Medicaid now reimburses for after hours

Procedure code 99051
Service(s) provided in the office during regularly scheduled evening, weekend or holiday office hours, in addition to basic service, providers may bill a maximum of one unit per patient per day. Evening hours are defined as routinely scheduled after 5 p.m. in the prevailing time zone.

Providers may only bill for the following holidays, which represent days when physician offices are generally closed for the day: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day.

When billing for 99051, please document in the medical chart the time, date or holiday, as applicable. All other billing requirements will remain unchanged. Please see Banner Page BR200805 for additional information.

«BACK