BC Advantage - 2019 Issue 7

What about Midnight Billing for Time Across Calendar Days

With the advent of 24/7 coverage in the ICU, one contentious issue is how to bill for services that start just before midnight. In this audit tip we will discuss how  CPT handles these services and how time based billing applies to other E/M services. What about Midnight? For Evaluation and Management (E/M) services, the calendar day is defined as lasting from midnight to midnight. All services start at midnight and end before midnight on the same calendar day. The issue becomes - what happens if a service starts before midnight and continues across midnight into the...

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