How to report advance care planning services
Do you treat Medicare patients?
If so, you may have heard of Advance Care Planning (ACP) services. These are voluntary treatment sessions aimed at discussing a patient’s health care wishes if they become unable to make decisions about their care in the future. For example, this service may include explanation of standard advance directive forms and conversations with a patient’s family member, or surrogate. If you are a physician, physician assistant, nurse practitioner or a clinical nurse specialist, this service can fall into your scope of practice.
The following procedure codes must be used to report ACP services:
· 99497 – ACP, initial 30 minutes
· 99498 – ACP, each additional 30 minutes
Medicare waives the ACP coinsurance and the Part B deductible when the ACP is:
- · Delivered on the same day as an annual wellness visit and performed by the same provider (HCPCS codes G0438 or G0439)
- · Billed with modifier –33 (Preventive Services)
There are no limits on the number of times ACP can be reported for a given beneficiary within a specified time frame.
At WCH Service Bureau, we strive to provide top-quality medical billing services to our clients regardless of the circumstances. Each day, we submit hundreds of insurance claims to a variety of both commercial and governmental payers. Our account representatives work 6 days a week to ensure that you are paid appropriately. With us, 97% of your claims will be paid in full.