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99051

  1. #1
    Default 99051
    Medical Coding Books
    Need help with correct usage of 99051 for a regular saturday clinic?

  2. #2
    Default
    We use 99051 in our walk-in clinics that stay open after 5 and on weekends, for patients seen during those times. Most insurers deny it (like UHC, for example), but some Blue Cross plans and I *think* some Cigna cover it. (It's about 50/50, really). We're reimbursed between $15 and $20 for it, though, so it's worth billing.

    If your clinic is regularly scheduled to be open on Saturday, then 99051 is the code you'd need. This article might explain it better than I do:

    http://codingnews.inhealthcare.com/h...ours-services/

  3. #3
    Default 99051
    Thanks for your help....

  4. #4
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    I have always been taught that if the office is open on the weekends or on Saturdays as a rule, 99051 can't be used because those are your regulary scheduled hours. Can someone please clarify? Thanks.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
    Default
    The 99051 is used in additon to whatever other service you perform during REGULARLY scheduled evening weekend and holiday hours. So if your office is open during the evening or on weekends then you may append the 99051 to all visits and services performed during those times.

    Debra A. Mitchell, MSPH, CPC-H

  6. #6
    Lightbulb Just wanted to add...
    Quote Originally Posted by mitchellde View Post
    The 99051 is used in additon to whatever other service you perform during REGULARLY scheduled evening weekend and holiday hours. So if your office is open during the evening or on weekends then you may append the 99051 to all visits and services performed during those times.
    It goes by your office's posted hours. For example:

    If your sign says Open M-F 8-5, and you see patients on Saturday, it's 99050.

    But, if it says Open M-F 8-8, Saturday 1-6, and the patient is seen on Saturday at 2, or on a weekday between 5-8pm, then it's 99051.

  7. #7
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thanks so much!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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