Q&A: Reporting shared visit services using the 2021 E/M guidelines

September 22nd, 2020

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This Q&A explains the general application of the 2021 evaluation and management guidelines to shared or split outpatient visits, with emphasis on how total time is considered when more than one clinician participates in the encounter. It is aimed at coders, billers, and compliance professionals who need to understand the scope of time-based E/M reporting under the updated guidelines and why documentation and task attribution matter in these scenarios.

Why This Topic Matters

Shared and split visits can be difficult to code correctly, and the 2021 E/M framework changed how time may be used for office and outpatient code selection. Understanding the article helps readers identify when this type of encounter falls under CPT office/outpatient E/M guidance and what broad documentation considerations are involved.

Article Sections

  1. Question

    Introduces a scenario involving shared outpatient visit services and asks whether one E/M code may be reported when time is used for selection.

  2. Answer

    Summarizes the 2021 E/M time-based framework, the kinds of activities that may count toward total time, and how split or shared services are considered at a high level.

  3. Example scenario and time calculation

    Presents a worked outpatient example with multiple contributors to the encounter and explains the general time aggregation approach used for code selection.

  4. Editor’s note

    Provides attribution, context for the webinar source, and a reminder that the guidance is based on limited information.

What You Will Learn

  • How the 2021 E/M guidelines relate to time-based visit code selection
  • How shared or split outpatient encounters are discussed in a coding context
  • What broad categories of work may be included in total time
  • Why documentation and scenario-specific review remain important

Who Should Read This

  • Medical coders
  • Coding auditors
  • Practice managers
  • Compliance professionals
  • Physician and non-physician practitioner billers

Codes Discussed

  • CPT: 99202
  • CPT: 99213

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