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99498 Advncd care plan additional 30 minutes

E&M +Add-on

Also known as: advance care planning additional, end-of-life counseling continued

Advanced care plan development and counseling service for each additional 30 minutes of patient conversation regarding serious illness and end-of-life care.

Clinical Context

Used for extended advance care planning discussions addressing complex family dynamics, organ donation, or detailed documentation of end-of-life preferences.

RVU Breakdown

Work RVU1.40
Practice Expense RVU0.85
Malpractice RVU0.09
Total RVU2.34

Est. Medicare Payment

$78.16

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Palliative CareInternal Medicine

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.