AMA CPT® Assistant - 2024 Issue 9 (September)
Coding Brief: Split or Shared Visits for Same-Day E/M Visit (September 2024)
September 2024 page 19 Coding Brief: Split or Shared Visits for Same-Day E/M Visit For the CPT 2024 code set, the Split or Shared Visits subsection was established in the Evaluation and Management (E/M) guidelines to further address code-level selection using medical decision making (MDM). The split or shared visits approach was initially added to the E/M guidelines in the CPT 2021 code set, which addressed reporting split or shared visits using time for code-level selection. In the CPT 2024 code set, the expanded subsection addresses code-level selection based on time or MDM. The updated guidelines are consistent with...
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Article Overview
This Coding Brief reviews updated CPT guidance on split or shared visits for same-day evaluation and management services. It is relevant to physicians, other qualified health care professionals, coders, and compliance staff who work with hospital inpatient and observation care reporting. The article focuses on the CPT 2021 and CPT 2024 E/M guideline changes, the role of time versus medical decision making in code-level selection, and the broader CMS policy context.
Why This Topic Matters
Split or shared visit reporting affects which professional may bill an E/M service and how the service is assigned in team-based care settings. Understanding the updated CPT guidance helps coding and compliance teams align documentation and reporting practices with current E/M rules.
Article Sections
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September 2024 page 19
Publication and issue information for the brief.
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Split or Shared Visits
Overview of the updated split or shared visits framework for team-based E/M services and the general factors involved in reporting these encounters.
What You Will Learn
- How the updated split or shared visits guidance fits within CPT E/M guidelines
- What broad factors are referenced for same-day E/M code-level selection
- How the article situates the guidance in relation to hospital inpatient and observation care services
- Why the topic is relevant to CPT 2021 and CPT 2024 guideline updates
Who Should Read This
- Medical coders
- Clinical documentation staff
- Physicians
- Other qualified health care professionals
- Compliance teams
- Revenue cycle professionals
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