Share |

Reader Question: Don’t Bill 99051 as Stand-Alone Code

Posted on 14. May, 2015 by in Coding Challenge

Question: I have three questions about using 99051:

1. Should we use 99051 in addition to the E/M code for that service (scheduled hours)?
2. What is the definition of “basic service?”
3. Would you provide references for using this code?

Oklahoma Subscriber

Answer: The answers to your first two questions are easy The third is not.

1. Yes. You should always report 99051 (Service[s] provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service) in addition to an E/M service. Each of these codes is intended to be reported in addition to the service provided, as indicated in their descriptors.

2. Codes 99050-99060 are often referred to as adjunct services, meaning you should report the codes in addition to the -basic- service. The basic service is the E/M service associated with the special service code. Because 99051 describes...

Signup to read articles and receive SuperCoder Bolt Newsletter

Register for Article Access
Access our articles and receive SuperCoder Bolt Newsletter.
You will also receive
  • Free updates on CPT, ICD-9, HCPCS, Medicare, NCCI edits, and ICD-10.
  • Discounts on 3rd party offers
SuperCoder Bolt
You must have javascript enabled to use this form

If you've already signed in and are still seeing this screen, click here to refresh the page.