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99051 Services provided in addition to basic services

  1. #1
    Question 99051 Services provided in addition to basic services
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    When billing this code for services we provide on Saturday during regularly scheduled hours, do we bill 99051 in addition to all other services provided? If no E&M was billed but other services provided can we still bill 99051? Do we use any modifiers such as (25,24,57) as we would on an E&M? If only an E&M was billed no other services would you also add 99051? What documentation is necessary.

    Any help greatly appreciated.
    Last edited by vstoots; 10-05-2010 at 02:47 PM. Reason: more specific situations

  2. #2
    Default Code 99051
    According to the CPT, Codes 99050-99060 are reported in addition to an associated basic service. Typically only one code per patient encounter, however, there are special circumstances where more than one can be reported on a case by case basis.

    I would say that since the definition says "in addition to basic service" you should not bill 99051 alone. Since this is already an "add on code" you should not need a modifier.

    Any other thoughts out there?

  3. #3
    Columbia, MO
    Medical Billing
    99050-99060 are all codes that must be appended to other codes they are not a stand alone code.

    Debra A. Mitchell, MSPH, CPC-H

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