Advance Care Planning Codes 99497 & 99498

Advance care planning, explanation and discussion of advance directives, such as standard forms, is a service which may be billed either alone or with another E&M service or AWV (special rules apply).

The code 99497 requires documentation of at least 16-30 minutes of time spent with the patient, family and/or surrogate. The time spent in providing this service must be exclusive of the time spent for any other services that day and documented as such. The code 99498 is for each additional 30 minutes spent.