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CPT Code 99374 - Care Plan Oversight Services - Codify by AAPC.
The two most common advance directives for health care are the living will and the durable power of attorney for health care. Living will: A living will is a legal document that tells doctors how you want to be treated if you cannot make your own decisions about emergency treatment.
Documentation of ACP discussions must include the following: The voluntary nature of the visit, The explanation of advance directives, Who was present (the patient, family member, caregiver, or surrogate), The time spent discussing ACP during the face-to-face encounter,
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.
The standard Advance Directive form in California allows a person to do either or both: Appoint power of attorney for health care (health care agent). Give written instructions to your health care agent and health care providers.
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Yes. Advance care planning is a preventive service only when provided in conjunction with an annual wellness visit and reported with modifier 33 attached to the advance care planning code (e.g., 99497-33).
CPT Definition Codes 99497 [and] +99498 are used to report the face-to-face service between a physician or other qualified health care professional and a pa- tient, family member, or surrogate in counseling and discussing advance directives, with or without completing relevant legal forms.
Use CPT code 99497 for the first 16 to 30 minutes. Use CPT code 99498 for each additional 30 minutes.
Billing improperly for an add-on code without billing for the primary code (99497) is a common reason for claims denials. Primary code 99497 can be billed for the first 30 minutes of the conversation. But if the conversation is less than 16 minutes then a different code (e.g., E/M code) must be used.
Part B (Medical Insurance) covers voluntary advance care planning as part of your yearly Wellness visit. Medicare may also cover this service as part of your medical treatment.

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