Out of office premiums 01206 - 2300-0800 surcharge - nonoperative

General Info

Billing Amount: $90.73 per 0 minutes

This Item requires times

Minimum number of minutes per unit: 0 Mins

Max units / day / patient: 0

Max units / year / patient: 0


Service rendered between 2300 hours and 0800 hours. Per half hour or major part thereof.


NON-OPERATIVE - applicable when an out-of-office hours call-out charge is applicable or when specially called for an emergency. Timing begins after the first 30 minutes for consultations, visits or anesthetic evaluations. Payment is based on one half hour of care or major portion thereof. Therefore, the first surcharge is billable after 45 minutes of continuous care.
Applicable also, without the 30 minute time lapse and with timing continuing, to immediately subsequent patients seen on the same call-out as an emergency.
Surcharges do not apply to time spent standing by and are based on the amount of time providing care, regardless of the number of patients attended or services provided.

When surgery commences within evening time period (1800 Ð 2300 hrs) and continues into night time period (2300 Ð 0800 hrs), the appropriate item for billing is determined by the period in which the major portion of the surgical time is spent.

Pre-Amble References:

Please reference the billing pre-amble for these relevant interpretations of this billing code:

See Pre-Amble Notes