Advance Care Planning

Advance Care Planning (ACP) is a time-based face-to-face (or CMS-compliant telehealth) counseling service provided by physicians or qualified healthcare professionals to discuss a patient’s wishes for future medical care, and may be offered during an Annual Wellness Visit or as a separate Medicare Part B service. Coverage requires documented voluntary participation, assessment of decision-making capacity, and detailed records of the ACP content, participants, mode, and time; brief E/M conversations and audio-only telephone calls do not qualify. There is no numerical limit on ACP reporting, but repeat claims must be supported by documentation of a change in health status or care preferences.

"Advance Care Planning (ACP) is a face-to-face service provided by a physician or other qualified healthcare professional (QHP) with a patient and/or family member/surrogate to discuss the patient’s..."