Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 2026 

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

CodeDescription
1123FCPT Code
1124FCPT Code
90791CPT Code
90792CPT Code
90832CPT Code
90834CPT Code
90837CPT Code
90839CPT Code
90845CPT Code
90846CPT Code
90847CPT Code
96105CPT Code
96110CPT Code
96112CPT Code
96116CPT Code
96125CPT Code
96130CPT Code
96132CPT Code
96156CPT Code
98000CPT Code
98001CPT Code
98002CPT Code
98003CPT Code
98004CPT Code
98005CPT Code
98006CPT Code
98007CPT Code
98008CPT Code
98009CPT Code
98010CPT Code
98011CPT Code
98012CPT Code
98013CPT Code
98014CPT Code
98015CPT Code
98016CPT Code
99202CPT Code
99203CPT Code
99204CPT Code
99205CPT Code
99212CPT Code
99213CPT Code
99214CPT Code
99215CPT Code
99221CPT Code
99222CPT Code
99223CPT Code
99231CPT Code
99232CPT Code
99233CPT Code
99234CPT Code
99235CPT Code
99236CPT Code
99291CPT Code
99304CPT Code
99305CPT Code
99306CPT Code
99307CPT Code
99308CPT Code
99309CPT Code
99310CPT Code
99341CPT Code
99342CPT Code
99344CPT Code
99345CPT Code
99347CPT Code
99348CPT Code
99349CPT Code
99350CPT Code

HCPCS Codes

CodeDescription
G0054Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways
G0055Advancing care for heart disease mips value pathways
G0402Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
G9692Hospice services received by patient any time during the measurement period
M0001Advancing cancer care mips value pathways
M0002Optimal care for kidney health mips value pathways
M0004Quality care for patients with neurological conditions mips value pathway
M0005Value in primary care mips value pathway
M1424Pulmonology care mips value pathway
M1425Surgical care mips value pathway
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