CPT^® 99498, Under Advance Care Planning

The Current Procedural Terminology (CPT^®) code 99498 as maintained by American Medical Association, is a medical procedural code under the range - Advance Care Planning.

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Summary

The provider or other healthcare professional performs advanced care planning beyond an initial 30 minutes. The provider discusses and shares planning for the future health care needs of the patient including advance directives. Use this code for each additional 30 minutes of face to face time that the provider spends.

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Modifiers for G0439, 99215 and 99498

[QUOTE="angelalhale, post: 514640, member: 173105"] I am a new coder and having trouble with denials for our ACP with the G0439 the same day as 99215. I have added the MODIFIER 25 to the 99215 and MOD... [ Read More ]

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 ]

Modifiers for G0439, 99215 and 99498

I am a new coder and having trouble with denials for our ACP with the G0439 the same day as 99215. I have added the MODIFIER 25 to the 99215 and MODIFIER 33 to the 99498 and I get CO-236: [B]This proc... [ 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 ]

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