CPT Code 99497: Advance Care Planning, First 30 Minutes

Yes, if meaningful discussion occurred and time criteria are met.

Not necessarily; a family member or surrogate decision-maker may participate instead during advance care planning services.

CPT code 99497 is used to bill for advance care planning (ACP). It covers a face-to-face discussion between a qualified healthcare professional and a patient (or their family/surrogate) about advance directives, including explaining and possibly completing forms like a living will or healthcare proxy. This code applies when the conversation lasts at least 16 minutes, and it must be clearly documented to receive reimbursement.