Wiki Advance Care Planning 99497-99498

[kerry10]

Description for these code state when performed "by physician or other qualified healthcare professional." In our situation, physician talks to patient for about 5 minutes and then sends the patient to the social worker who spends another 45 minutes with them filling out forms. Would this be acceptable?

 

[jocarter]

I am also trying to find additional information on your same question.... if a Social Worker can bill for this.

 

[knickel]

What is the "at least threshold" to billing 99497? As the CPT is unclear stating "the first 30 minutes"

 

[SharonCollachi]

The minimum is 16 minutes.