tci General Surgery Coding Alert - 2003 Issue 4

Im Not Supposed to Be Here!: Getting Paid After-Hours

After-hours codes 99050-99054 are designed to reimburse physicians who see patients at unusual times, such as after regular office hours or on Sundays or holidays. Although using these codes can increase reimbursement, payment is not automatic and often requires that you negotiate special arrangements with insurers. 'After Hours'Can Vary by Practice CPT includes three codes to report after-hours services: 99050 Services requested after office hours in addition to basic service 99052 between 10:00 PM and 8:00 AM 99054 on Sundays and holidays. "CPToffers few guidelines for billing after-hours services," says Alice Church, CCS-P, coding and reimbursement analyst for...

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