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After Hours Billing in ED 99053

  1. #1
    Default After Hours Billing in ED 99053
    Medical Coding Books
    Has anybody use this code 99053 to bill for service performed from 10pm to 8am?

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

  3. #3
    Thank you for your reply. Do you happen to remember if the insurance companies pay for this service or deny it?

  4. #4
    Milwaukee WI
    Default 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

  5. #5
    Default 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.

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