Office visits: No CMS shift on split/ shared billing, prolonged visit code

Why This Topic Matters

These policies affect how practices document, report, and audit office and outpatient E/M services. Understanding the CMS position helps billing teams align workflows with Medicare requirements and review whether private payer rules differ.

Article Sections

1. CMS position on split or shared office visits

   Overview of CMS’s announced stance on split or shared billing for office-based E/M services and the broader settings where related guidance applies.

2. Preparing for split or shared billing in 2024

   Discussion of documentation and workflow topics practices should review as Medicare’s split or shared rules continue to evolve, including payer-policy comparisons.

3. No change for prolonged service code G2212

   Summary of CMS’s response regarding prolonged service reporting and the relationship between Medicare guidance and updated office/outpatient E/M code descriptors.