QPP Measure #047
Advance Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan.
Submission Methods: Claims, Registry
Measure Sets: Cardiology, Certified Nurse Midwife, Clinical Social Work, Family Medicine, Gastroenterology, General Surgery, Geriatrics, Hospitalists, Internal Medicine, Nephrology, Neurology, Obstetrics Gynecology, Oncology, Orthopedic Surgery, Otolaryngology, Physical Medicine, Preventive Medicine, Pulmonology, Rheumatology, Skilled Nursing Facility, Thoracic Surgery, Urology, Vascular Surgery
The following codes apply for this QPP measure:
CPT Codes | |||
| Code | Description | ||
|---|---|---|---|
| 1123F | CPT Code | ||
| 1124F | CPT Code | ||
| 90791 | CPT Code | ||
| 90832 | CPT Code | ||
| 90834 | CPT Code | ||
| 90837 | CPT Code | ||
| 90845 | CPT Code | ||
| 90846 | CPT Code | ||
| 90847 | CPT Code | ||
| 99202 | CPT Code | ||
| 99203 | CPT Code | ||
| 99204 | CPT Code | ||
| 99205 | CPT Code | ||
| 99212 | CPT Code | ||
| 99213 | CPT Code | ||
| 99214 | CPT Code | ||
| 99215 | CPT Code | ||
| 99221 | CPT Code | ||
| 99222 | CPT Code | ||
| 99223 | CPT Code | ||
| 99231 | CPT Code | ||
| 99232 | CPT Code | ||
| 99233 | CPT Code | ||
| 99234 | CPT Code | ||
| 99235 | CPT Code | ||
| 99236 | CPT Code | ||
| 99291 | CPT Code | ||
| 99304 | CPT Code | ||
| 99305 | CPT Code | ||
| 99306 | CPT Code | ||
| 99307 | CPT Code | ||
| 99308 | CPT Code | ||
| 99309 | CPT Code | ||
| 99310 | CPT Code | ||
| 99341 | CPT Code | ||
| 99342 | CPT Code | ||
| 99344 | CPT Code | ||
| 99345 | CPT Code | ||
| 99347 | CPT Code | ||
| 99348 | CPT Code | ||
| 99349 | CPT Code | ||
| 99350 | CPT Code | ||
HCPCS Codes | |||
| Code | Description | ||
| G0054 | Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways | ||
| G0055 | Advancing care for heart disease mips value pathways | ||
| G0056 | Optimizing chronic disease management mips value pathways | ||
| G0402 | Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment | ||
| G0438 | Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit | ||
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | ||
| G9692 | Hospice services received by patient any time during the measurement period | ||
| M0001 | Advancing cancer care mips value pathways | ||
| M0002 | Optimal care for kidney health mips value pathways | ||
| M0003 | Optimal care for patients with episodic neurological conditions mips value pathways | ||
| M0004 | Quality care for patients with neurological conditions mips value pathway | ||
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