Cardiology Coding Alert

News You Can Use:

Rely on Old Rules for Split/Shared Visits -- Despite Consult Coding Changes

Be aware: You should still report just one inpatient care code per patient, per day.As long as you bill split/shared visits using E/M codes and follow current payment rules, CMS will continue to honor them -- which is good news since you couldn't report services you would've used consult codes for in the past as split/shared visits.That's the word from CMS, where staffers aimed to straighten out confusion stemming from the January MLN Matters article SE1010 (www.cms.gov/MLNMattersArticles/downloads/SE1010.pdf), which offered several questions and answers regarding how to bill Medicare following the elimination of consult code payment.No Change in Split/Shared Rules for E/M ServicesIn the article, CMS noted that "the split/shared rules applying to E/M services remain in effect, including those cases where services would previously have been reported by CPT consultation codes.""We understand that this has caused some confusion, as there were -- and are -- different split/shared rules for consultation services compared [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Cardiology Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.