Year:  2017 2018 2019 2020 2021 2022 2023 2024 2025 

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:

HCPCS Codes

CodeDescription
G0054Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways
G0055Advancing care for heart disease mips value pathways
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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