ED Coding and Reimbursement Alert

Special Services Coding:

Don't Let Using After Hours Code 99053 Keep You Up All Night

Read on for a review of how to use this code and get the lowdown on its reimbursement reality.As an ED Coder, you know this site of service is not like other outpatient venues, because we never close. That lack of down time creates added expense, but you may be able to recapture some of those costs. Many industries have long acknowledged--and paid--shift, weekend and holiday differentials to fill staffing needs during less favorable hours including nights and weekends. Hospitals have a lengthy history of paying nurses additional salary incentives to work unpopular shifts. Likewise, CPT® has long recognized additional physician services beyond the scope of standard office hours via Special Services codes. Through the years, CPT® has refined these special service codes to specify physician on-call and after-hours services by location. There is one code that specifically applies to Emergency Medicine says Betty Ann Price, BSN, RN President and [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

ED Coding and Reimbursement Alert

View All