tci General Surgery Coding Alert - 2005 Issue 3

Reader Questions: Medicare Won't Recognize 'After-Hours' Codes

Question: Will Medicare pay extra for the surgeon seeing the patient for an unscheduled appointment on a holiday? We can count on this happening at least once every year during the holiday season.Florida Subscriber  Answer: In a word: No.  CPT does provide three codes to describe "after-hours" services, such as those provided on a holiday:  99050 - Services requested after posted office hours in addition to basic service  99052 - ... between 10:00 PM and 8:00 AM   99054 - ... on Sundays and holidays.  Medicare and Medicaid do not recognize after-hours codes. Rather, they consider...

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