“Codes 99497 and 99498 are used to report the face-to-face services between a physician or other qualified health care professional and a patient, family member or surrogate in counseling and discussing advance directives, with or without completing relevant legal forms.”
Z71. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM Z71.
Other specified counselingICD-10 code Z71. 89 for Other specified counseling is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
Advance care planning services are often best delivered using a team-based approach. ACP conversations delivered by individuals other than a physician or qualified health professional can be reported using 'incident to' billing guidelines.
What is establishing care? Establishing care happens when a patient chooses a single provider to be their primary source of medical care. It sets up patients to have a consistent and trusted source for all their primary care medical needs.
with one of the following appropriate primary diagnosis codes: – Z00. 00 – Encounter for general adult medical examination without abnormal findings.
The patient's primary diagnostic code is the most important. Assuming the patient's primary diagnostic code is Z76. 89, look in the list below to see which MDC's "Assignment of Diagnosis Codes" is first.
Preventative medicine counselingCPT 99401: Preventative medicine counseling and/or risk factor reduction intervention(s) provided to an individual, up to 15 minutes may be used to counsel commercial members regarding the benefits of receiving the COVID-19 vaccine.
ICD-10-PCS GZ3ZZZZ is a specific/billable code that can be used to indicate a procedure.
ACP Coding The two CPT codes used to report ACP services are: 99497 First 30 minutes (minimum of 16 minutes) 99498 Add-on for additional 30 minutes.
Note: Both the G0402 and 99497 are considered preventive in this coding scenario. A Medicare patient would be responsible for a copayment, co-insurance, and/or deductible for the 99497 service, unless it is performed on the same day as a wellness visit , (G0402, G0438 or G0439).
The cardiologist may submit for reimbursement for both 99214 and 99497, 30 minutes of ACP discussion. Completion of documents is not required for reimbursement of ACP codes. Scenario 2: The same patient has a decompensation of his heart failure and is admitted to the intensive care unit (ICU) a year later.