Re: after hours code 99053

Coder-To-Coder Forum

after hours code 99053

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dpage77 07-25-2008, 10:31 AM

I am interested to find out if anyone is billing for this code and if they are being reimbursed.

We have a few carriers that have stated they allow for this code, but sometimes the claims

 are bundled. When we send for an appeal, we add modifier 25 to the E&M srvice, but I have 

concerns in an audit that they will state we added the modifier to push the claim thru their 

edits for payment. Does anyone have any thoughts on this? 

Thanks,
Debbie

Re: after hours code 99053

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Barb S. 08-12-2008, 8:20 AM
We used to bill the 99053, no modifiers. However, it was raely reimbursed. Writing the appeals, etc. cost us more than what we were finally able to be reimbursed. We quit billing it.