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Split/Shared Billing: A Medicare Concept Expands to CPT

Split/shared billing is a concept originally defined in Medicare policy to allow a physician to report evaluation and management (E/M) services provided in part by the physician and in part by another qualified health care professional (QHP) whose scope of practice includes E/M services. Revisions to the Current Procedural Terminology (CPT®) guidelines for E/M in 2021 introduced a “shared or split visit” concept into CPT that includes some, but not all, of the Medicare policy.