Part B Coding Coach: Know These Dos and Don’ts of Special Services

Why This Topic Matters

Special services and after-hours situations are common points of confusion in office coding, and misreporting them can affect claims accuracy and reimbursement. This article helps readers understand the broader documentation and scheduling context that surrounds these CPT® adjunct codes.

Article Sections

1. Do Use 99050 for Special Services Outside Regular Hours

   Explains the first special service scenario discussed in the article and frames how posted office hours and scheduling context affect consideration of an adjunct code.

2. Don’t Use 99050 During Scheduled Hours

   Covers the contrasting office-hours scenario and discusses how temporary or posted schedule changes fit into the general reporting context.

3. Do Use 99058/99060 When Emergencies Disrupt Scheduled Hours

   Addresses emergency-related office situations and the general issue of schedule disruption when special service reporting may be relevant.

4. Don’t Use Special Service/After Hours Codes Alone

   Summarizes the requirement that special service reporting be tied to an underlying basic service rather than used in isolation.