US · guidance
CMS Pub. 100-02, ch. 15, § 280.5.1
Advance Care Planning (ACP) Furnished as an Optional
Element with an Annual Wellness Visit (AWV) Upon Agreement with
the Patient
(Rev. 216 Issued: 12-22-15, Effective: 01-01-16, Implementation: 01-04-16)
Beginning in CY 2016, CMS will treat an AWV and voluntary ACP that are furnished on
the same day and by the same provider as a preventive service. Voluntary ACP services,
upon agreement with the patient, will be an optional element of the AWV. (See section
1861(hhh)(2)(G) of the Act.) When ACP services are furnished as a part of an AWV,
according to sections 1833(a)(1) and 1833(b)(10) of the Act, the coinsurance and
deductible are waived.
Voluntary advance care planning means the face-to-face service between a physician (or
other qualified health care professional) and the patient discussing advance directives,
with or without completing relevant legal forms. An advance directive is a document
appointing an agent and/or recording the wishes of a patient pertaining to his/her medical
treatment at a future time should he/she lack decisional capacity at that time.
See Pub. 100-04, Medicare Claims Processing Manual, chapter 18, section 140.8 for
claims processing and billing instructions.
History
(Rev. 216 Issued: 12-22-15, Effective: 01-01-16, Implementation: 01-04-16)
Provenance
- Source
- cms.gov
- Retrieved
- 2026-08-25
- Edition
- iom-2026-08-25
- Content hash
0e625cf8a24184811ff5ffed27b68380d976f8752de56ac6ef4b055241846e60
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