A pediatric clinic offers urgent care appointments 3 evenings a week with staffing by nonphysician qualified health care professionals (ie, nurse practitioners, physician assistants) working under general supervision. A patient who has been seen at the clinic by Dr A within the last year is seen in the evening clinic by a nurse practitioner who documents an expanded problem-focused history and examination with low-complexity medical decision-making. What Current Procedural Terminology (CPT®) codes may be reported for this encounter based on CPT guidance?

Services to patients seen in the clinic during regularly scheduled evening hours may be reported with code 99051, services provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service. In this coding scenario, the basic service was an evaluation and management service with expanded problem-focused history and examination with low-complexity medical decision-making. The nurse practitioner providing and reporting this...

You do not currently have access to this content.