tci E/M Coding Alert - 2022 Issue Q1

Reader Questions: Don’t Get Confused by the Similarities in These After-Hours Codes

Question: When it comes to billing after-hours or evening codes, is it true that there’s no difference between 99050 and 99051? If it is true, how do we know which to report in which circumstance? Rhode Island Subscriber Answer: While the two codes look similar, 99050 (Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service) and 99051 (Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service)...

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