Question:

What codes would be assigned for advance care planning (ACP)?

Answer:

There are two CPT® codes for ACP:

99497 ACP including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate
99498 each additional 30 minutes (List separately in addition to code for primary procedure)

Be sure to check with your local payer about coverage as there is no Medicare national coverage determination for the ACP codes.

CPT® is a registered trademark of the American Medical Association.

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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.