decisionhealth Newsletters, Part B News - 2020 Issue 10 (October)
How to report shared visit services using the 2021 E/M guidelines
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Article Overview
This article discusses how the 2021 evaluation and management guidelines affect reporting shared visit services in an office setting. It is aimed at coders, billers, and clinicians who need to understand time-based E/M selection, the types of activities that can be included in total time, and how encounters involving more than one provider are treated under the updated CPT framework.
Why This Topic Matters
Shared encounters can create uncertainty about how to account for clinician time under the 2021 E/M rules. Understanding the general approach helps coding professionals and providers apply the office visit guidelines consistently when documenting and reporting E/M services.
Article Sections
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Question
Introduces the coding scenario involving a shared office visit and asks whether a single E/M code can be reported under the 2021 guidelines.
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Answer
Summarizes the time-based framework for 2021 E/M visit code selection and identifies the broad types of work that may count toward total time.
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Shared visit time example
Provides a sample encounter showing how time from multiple clinicians is combined for a visit and how that affects office visit code selection at a general level.
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Editor’s note
Credits the source of the answer and notes the webinar context in which the question was addressed.
What You Will Learn
- How the 2021 E/M guidelines relate to shared office visit services
- Which general activities may be included in total time for E/M code selection
- How combined clinician time is discussed in a shared encounter example
- The role of CPT office visit updates effective January 1
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Non-physician practitioners
- Practice managers
Codes Discussed
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