tci Part B Insider - 2014 Issue 38

Reader Question: Know How to Prep for 2015 Advanced Planning Codes

Question: I saw that CPT® 2015 includes advance care planning codes. Can you explain how we’ll report those?  Answer: CPT® 2015 adds two new advance care planning 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 add-on code +99498 (... each additional 30 minutes ....). According to CPT® 2015, you’ll use 99497 and +99498 to report a face-to-face service between...

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