All programs
ACP
Advance Care Planning
Advance Care Planning gives clinicians paid, unhurried time to discuss goals of care and advance directives — often bundled with the Annual Wellness Visit at no cost to the patient.
What it means for patients
Meaningful goals-of-care conversations, on the record.
Honoring patient wishes — documented and reimbursed.
Eligibility
Medicare patients — any care setting
Billing model
Time-based CPT
Time required
≥ 16 min (first 30-min unit)
Medicare reimbursement
$80 – $235 / session
Billing codes
9949799498
Stay audit-ready
Documentation requirements
Each concurrently billed program requires independent, separately documented evidence.
Voluntary discussion documented
Time spent recorded (≥ 16 min)
Advance directive / decisions noted
Patient or surrogate participation
No cost-share when billed with AWV
Compatible combinations
Valid stacking
ACP + AWVACP + APCMACP + CCM
Never bill together
No hard exclusions — bundles per CMS rules, which our team confirms for you.