MAR 05, 2021
Billing CPT code 99058
Question: We have never submitted CPT code 99058 Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service for patients seen when our local hospital refers them. How should we submit?
Answer: CPT code 99058 is used in addition to the appropriate level of evaluation and management (E/M) or eye visit code submitted. Medicare will not reimburse separately for the additional code. Other payers may have an allowable, or indicate payment is included in the exam payment or that the patient may be charged out-of-pocket
See the Ophthalmic Coding Coach for additional information.