Prior Auth Required

1158F - Advance care planning discussion documented in records

This procedure appears on the selected insurer prior authorization source.

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Procedure / ServiceAdvance care planning discussion documented in records
Procedure / Service Description

HEDIS Measure CPT II Code Description - Adult BMI 3008F BMI Documented *See below for dx codes* Care of Older Adults 1157F Advance care plan (document) present in medical records 1158F Advance care planning discussion documented in records 1170F Function status assessed 0521F Plan of care to address pain documented

Likely documents
  • Confirm benefit details
  • Submit clinical notes if requested by the plan
Next actions
  • Confirm the current plan policy before submission.
  • Use the insurer authorization workflow for this listed code.