CPT Code Lookup Tool
Use this free CPT Lookup Tool to search for Current Procedural Terminology (CPT) codes, descriptions, and related details — designed to help streamline and simplify your medical billing process.
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Office or other outpatient visit
Evaluation and management of an established patient...
Information
This code is for use in medical billing and coding.
Information
This code is part of the section of CPT codes.
Office or other outpatient visit for the evaluation and management...
Note
This description reflects the 2021 E/M coding guidelines.
Information
codes are used to report evaluation and management services provided in various settings.
Information
RVUs are used to determine the fee for a service under the Medicare Physician Fee Schedule.
Information
This code is commonly used by primary care providers, but may be used by any specialty providing office visits.
Significant, separately identifiable E/M service
Information
Modifiers provide additional information about the service provided.
Detail About CPT 99050
Related Codes Table
| CPT Code | Description |
|---|---|
| 99051 | Services provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service. |
| 99053 | Services provided between 10:00 pm and 8:00 am at times other than regularly scheduled office hours, or on holidays. |
| 99058 | Services provided on an emergency basis in the office, which disrupts other scheduled office services. |
| 99060 | Services provided on an emergency basis in the office, which disrupts other scheduled office services, beyond regularly scheduled office hours. |
Commonly Billed With
CPT code 99050 is commonly billed with CPT codes 99213 (Office or other outpatient visit for the evaluation and management of an established patient) and 36415 (Routine venipuncture).
Clinical Scenarios
Clinical Scenario 1:
A patient presents to the office with a non-life-threatening condition at 9:00 pm on a weekday. The provider evaluates and manages the patient's condition outside of regular office hours.
Clinical Scenario 2:
An established patient requires urgent care for a minor injury at 7:00 am on a Sunday. The provider offers services in the office during non-regular hours to address the patient's needs.
FAQ
Can CPT code 99050 be billed for services provided during weekends?
Yes, CPT code 99050 can be billed for services provided during weekends or holidays outside of regular office hours.
Is CPT code 99050 only applicable for emergency services?
No, CPT code 99050 can also be used for non-emergency services provided at times other than regularly scheduled office hours.
What are some common codes billed with CPT code 99050?
CPT code 99050 is commonly billed with codes such as 99213 and 36415 for additional evaluation and management services.
Does CPT code 99050 require prior authorization from insurance companies?
Prior authorization requirements may vary by insurance company. It is recommended to check with individual payers regarding billing policies for CPT code 99050.
Can CPT code 99050 be used for telehealth services provided outside of regular hours?
CPT code 99050 typically applies to in-person services provided in the office at times other than regularly scheduled hours. Telehealth services may have separate coding guidelines based on payer policies.
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