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1153F Doc advncd dis cmfrt not first

Other

Also known as: advanced disease not discussed code

Documentation of advanced disease comfort and prognosis not discussed in first visit. This quality measure tracks when initial visit focus differs from palliative goals.

Clinical Context

Used when advanced disease discussion occurred but not as primary focus of initial encounter.

RVU Information

CPT 1153F does not have a physician work RVU assigned by CMS. Reimbursement for this code is determined by payer-specific fee schedules.

Billing & Documentation

Documentation should include the clinical indication, service details, and any applicable performance metrics. Coverage may vary by payer — verify acceptance before billing.

Specialties

Palliative CareOncologyHospice

Frequently Asked Questions

What is CPT code 1153F?

CPT 1153F (Doc advncd dis cmfrt not first) is a Other code. Documentation of advanced disease comfort and prognosis not discussed in first visit. This quality measure tracks when initial visit focus differs from palliative goals.

Who uses CPT code 1153F?

CPT 1153F is used by Palliative Care, Oncology, Hospice. Used when advanced disease discussion occurred but not as primary focus of initial encounter.

When is CPT 1153F used?

Used when advanced disease discussion occurred but not as primary focus of initial encounter.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.