BC Advantage - 2017 Issue 5

BILLING CPT CODE 99497

On March 20, 2017 The Centers for Medicare and Medicaid Services (CMS) released MLN MATTERS MM10000 to accompany Transmittal 3739, which was released March 17, 2017. The transmittal provides billing instructions for Advance Care Planning (ACP) when furnished as an optional element of an Annual Wellness Visit.CMS has made the CPT code 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) for ACP separately...

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