HCPro, JustCoding Outpatient - 2022 Issue 4 (January)
Q&A: 2022 CPT coding for split/shared E/M visits
January 25th, 2022
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Article Overview
This article explains a 2022 coding update for split/shared evaluation and management visits in facility settings. It is aimed at coders, billers, compliance staff, and clinicians who document or report these services. The guidance addresses how the definition changed, how the substantive portion is determined across different time periods, what documentation is required, and what general CPT reporting categories are involved.
Why This Topic Matters
Split/shared E/M services are common in facility-based care, and the 2022 guidance affects how these visits are identified, documented, and reported. Understanding the update helps support accurate claim submission and documentation consistency for teams working with physician and non-physician practitioner services.
What You Will Learn
- How the 2022 guidance changed the general definition of split/shared E/M visits
- What broad factors are used to identify the substantive portion of a visit
- Which general documentation elements are expected in the medical record
- What visit categories are addressed for facility-based split/shared reporting
Who Should Read This
- Medical coders
- Billers
- Compliance staff
- Physicians
- Non-physician practitioners
- Clinical documentation staff
Code Ranges Discussed
Modifiers Discussed
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