Harris Courtney E.Salgado CassandraSublett LauraMcKinnon John E.2026-05-192026-5-1210.1111/tid.70238https://pubs.cidrz.org/handle/123456789/12657<jats:title>ABSTRACT</jats:title> <jats:sec> <jats:title>Background</jats:title> <jats:p>Transplant infectious diseases (TID) clinicians provide complex, high‐acuity cognitive care that is frequently undervalued due to inconsistent documentation and underutilization of appropriate evaluation and management (E/M) and billing codes. Limited published data describe billing practices or educational approaches within TID. We evaluated a documentation and coding education model aimed at improving billing accuracy and recognition of TID clinical complexity.</jats:p> </jats:sec> <jats:sec> <jats:title>Methods</jats:title> <jats:p>We performed a retrospective analysis of administrative billing data from a tertiary‐care academic institution (Medical University of South Carolina) before and after implementation of a structured documentation and billing education initiative (FY 2022–2025). The intervention included division‐wide didactic sessions, onboarding training for fellows and faculty, and standardized note template documentation. Outcomes included E/M level distribution for initial and subsequent visits, utilization of G0545 codes, 2025 CMS reimbursement rates, and use of critical care billing.</jats:p> </jats:sec> <jats:sec> <jats:title>Results</jats:title> <jats:p>Following the intervention, high‐complexity documentation and billing improved substantially. Level 3 initial consults increased from 40% (2022) to 69% (2025), and Level 3 subsequent visits demonstrated a 36% absolute increase. Overall RVU generation increased by 11.8% during the period. G0545 utilization improved but remained inconsistent. Critical care billing showed slow adoption, largely related to perceived documentation burden and limited familiarity with time‐based requirements.</jats:p> </jats:sec> <jats:sec> <jats:title>Conclusions</jats:title> <jats:p> Even a low‐intensity documentation and coding education model produced sustained improvement in high‐complexity billing within a TID program. Infectious disease‐specific codes and critical care billing represent important, underutilized revenue opportunities nationally. Standardized education and workflows may be essential to financial sustainability and workforce support in TID. <jats:boxed-text content-type="graphic" position="anchor"> <jats:graphic xmlns:xlink="http://www.w3.org/1999/xlink" mimetype="image/png" position="anchor" specific-use="enlarged-web-image" xlink:href="graphic/tid70238-gra-0001-m.png"> <jats:alt-text>image</jats:alt-text> </jats:graphic> </jats:boxed-text> </jats:p> </jats:sec>https://doi.org/10.1111/tid.70238