MIPS #47 Advance Care Planning
Practice Insights coding changes completed for 2025
MEASURE DESCRIPTION
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.
Numerator
Patients 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 patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Denominator
All patients aged 65 years and older
Exclusion/Exceptions
Hospice services received by patient any time during the measurement period
Telehealth: Yes, including but not limited to encounters coded with GQ, GT, POS 02, POS 10, 90791, 90792, 90832, 90834, 90837, 90839, 90845, 90846, 90847, 96116, 96130, 96132, 96110, 96112, 96156, 96105, 96125, 98000, 98001, 98002, 98003, 98004, 98005, 98006, 98007, 98008, 98009, 98010, 98011, 98012, 98013, 98014, 98015, 98016, 99202, 99203, 99204, 99205, 99212, 99213, 99214, 99215, 99221, 99222, 99223, 99231, 99232, 99233, 99234, 99235, 99236, 99291, 99304, 99305, 99306, 99307, 99308, 99309, 99310, 99341, 99342, 99344, 99345, 99347, 99348, 99349, 99350, G0402, G0438, G0439
Scoring
1-7 Points, has 7 point cap.
RESOURCES
