‘After-hours’ codes can add dollars, and so can ‘during-hours’ codes

Article Overview

This article discusses office-based add-on coding for services tied to timing, scheduling, and location, with emphasis on commercial payer reimbursement and the contrast with Medicare. It is aimed at medical coders, billing staff, and practice managers who need to understand how payer policies and CPT guidance can affect whether these codes are reimbursable. The discussion also references historical changes in CPT guidance and notes related codes in the same series that may appear in payer policy discussions.