Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; each additional 30 minutes (List sep
CPT4 code
Name of the Procedure:
Advance Care Planning
Common names: Advance Directives Discussion, ACP
Technical/medical terms: Advance Directive Counseling
Summary
Advance Care Planning (ACP) is a process where you discuss and plan your future healthcare preferences in the event you are unable to make decisions for yourself. This often includes discussions about advance directives, which are legal documents that specify your healthcare wishes. This consultation typically involves additional 30-minute sessions for thorough explanation and completion of these directives by a physician or qualified healthcare professional.
Purpose
Medical condition or problem: Ensures your healthcare preferences are known and respected during incapacity. Goals or expected outcomes: To clearly document your wishes regarding medical treatment, which can include decisions about resuscitation, life support, and other critical care options.
Indications
Specific symptoms or conditions: Chronic illness, terminal disease, mental health conditions, advanced age, and impending high-risk surgery. Patient criteria or factors: Appropriate for anyone wishing to document their healthcare preferences, particularly those with terminal illnesses or complex health needs.
Preparation
Pre-procedure instructions: No special physical preparation like fasting or medication adjustments required. Diagnostic tests or assessments: Bring any existing advance directives, information on your health condition, and, optionally, a trusted family member or friend.
Procedure Description
Step-by-step explanation:
- The healthcare professional reviews your current health status.
- Detailed discussions about your values and goals for healthcare.
- Explanation of advance directives, such as Living Wills or Durable Power of Attorney for Healthcare.
- Assistance in completing advance directive forms. Tools, equipment, or technology: Forms for Living Wills, Durable Power of Attorney, and other related materials. Anesthesia or sedation: Not applicable.
Duration
Each additional discussion session typically lasts 30 minutes.
Setting
Performed in various settings including clinics, hospitals, or possibly at home through telehealth options.
Personnel
Healthcare professionals involved: Physicians, nurse practitioners, physician assistants, and social workers.
Risks and Complications
Common and rare risks: No physical risks involved. Emotional discomfort may occur due to the nature of the discussion. Possible complications: None.
Benefits
Expected benefits: Ensures healthcare decisions align with your values and wishes. Reduces burden on family members during critical times. Realization timeline: Immediate clarity and peace of mind upon completion.
Recovery
Post-procedure care: No post-procedure care required. Expected recovery time: Immediate; no physical recovery needed. Restrictions or follow-up appointments: Regular reviews or updates of directives are advised.
Alternatives
Other treatment options available: Informal conversations without legal documentation. Pros and cons of alternatives: Informal conversations may offer peace of mind but lack legal standing, potentially leading to confusion during emergencies.
Patient Experience
During the procedure: Typically involves conversations that may evoke emotional responses. The healthcare professional facilitates and supports the discussion. Pain management and comfort measures: Not applicable. Emotional support provided throughout the process.