tci ED Coding & Reimbursement Alert - 2004 Issue 8

Weigh Your Options With After-Hours Codes

Compensation may come with a price A patient with a high fever and vomiting presents to the emergency department at 9 p.m. on a Thursday. Should you report a regular ED visit and leave the claim at that, or also report an after-hours code? If you're reporting codes 99052 or 99054 for after-hours services in the ED, you may want to take a second look at several factors before dropping those claims: whom you're billing, the reason for reporting the code, and the costs and benefits that go with the codes. According to the August 1996 CPT Assistant...

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