Advanced Care Planning Codes
Include a note of total ACP discussion time spent (recommend start and end times for accuracy)
Bill with the visit E/M code
Add ACP code based on time
1st 30 min: 99497
31-60 min: 99497+99498
61-90 min: 99497+99498 x 2
91-120 min: 99497+99498 x 3
Example
Discussed ACP with pt and daughter, daughter's role as HCP and pt's wish to avoid hospitalizations, focus on symptom treatment and maximizing comfort at home with possible referral to home hospice in the future.
START: 10:30am
END: 11am
TOTAL ACP TIME: 30 mins