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After Hours Modifier

  1. Default After Hours Modifier
    Medical Coding Books
    What 5 digit after hour modifer (if any) can be billed for a surgeon who goes to the hospital on a Saturday to perform emergency surgery. The time frame is not between 10-8, so 99053 is not applicable.

    Any thoughts are welcome!

  2. #2
    Default Emergency
    If the service is not provided in the office, I am not sure that there is a CPT code for you to obtain additional reimbursement for it. You can further review the Miscellaneous Services section in CPT Medicine section.

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I think performing emergency surgery on a Saturday is part of being "on call" and should not be thought of as needing additional reimbursement from the insurance or patient.

  4. #4
    Default After Hours Cpt
    For Services Provided In The Office after Regular Hours, Weekends And Or Holidays Is 99050. Medicine Section

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