Health Information Management

Q&A: Know criteria for reporting code 99050 for weekend hours

JustCoding News: Outpatient, September 8, 2009

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QUESTION: We currently report CPT code 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) for emergency weekend visits for sick children. We are considering scheduling patients for well visits on Saturday. If we decide to change our schedule, can we still report code 99050?

ANSWER: Code 99050 is not a ‘weekend’ code but a ‘special off-hours’ code. If you decide to open the office for patient visits on Saturdays—and make this one of your regularly scheduled business days—you may not report this code for these encounters. You will need to use the standard E/M office visit codes 99201–99215.

Editor’s note: Shelley C. Safian, MAOM/HSM, CCS-P, CPC-H, CHA, of Safian Communications Services in Orlando, FL, answered this question. She is a senior assistant professor who teaches medical billing and insurance coding at Herzing University Online in Milwaukee, WI. E-mail her at ssafian@embarqmail.com.

This answer was provided based on limited information submitted to JustCoding.com. Be sure to review all documentation specific to your own individual scenario before determining appropriate code assignment.



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