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Weekend/Holiday coding

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Any of you have any experience with payors with

weekend/holiday coding? These codes are to be used in

conjunction with the " regular " CPT codes (e.g. 99202,

99212). Supposedly adding on these extra clarifying

CPT codes are supposed to provide physician incentive

and keep patients out of more expensive urgent

care/ERs.

99050: Services provided in office at times other than

regular scheduled office hors or days when office is

normally closed.

99051: Services provided in office during regularly

scheduled evening, weekend or holiday office hours in

addition to basic service.

99053 Services provided between 10 PM and 8 AM at 24

hour facilility, in addition to basic service.

99056 Services provided on an emergency basis in

office, which disrupts either scheduled office

services, in addition to basic services.

99060 Services provided on an emergency basis, out of

office, which disrupts other scheduled office

services, in addition to basic service.

Soma

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