What is an After-hours Service 99050 & 99051

A patient is considered an after-hours patient only if he reports to the office after your normal office hour’s end , not when he presents during normal office hours and the appointment runs past closing time that will not be considered as After-hours .

99050:

Physician sees a patient in the office during hours when the practice would normally be closed, such as on weekends or after 5 p.m., as long as the documentation supports the afterhours service.
Example: If your practice normally closes at 4 p.m. on Fridays, but your physician sees a patient at 7 p.m. and conducts a level-three established patient visit, you should bill 99213 and 99050 (for the after-hours visit). Even CPT guidelines allows you to bill 99050 (Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed e.g., holidays, Saturday or Sunday in addition to basic service).

99051:

If your practice is normally open during evening hours (say, until 9 p.m.), and the physician sees the patient for the same service, you would still bill 99213, but with 99051 to establish that although the service occurred after usual “business hours,” the appointment was still within your practice’s posted hours.

But Few Insurance not making payment for 99051 & 99050 but few insurance considering the charges and allow the above CPTs.

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