This page addresses follow-up questions and additional information pertinent to our webinar
Split/Share Visits Coding: Does FS Mean You’re Fairly Skeptical?.
** The coding information and guidance are valid at the time of publishing. Learners are encouraged to research
subsequent official guidance in the areas associated with the topic as they can change rapidly.
Q: Can we bill for shared services in our SNF?
A: Although a SNF is an appropriate setting in which to perform a split/shared E/M service, CMS does state that in a SNF the physician may not delegate a task that the physician must personally perform such as the initial federally mandated comprehensive visit. This service is reported with codes 99304-99306 (POS 31) and may not be reported by an NPP or as a split/shared visit.
Q: Can we bill NICU codes as shared services?
A: No. Codes 99468-99469 are used to report the services of directing the inpatient care of a critically ill neonate or infant 28 days or younger, and only once per day. Per CPT “.. may be reported only by a single individual”.
Q: How do I code a shared service when the NP documents time, but the physician documents MDM
A: Neither CPT nor CMS address this situation, however one MAC (WPS) does suggest that when this happens, to use the MDM to decide the level of service and consider the physician as the billing provider. Please check your local MAC for guidance regarding split/shared visits.
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Carol Paton, MSc, PG Cert., CPC, CPMA
Senior Coding Educator
Carol brings over 20 years of industry experience to her role as a Senior Coding Educator at Haugen Consulting Group. With a background in nursing, Carol brings a unique perspective to coding education, allowing her to communicate effectively with both coders and providers to ensure a high-quality learning experience.
A proven self-starter and valuable team member, Carol excels at motivating and developing others while building positive relationships across teams and departments. Her career spans several large specialty health systems, where she has served as a coding auditor and educator, delivering targeted education across various service lines.
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