CPT code 99497: Advance care planning, first 30 minutes2026 Medicare rate & RVUs in Mississippi

In Mississippi, Medicare pays $81.37 for 99497 in the office and $63.25 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 99497 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 99497 covers

This service covers a face-to-face conversation in which a physician or qualified nonphysician practitioner explains advance directives and helps the patient, family, or surrogate consider goals of care, preferred treatments, and who should make decisions if the patient cannot. Completing a health care proxy or living will is included when it happens, but a completed form is not required. Primary care, geriatrics, oncology, palliative care, nephrology, and hospitalist clinicians furnish it in offices, hospitals, nursing facilities, and patient homes.

The code is time-based. Under the CPT midpoint rule, at least 16 minutes of advance care planning time must be documented. At 46 minutes, add 99498 for the first additional 30-minute unit; another unit begins at 76 minutes. Documentation should show voluntary participation, who was present, what was discussed, any forms completed, and ACP time separate from other services. Medicare sets no frequency limit, but repeated discussions should document changes in health status or wishes. When ACP is furnished with an Annual Wellness Visit, report the applicable ACP code or codes with modifier 33 for waived Medicare deductible and coinsurance.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Mississippi compares for 99497

Across 109 of 109 payment localities, the office rate for 99497 runs from $80.63 in Arkansas to $112.74 in Alaska. Mississippi pays $81.37. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

99497 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 99497 in every payment locality

How the 99497 rate is calculated

Each of 99497’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 99497

99497 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Codes related to 99497

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 99497 has changed in Mississippi

Price 99497 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

• Abbeville
• Aberdeen
• Ackerman
• Agricola
• Alcorn State University
• Algoma
• Alligator
• Amory

Browse all communities in Mississippi

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates