Advanced Search

Neurology & Pain Management Coding Alert

Reader Question:

After-hours Codes

Published on Tue May 01, 2001

Question: How do I get paid for after-hours visits?

Illinois Subscriber

Answer: Unfortunately, payment for 99050-99054 (services required after office hours in addition to basic service) is very carrier-specific. If it is a managed care plan, the neurologist can negotiate for reimbursement in the contract. You should ask your top-five payers which ones will pay. You must also find out if there are any conditions regarding their use, for example, the place of service should be the neurologists office. If the physician cannot obtain payment for these visits, the patients should be informed that this service cannot be offered because it is not reimbursed.
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Neurology & Pain Management Coding Alert

View All