Colliemom
Expert
For 99497, it's the first 30 minutes spent in advanced care planning, and 99498 is for each additional 30 minutes.
What would you do if there was 50 minutes of ACP performed? I know for some, it's a very black and white issue. If the provider doesn't spend 60 minutes total, then we could not bill 99497 and 99498.
But, many sources state the following:
The advance care planning must be face-to-face counseling and discussion of advance directives with the patient, family members, and/or surrogates. The total time spent must be documented in the record. The CPT-4 time convention allows billing of code 99497 for 15 to 44 minutes spent face-to-face. If 45 to 74 minutes is spent, code 99498 should be assigned in addition to code 99497.
https://acphospitalist.org/archives/2017/12/coding-advance-care-planning.htm
Following this, it would then allow us to bill the 99498 (in addition to the 99497) for when the provider spends at least an additional 15 minutes in ACP. What do you guys think?
thanks
What would you do if there was 50 minutes of ACP performed? I know for some, it's a very black and white issue. If the provider doesn't spend 60 minutes total, then we could not bill 99497 and 99498.
But, many sources state the following:
The advance care planning must be face-to-face counseling and discussion of advance directives with the patient, family members, and/or surrogates. The total time spent must be documented in the record. The CPT-4 time convention allows billing of code 99497 for 15 to 44 minutes spent face-to-face. If 45 to 74 minutes is spent, code 99498 should be assigned in addition to code 99497.
https://acphospitalist.org/archives/2017/12/coding-advance-care-planning.htm
Following this, it would then allow us to bill the 99498 (in addition to the 99497) for when the provider spends at least an additional 15 minutes in ACP. What do you guys think?
thanks