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CPT code 99051-CB

Lina Posted Tue 01st of September, 2015 13:30:36 PM

We use this code for after hours care for weekend and after 5pm. I would like to know for use after 5pm do we start the time from the time they check in or the time that the provider actually sees the patient. Sometimes the patient checks in at 4pm but may not see the provider until after 5pm.

SuperCoder Answered Wed 02nd of September, 2015 02:31:17 AM

Well, when your physician provides an E/M service in the office during regularly scheduled “evening, weekend, or holiday office hours,” by contrast, you should bill 99051 {Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service}.
Example:If your practice is normally open during evening hours (say, until 9 p.m.), and the physician sees the patient for the same service, you would still bill 99213, but with 99051 to establish that although the service occurred after usual “business hours,” the appointment was still within your practice’s posted hours.
What is an After-hours Service:-
A patient is considered an after-hours patient only if he reports to the office after your normal office hours end — not when he presents during normal office hours and the appointment runs past closing time.
Hope it helps!

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