AMA CPT® Assistant - 2014 Issue 12 (December)
Advance Care Planning (99497 and 99498) (December 2014)
December 2014 pages 11-12 Advance Care Planning ( 99497 and 99498 ) Advance care planning (ACP) involves learning about and considering the types of decisions that will need to be made at the time of an eventual life-ending situation and what the patient's preferences would be regarding those decisions. Discussions between the patient's physician(s) or other qualified health care professional(s), and the patient along with family member(s), or surrogate(s) ahead of time, regarding these decisions and preferences, and preparation of an advance directive, increases the likelihood a patient will receive the care he or she prefers at the end...
Subscribe or sign in to view the full article.
Article Overview
This article explains the scope of advance care planning services as described in the 2015 CPT code set and outlines the general guidance for reporting these face-to-face discussions. It is intended for coding professionals, clinicians, and billing staff who need a broad understanding of when the article applies, what kinds of care-planning conversations it covers, and how the timing framework is discussed at a high level.
Why This Topic Matters
Advance care planning is a recurring service area that depends on careful alignment between clinical conversations, documentation, and code selection. Understanding the article helps readers determine whether the topic is relevant to end-of-life planning workflows and CPT evaluation and management reporting.
Article Sections
-
December 2014 pages 11-12
Introductory publication information and article context for the CPT Assistant discussion.
-
Advance Care Planning (99497 and 99498)
General background on advance care planning, advance directives, and the clinical situations in which planning discussions may arise.
-
Stages involved in preparing an advance directive document
A staged discussion framework used to explain how advance directive conversations may unfold in practice, including patient and surrogate involvement.
-
Codes 99497 and 99498
High-level reporting guidance for advance care planning services, including the service setting, discussion format, and time-based structure.
-
99497
Code listing referenced in the article for the initial time-based advance care planning service.
-
+99498
Code listing referenced in the article for the additional time-based advance care planning service.
-
Reference
Cited source material supporting the article discussion.
What You Will Learn
- How the article frames advance care planning within CPT guidance.
- Which kinds of conversations and participants are discussed in the context of advance directives.
- How the article presents the general structure of advance care planning documentation and timing.
- What broad reporting considerations are associated with the CPT advance care planning article.
Who Should Read This
- Medical coders
- Coding auditors
- Physicians and qualified health care professionals
- Billing and reimbursement staff
- Clinical documentation specialists
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com
