Advanced Care Planning Services - Medicare

JSneen88

New
Messages
5
Location
Fridley, MN
Best answers
0
Medicare has approved coverage for Advance Care Planning Services for 2016. I know the codes are 99497 and add on code +99498. Has anyone heard what the RVU's and reimbursement rates are?
Looking to maximize our revenue by using ACP codes in addition to our usual code set or using prolonged service codes in addition to our usual code set. What's legal and what isn't and what is correct and what isn't are our main focuses.
 

tbbrown1

New
Messages
4
Best answers
0
The 2016 Medicare fee schedule should be available for your region. It should available for download at your region's Medicare site.
 

oub0275

New
Messages
7
Location
Maquoketa, IA
Best answers
0
Dx code for Advance Care Planning

The Medicare information does not indicate what type of diagnosis code should be used with CPT code 99497/99498. I found a code for Other specified counseling Z71.89, but in the past the counseling codes have been problematic. I called my Medicare Carrier and they could not find anything. Does anyone have thoughts on this?
 

jlewis142

New
Messages
8
Location
Benson, NC
Best answers
0
You would use whatever Dx code that the patient has that is a life threatening illness, COPD, heart conditions, cancer, etc. Our claims are now being pd
 
Top