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Advance Care Planning

Heather Ann Dalton, FAAFP, MD Reviewed 04/2024
 


BASICS

DESCRIPTION

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

  • There are several methods of add...

TREATMENT

  • Suggested discussion points:

    • For all adult patients:

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

ONGOING CARE

Reimbursement: The Centers for Medicare & Medicaid Services reimburses physicians for ACP discussions. 
  • Current CPT codes are 99497 for the first 16-45 minutes of discussion and comple...

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 4, 2023.
2
Centers ...

ADDITIONAL READING

SEE ALSO

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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