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Time Thresholds and Ranges for Medicare Reimbursement for Advance Care Planning Services
| Time in ACP (minutes) | ACP CPT® code(s) |
|---|---|
| 0–15 | Not separately billable |
| 16–45 | 99497 |
| 46–75 | 99497 and 99498 |
| 76–105 | 99497 and 99498 × 2 |
| 106–135 | 99497 and 99498 × 3 |
ACP, advance care planning; CPT®, current procedural terminology.
