99498 Advncd care plan additional 30 minutes
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.
In Plain Language
continued discussion about your health care wishes
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 RVU | 1.40 |
| Total RVU | 1.40 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
E&M codes require documentation of medical decision-making (MDM) complexity or total time spent on the encounter. For 2026, time-based coding includes all physician time on the date of the encounter.
How This Code Compares
With a work RVU of 1.40, this code ranks in the 40th percentile among Evaluation & Management codes — 1.1x below the median (1.54). The highest wRVU in this category is 18.46.
Specialties
Frequently Asked Questions
What is CPT code 99498?
CPT 99498 (Advncd care plan additional 30 minutes) is a Evaluation & Management code. Advanced care plan development and counseling service for each additional 30 minutes of patient conversation regarding serious illness and end-of-life care.
Who uses CPT code 99498?
CPT 99498 is used by Palliative Care, Internal Medicine. Used for extended advance care planning discussions addressing complex family dynamics, organ donation, or detailed documentation of end-of-life preferences.
When is CPT 99498 used?
Used for extended advance care planning discussions addressing complex family dynamics, organ donation, or detailed documentation of end-of-life preferences.
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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.