Please Note: There is no Medicare information on our corporate website. Please select a specific contract in the 'Search Within' box for Medicare related information.
© 2019 Palmetto GBA, LLC
We frequently update our articles to reflect the latest changes and updates to Medicare, and strongly recommend you visit this article at link below to confirm you have the latest version.
Printed Date: 9/22/2015
Answer: Documenting shared services correctly depends on the place of service.
For the office/clinic setting:
For the hospital inpatient setting/outpatient/emergency department setting:
The documentation collectively would have to support the CPT code that is submitted. For a review, you would have to provide both the documentation from the nurse and the physician for that shared visit so that it supports the CPT code that you submitted.
Resource: Medicare Claims Processing Manual (Pub. 100-04), Chapter 12, Section 30.6.1B (PDF, 1.4 MB)
We value your opinion and want to provide the highest-quality and most relevant Medicare knowledge possible. Please let us know if this article was helpful.
It didn't answer my question
This article was helpful
We’re glad we could help you today and appreciate your feedback. When you rate our articles as most helpful, we know that we are on the right track for providing you with important news and information.
We're sorry this article didn't help you today. We'll use your feedback to review this article to try to revise or expand it. Contact us with more feedback or a question on this topic.
Last Updated: 06/03/2019