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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)
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Last Updated: 12/02/2019