decisionhealth Newsletters, Part B News - 2020 Issue 1 (January)
Payments tied to advance care planning codes 99497, 99498 enjoy three-year climb
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Article Overview
This piece focuses on the growth in use and payments associated with CPT advance care planning services over a three-year period, along with a brief discussion of denials and general reporting considerations. It is relevant to coders, billing staff, and practices that report time-based advance care planning services and want a high-level view of trends and related guidance.
Why This Topic Matters
Understanding utilization and payment trends for advance care planning services can help coding and billing teams monitor reporting patterns and evaluate whether claims processing or documentation workflows are changing over time. The article also provides general context for practices that handle these services across different specialties and settings.
What You Will Learn
- How advance care planning coding activity changed over the period discussed
- How payment trends for the services changed over the period discussed
- What broad denial-pattern information is highlighted
- What general billing context is mentioned for time-based advance care planning services
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle teams
- Clinicians documenting advance care planning
Codes Discussed
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