Advance Care Planning codes 99497 and 99498 can be used independently or along with other E/M codes including Welcome to Medicare Exam and Medicare Annual Wellness Exam. They can be billed when the appointment is with a patient or a surrogate decision-maker.
They are time-based codes. 99497 is for the first 30 minutes spent and you must spend at least 16 minutes to use it. 99498 is for each additional 30 minutes spent. It is used along with 99497 and you must spend at least 30 minutes (for the 99497) PLUS another 16 minutes (for the 99498).
Hospice of the Northwest is a skilled, caring and compassionate team of nursing, medical, social and spiritual professionals, volunteers and generous donors. Together, we provide comprehensive care and comfort for patients facing serious illness and the loved ones who care for them. We’ve been serving the residents of Skagit, Island, San Juan and Snohomish Counties since 1989.