Sure, you can bill for this code, but it doesn't mean that it will get paid. UNITED plainly states in their policy that they NOT WILL pay for it. MCR will not, so that rules out insurance companies that follow MCR guidelines. I can dig up their policies. Just for a test, we decided about 6 months ago to try billing out for this code, because our doctor provides similiar services. The code is in the book, so why not try? I asked for input ahead of time and received similar advice as to what you've been given, but thought I'd try it anyway. So far, not one insurance company has paid...they're all bundling as we were warned that they would. One of the major carries has a policy where they allow it and I'm in the process of appealing their denial right now with proof in hand. They still denied, so to second appeal status it will go. Ultimately, we're trying every carrier from large to smal (over 30 currently) l and seeing if we get any positive results. If not, will discard submitting it. Frankly, compared to the bills the payers would be getting if the patients presented themselves to the ER instead of utilizing the office facilities, it only makes sense for them to pay for 99058. Maybe that will be a trend of the future? If not, it should be!!! Suzanne E. Byrum, CPC