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Pediatric Coding Alert

Report 99050 for 'Above and Beyond' Care and Reap the Benefits

Published on Sat Mar 27, 2010

Highlight the phrase "in addition to basic service"--you'll be glad you did. Pediatricians don't always see patients during regular office hours, which means you may be left with a coding headache. If you're confused by the differences between 99050 and similar codes -- or don't think they're worth reporting -- read on for some real-world advice. Watch the Clock for 99050 When looking at after-hours codes, your first choice often will be 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). Code 99050 comes into play when the physician sees the patient in the office during hours when the office normally would be closed. Example: Your practice usually closes at 4 p.m. on Wednesday, but the pediatrician sees a patient at 6 p.m. If your posted closing time is [...]
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