99050
To report this code, the office must
be closed when the patient is seen.
This code is not reported if the patient
has an appointment during business
hours but is not seen until later be-
cause the office is behind. This is not
reported when the office is open for
emergency appointments (i.e., walk-
ins) before or after regularly scheduled
appointments.
Example:
A patient calls before the office is
open. The on-call doctor is in the of-
fice doing paperwork. The physician
does not think the patient can wait
until the office opens so she tells the
mom to bring the patient in. She is
seen for an E/M service and an anti-
biotic injection. Because the patient
is seen when the office normally is
closed, code 99050 is reported in ad-
dition to the E/M services and other
procedures.
99051
This code is reported for any ser-
vice provided during evening hours,
weekends or holidays. CPT does not
define what constitutes a holiday or
when evening begins. A general rule
would be a federal holiday and any
appointments after 6 p.m. However,
always check with your payers. This
code can be appended to preventive
services that are provided during the
designated times.
Example:
A patient is seen on a Saturday
during regular office hours. Code
99051 can be reported in addition to
the appropriate E/M service provided,
