Wiki After Hours Billing in ED 99053

[Mindy Davis]

Has anybody use this code 99053 to bill for service performed from 10pm to 8am?

 

[eadun2000]

I have coded some ED's that do and some that don't.

 

[Mindy Davis]

Thank you for your reply. Do you happen to remember if the insurance companies pay for this service or deny it?

 

[FTessaBartels]

Most don't pay

Medicare, Medicaid, UHC and Anthem all deny coverage for this code.

If your practice is like ours, those four cover about 80% of all claims.

F Tessa Bartels, CPC, CEMC

 

[sam_son]

After hours

Yes , I accept with F Tessa Bartels , we also code for after hours (99053) , For government payers after hours will not be charged.