• Medical coding articles

    ACP Billing With Hospital E/M and Critical Care: CPT 99497 and 99498 Explained!

    ACP billing can be confusing when a physician provides advance care planning during a hospital visit. The physician may treat a patient, discuss future care preferences, and document both services on the same day. But can both services be billed? The answer depends on the services performed, the documented time, and the CPT codes involved. For example, Medicare allows advance care planning (ACP) with many hospital evaluation and management (E/M) services. However, special restrictions apply when the same physician provides critical care on the same date. In this guide, we’ll explain ACP billing with hospital E/M and critical care, including: What Is Advance Care Planning (ACP)? Advance care planning helps…