You got a 68-year-old male with heart failure and diabetes and have multiple medications. They do an E/M, two diseases including adjusting medications as appropriate. In addition to discussing short-term treatment options, the patient expresses interest in discussing long-term treatment options, etc.
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Then, it goes on to say that he wants to know what adversely affects his decision-making capacity. So, CMS states that in this instance you do the E/M service and then you append that 99497 with that for the first 30 minutes and then that’s how it will be billed. You got your E/M service and then the additional 99497. And again, that can be found on CMS.
Exciting stuff, but again not always something that we want to talk about.
