| Physician Services |
Advance Care Planning (ACP)
What codes should be used for Advanced Care Planning services?CPT code 99497 – Advanced care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other healthcare professional; first 30 minutes, face-to-face with the patient, family member (s), and/or surrogate.
CPT code 99498 – each additional 30 minutes.
As a time based code, CPT code 99497, is very clear in stating that it is for the “first 30 minutes.” As the provider, the minimum of 16 minutes or more does entitle you to use code 99497. For code 99498, the minimum required total time would be 47 minutes or more.