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Advance Care Planning

Christopher Lin-Brande, MD and Heather A. Dalton, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Advance care planning (ACP) allows patients to have a voice in the decisions that affect their care after they lose the ability to do so for themselves.

  • There are several methods addr...

TREATMENT

  • Suggested discussion points:

    • All adult patients:

      • Discuss basic medical decision making.

      • Assess willingness to engage in ACP. Do not force patients if they are not ready to have this potentially...

ONGOING CARE

Reimbursement: The Centers for Medicare & Medicaid Services reimburses physicians for ACP discussions. 
  • Current CPT codes are 99497 for the first 30 minutes of discussion and completio...

REFERENCES

1
American Association of Retired Persons. Advance directive forms by state. http://www.aarp.org/home-family/caregiving/free-printable-advance-directives/. Accessed August 1, 2018. http://ww...

ADDITIONAL READING

CODES

ICD10

  • Z71.89 Other specified counseling

  • Z51.5 Encounter for palliative care

  • Z66 Do not resuscitate

CLINICAL PEARLS

  • ACP is an important and underutilized element of compassionate and comprehensive patient-centered care.

  • The primary barriers to discussing advanced directives from the patient perspecti...

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