tci ED Coding & Reimbursement Alert - 2000 Issue 7

Reader Questions: Using Code 9058

Question: I have been running into problems with code 99058. Could you please tell me when am I able to use this code?Marie NikolaidisPorter, TexasAnswer: You can use code 99058 (office services provided on an emergency basis) if the physician was called in to the office after hours or on a weekend to see a patient for emergent care. The problem with this code is that Medicare does not pay for it under any circumstances. Most of the HMO, PPO, and other managed-care companies follow Medicares lead and deny it as well. I have checked several fee schedules...

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