tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Reader Question: Know How ‘Regular Hours’ Are Defined

Question: Our practice has decided to stay open this Labor Day, and we’ve let our patients know about these extra hours ahead of time. Do we report CPT® code 99050 along with an E/M code for the holiday hours? SuperCoder Subscriber Answer: No. One of the biggest sources of confusion on this issue occurs when practices try to decide to apply 99050 (Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service) or 99051 (Service(s) provided...

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