Prior Auth Required

1157F - Care of Older Adults Advance care plan (document) present in medical records

This procedure appears on the selected insurer prior authorization source.

Prior authorizationPrior Auth Required
Procedure / ServiceCare of Older Adults Advance care plan (document) present in medical records
Procedure / Service Description

HEDIS Measure CPT II Code 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

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.