Physicians, advance practice nurses, physician assistants, and other licensed professionals who are authorized to independently bill for Medicare Part B services can report Advance Care Planning (ACP) CPT codes.
Additionally, ACP conversations delivered by individuals other than a physician or qualified health professional can be reported using ‘incident to’ billing guidelines:
- ACP services can be provided by a physician but are delegated to a capable non-physician employee.
- The delegate must be an employee of the physician group/practice.
- A qualified health professional under whom the ACP service will be billed must be immediately available to provide direct supervision and address ACP questions as needed. They do not need to be the health professional who ordered the ACP services.
- If ACP services meet ‘incident to’ requirements listed above, the only time that needs to be counted is that of the delegated employee. There are no separate time requirements for the billing provider.