tci ED Coding & Reimbursement Alert - 2016 Issue 5

Advance Care Planning: Learn the ABCs of Using the ACP Codes in the ED Setting

Documentation, diagnosis and duration are all covered in this informative release The Centers for Medicare and Medicaid Services (CMS) recently released at set of Frequently Asked Questions about billing the Advance Care Planning Services under the Physician Fee Schedule. This helpful document offers guidance on some the nebulous aspects CPT® codes 99497 (Advance 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 qualified health care professional; first 30 minutes, face-to-face with the patient, family member(s), and/or surrogate) and 99498 (…each additional...

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