Guest guest Posted March 18, 2010 Report Share Posted March 18, 2010 Anyone getting paid consistently for After Hours Coding? I guess the difference in coding is one is for After Hours visit – but not scheduled – and the other is for After Hours, but SCHEDULED after hours visits. So does this apply to an after hours clinic one runs on a Saturday as a service to your patients – you can charge extra? Here is what my biller says… CHARGING FOR " AFTER HOURS " SERVICES Some Health Plans have indicated that new CPT codes 99050 and 99051 may be used for services provided after regular business hours. These codes will be allowed only if billed with place of service (1 1) office and in conjunction with code(s) for basic services. 99050 - Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (e.g., holidays, Saturday or Sunday), in addition to basic service. 99851 - Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in additional to basic services. Provider would appropriate office visit codes and the Code 99050 or 99051 to indicate " after hours " . Referral Authorizations are waived for " after hours " office visits. Reimbursement is based on the health plan's fee schedule. It is recommended that the doctor check the time when he enters a room with a patient after 5:00 p.m. (even if the pt appt was scheduled at an earlier time, like 4:30 pm). He marks the chart or super bill " AH " so his staff knows to add the appropriate code for claims submission. Locke, MD Quote Link to comment Share on other sites More sharing options...
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