Your office is open in the evening or on Saturdays. Physicians sometimes come to the office before or after hours to see patients. There are times when patients are seen during office hours on an emergent basis, disrupting physicians' normal schedules. There are also instances when physicians leave during office hours to go see a patient in the emergency department (ED).

Current Procedural Terminology (CPT®) codes 99050–99060 (special services) may be used to identify the additional services provided in these examples. Many payers (with the exception of most state Medicaid programs) do recognize the services because they realize the cost benefit of decreased urgent care and ED visits.

Physician agrees to stay in the office to evaluate an established patient at 5:30 pm on a Friday (posted office hours are 8:00 am–5:00 pm Monday through Friday). A detailed physical examination and moderate-level medical decision-making are performed and documented....

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