AMA CPT® Assistant - 1996 Issue 8 (August)
A Closer Look at Emergency Department Physicians: Reporting Codes 99052 and 99054 (August 1996)
August 1996 page 9 Coding Communication A Closer Look at Emergency Department Physicians: Reporting Codes 99052 and 99054 We continue to receive many questions regarding the reporting of codes in the Special Services and Reports section of CPT (99000-99090) by emergency department physicians. The most commonly asked questions concern the reporting of code 99052, describing services requested between 10 pm and 8 am, and code 99054, describing services requested on Sundays and holidays, in addition to the basic service(s) provided by an emergency department physician. Special Services and Reports Section The codes in the Special Services and Reports section...
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Article Overview
This CPT Assistant article discusses how the Special Services and Reports section of CPT relates to emergency department physicians and other qualified physicians. It reviews the section’s general purpose, the historical intent of the guidance, how current use is described in the source, and the role of payer-specific reporting and reimbursement policies. The piece is relevant to coders, emergency department billing staff, and compliance teams that need to understand the scope of this CPT material and its administrative context.
Why This Topic Matters
It helps readers determine whether the article is relevant to their coding workflow by clarifying that the discussion is about CPT special services reporting and payer variability, not a narrow specialty-only rule set.
Article Sections
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August 1996 page 9
Publication and page reference information for the article.
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Coding Communication
The communication format and topic area for the guidance article.
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Special Services and Reports Section
An overview of the CPT section discussed in the article and its general purpose within physician reporting.
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The Original Intent of the Codes
Background on how the guidance was originally developed and the setting it was intended to address.
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Current Use of the Codes
Discussion of broader applicability, current practice context, and the influence of payer-specific reporting policies.
What You Will Learn
- The general purpose of the CPT Special Services and Reports section
- How the article frames the historical background of the guidance
- How current reporting context is discussed for emergency department and other physicians
- Why payer policies may affect reporting practices
- How the article positions specialty applicability within CPT guidance
Who Should Read This
- Emergency department physicians
- Medical coders
- Billing and reimbursement staff
- Compliance teams
- Practice managers
Codes Discussed
Code Ranges Discussed
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