• CPT Codes for Unscheduled Patients


    Question: Is there a specific code for seeing patients as an unscheduled work-in during or after-hours?

    Answer: Below are the services you can bill, in addition to the appropriate level of exam. You should not bill these to Medicare Part B patients. Not every commercial payer will have an allowable for these codes. Patients may be responsible for payment.

    CPT Codes

    • 99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service
    • 99051 Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service
    • 99053 Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic service
    • 99056 Service(s) typically provided in the office, provided out of the office at request of patient, in addition to basic service
    • 99058 Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic service
    • 99060 Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office services, in addition to basic service