Ask Dr. Z

Can ECMO management CPT codes 33948 and 33949 be utilized as a split/shared service? When reviewing documentation for ECMO services, I am finding the physicians documentation supports management of ECMO circuit. However, the physicians are not including, in their attestation, the diagnosis as to why the patient was hooked up on ECMO circuit. If the diagnosis is documented in the NP's progress note for the same date of service, is it allowable to combine both providers documentation and bill for the ECMO management service? Also, are there specific documentation requirements for ECMO managament, and, if so please elaborate as to what this would consist of?