Wiki 99223 and 99497

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nishaganesh

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Frazier Park, CA
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Hey there,

When billing for Part B services in an Inpatient Hospital (POS 21), Skilled Nursing Facility (POS 31), or Nursing Facility (POS 32) setting, and reporting:

  1. CPT 99221, 99222, or 99223 with Advance Care Planning (ACP) CPT 99497
  2. CPT 99305-99309 with Advance Care Planning (ACP) CPT 99497
To which service should the modifier be appended for Medicare and is it any different for other Payers?
 
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