tci General Surgery Coding Alert - 2004 Issue 6

Reader Question: Reserve After-Hours Codes for Emergencies

Question: Recently we've had an unexpected patient load and were thinking of offering extended office hours on Saturdays once per month or so. If we do this, can I bill the "after-hours" codes for visits scheduled during that time?Illinois Subscriber Answer: CPT offers three codes to describe "after- hours" services:99050 -- Services requested after posted office hours in addition to basic service99052 -- ... between 10:00 p.m. and 8:00 a.m. ...99054 -- ... on Sundays and holidays ... You should report after-hours codes only in urgent situations, never for a prescheduled appointment after regular office hours. If you extend...

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