tci General Surgery Coding Alert - 2002 Issue 11

READER QUESTION: After-Hours Codes With On-Call Status

Question: Is it appropriate to report the after-hours codes if the physician sees the patient in the emergency department while he or she is on-call? The hospital pays the physician for on-call status. California SubscriberAnswer: No, this is not appropriate. In this case the physician is already being paid by the hospital for his or her presence after-hours, and therefore additional payment is not warranted. After-hours codes 99050 (Services requested after office hours in addition to basic service), 99052 (... between 10:00 PM and 8:00 AM ...) and 99054 (... on Sundays and holidays in addition to basic service...

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