decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 5 (May)
Use after-hours code 99051 for scheduled hours on evenings, weekends and holidays
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Article Overview
This article discusses how after-hours office visit billing is handled for regularly scheduled evening, weekend, and holiday hours, with attention to payer differences and common misconceptions. It is intended for coders, billers, and practice staff who work with evaluation and management billing policies and payer-specific reimbursement rules. The article also notes how selected insurers treat related after-hours and emergency office service codes and why practices should distinguish their regular hours from after-hours schedules.
Why This Topic Matters
Understanding payer-specific treatment of after-hours office service billing can help practices submit claims more accurately, avoid denied charges, and align coding with office scheduling policies.
What You Will Learn
- How after-hours office visit billing is discussed in relation to scheduled evening, weekend, and holiday hours
- How payer policies can differ for related office service billing
- Why practices distinguish regular office hours from after-hours scheduling
- What general kinds of billing situations are associated with this topic
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Pediatric practice staff
- Evaluation and management billing staff
Codes Discussed
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