Wiki Advanced care planning 99497

[hanihosni]

Hello,

For advanced care planning CPT code 99497, if 16 minutes are spent doing ACP for a patient, would that meet the requirement of 99497 or would the duration have to be at least 30 minutes ? In other words, has this requirement changed in 2024 ?

 

[Cls1530]

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/AdvanceCarePlanning.pdf

That is the link for the MLN on this. It has in it not to bill for 15 minutes or less.

 

[hanihosni]

Thank you so much !