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Frequently Asked Questions

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How are Advance Care Planning (ACP) services reported with Annual Wellness Visit (AWV) services for Medicare beneficiaries?

Effective January 1, 2016, ACP is an optional element of an Annual Wellness Visit (AWV). If an ACP service is provided on the same day as AWV, the deductible and the coinsurance for the ACP are waived. ACP codes must be billed with modifier 33 (Preventive Services) when performed with AWV (HCPCS code G0438, G0439). If Advanced Care Planning services are provided separately or at the time of other E/M services, the deductible and the coinsurance apply.

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