® code's hierarchy page, you get to see a medical code's neighbors, including the CPT® codes' official long descriptors. Seeing related codes helps coders choose the correct code, improving their accuracy rate.
Click on a blue code to see a sample of a CPT® code's details page.
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Novitas and FCSO will require documentation for certain pathology and laboratory claims. Medicare Administrative Contractors MAC Novitas Solutions and First Coast Service Options FCSO recently announc... [ Read More ]
OIG Targets Opioid Treatment Services for Improper Payment
August 14, 2024
Potential erroneous Medicare payments million to treat patients with opioid use disorder OUD are estimated at 17.8 million. The opioid crisis in the United States has led to record numbers of people d... [ Read More ]
CMS Offers PAC QRP Web-Based Training Course
August 07, 2024
Get an overview of key updates to the postacute care quality reporting programs for 2025. The Centers for Medicare 38 Medicaid Services is offering a crosssetting webbased training course that provide... [ Read More ]
A Case for DRG Coding Validations
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Hospitals should use this tool to protect their profit margins. Diagnosisrelated group DRG validation ensures the accuracy of DRG assignment and payment for inpatient hospital stays. Since inpatient c... [ Read More ]
Member of the Month: Nancy Reading
August 01, 2024
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Modifiers for G0439, 99215 and 99498
99498 shouldn't be used without first using 99497. 99497 is for the first 30 minutes, 99498 is each additional 30 minutes.... [ Read More ]
Modifier 25 with 99223 and 99497
Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
99497-33 Denial
[QUOTE="lvatauchi, post: 506973, member: 489996"] Hello, everybody. I coded as below for pt. who has BCBS State Health Plan , secondary is Medicare and 99497-33 got denied by both insurance. Did I mis... [ Read More ]
99497/99498 Advanced Care Planning
[QUOTE="nlbarnes, post: 506536, member: 53490"] Can you bill 99497/99498 in the inpatient setting (99221 - 99233 or 99291/99292)? [/QUOTE] [ATTACH type="full"]5688[/ATTACH] [ATTACH type="full"]5689[/... [ Read More ]
99497/99498 Advanced Care Planning
Can you bill 99497/99498 in the inpatient setting (99221 - 99233 or 99291/99292)?... [ Read More ]
Place of Service with Medicare AWV
If you’re seeing a high number of denials for Medicare annual wellness visits (AWVs), you’re not alone. Identifying whether to code for an Initial Preventive Physical Exam (IPPE, or the “Welcome... [ Read More ]
99443 Telephone evaluation and management with Non face-to-face prolonged services (CPT codes 99358‒99359)
[QUOTE="marandee, post: 498068, member: 94190"] [LIST] [*]CMS has also included [B]CPT codes 99354-99355/99356-99357 [/B]Prolonged Services for Office/Inpatient and [B]CPT codes 99497-99498 [/B]Advan... [ Read More ]
99443 Telephone evaluation and management with Non face-to-face prolonged services (CPT codes 99358‒99359)
[LIST] [*]CMS has also included [B]CPT codes 99354-99355/99356-99357 [/B]Prolonged Services for Office/Inpatient and [B]CPT codes 99497-99498 [/B]Advance Care Planning as being eligible for “audio-o... [ Read More ]
Billing 99497 and 99498 Advance Care Planning
Do Advance Care Planning CPT codes 99497 and 99498 only pertain to counseling and discussion regarding Advance Directives, or does counseling and discussion regarding Goals of Care count?... [ Read More ]
new codes 99495,99496,99497,99498
anyone has more information on these new codes and when they would be applicable? Thanks in advance... [ Read More ]
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