Making Sense of MACRA: Advance Care Planning
You can get paid for advance care planning and satisfy a high-priority quality measure for MACRA.
Fam Pract Manag. 2018 Jan-Feb;25(1):9-10.
Download in PDF format (members/subscribers only; login required)
Discussing end-of-life decisions with your patients and their family members can be difficult and uncomfortable. As a patient’s primary care provider, family physicians are ideally suited to facilitate this conversation.
Advance care planning (ACP) enables patients and families to have this important end-of-life conversation with their family physician. The patient can discuss their wishes and preferences about the type of treatment and care he or she wants to receive during the latter stages of life. The Centers for Medicare & Medicaid Services (CMS) defines ACP as the face-to-face time a physician or other qualified health care professional spends with a patient, family member, or surrogate to explain and discuss advance directives.
CODING FOR ADVANCE CARE PLANNING
Starting January 1, 2016, CMS began paying for ACP services for traditional Medicare beneficiaries. ACP is one of four care management codes highlighted by the American Academy of Family Physicians (AAFP) that can optimize payment now, while preparing for value-based care. ACP can satisfy a high-priority quality measure for reporting in the Medicare Access and CHIP Reauthorization Act (MACRA). There are two current procedural terminology (CPT) codes used to report and file claims for ACP services: 99497 and 99498.
Copyright © 2018 by the American Academy of Family Physicians.
This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. Contact email@example.com for copyright questions and/or permission requests.
Want to use this article elsewhere? Get Permissions