Healthcare News: CMS releases coding and billing resources for advance care planning

September 13th, 2016

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes new CMS resources on advance care planning coding and billing, following a July FAQ and a newly released fact sheet. It is aimed at professionals who need to understand Medicare payment context, eligibility considerations, and high-level billing and documentation guidance for advance care planning services. The article also references the CPT services discussed and the broader CMS resources connected to this topic.

Why This Topic Matters

Advance care planning is a reimbursable service under Medicare policy, so updated CMS guidance can affect how providers, coders, and billing staff recognize the service, document it, and apply current payment-related requirements. This is relevant for practices that offer end-of-life planning discussions and need to stay current with CMS materials.

What You Will Learn

  • What CMS released and why it was issued
  • How the article frames Medicare payment policy for advance care planning
  • What kinds of billing and documentation topics are addressed at a high level
  • Which CMS resources are associated with the topic

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance teams
  • Physicians and other qualified health care professionals
  • Practice administrators

Codes Discussed

  • CPT: 99497
  • CPT: 99498

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