Advanced Search

Cardiology Coding Alert

News You Can Use:

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

Published on Wed Apr 07, 2010

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 your eNewsletter
  • 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
*CEUs available with select eNewsletters.

Other Articles in this issue of

Cardiology Coding Alert

View All