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Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

BCBS Florida After Hours and Weekend Care Payment Policy CPT codes 99050, 99051, 99053, 99056, 99058 and 99060


Effective April 13, 2012, Blue Cross and Blue Shield of Florida, Inc. (BCBSF) will no longer reimburse separately for the Current Procedural Terminology (CPT) 99051. These services, including basic services, are provided during regularly scheduled evening, weekend, and holiday office hours.

Reimbursement for the primary service provided, such as the office visit, will continue to be allowed, based on the member’s agreement.

BCBSF policy regarding CPT 99050 (services provided at times other than regularly scheduled office hours) will remain unchanged, and continue to be allowed along with the evaluation and management service.

CPT codes 99051, 99053, 99056, 99058 and 99060 are not separately reimbursable and considered included in the allowance other services.

Reference(s):

http://www.bcbsfl.com/DocumentLibrary/Providers/Content/PP_AfterHrsWkendCare.pdf

http://www.bcbsfl.com/DocumentLibrary/Providers/Content/B_hours.pdf

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