Out of office premiums 01207 - Weekend and stat/holiday surcharge - nonoperative

General Info

Billing Amount: $56.06 per 30 minutes

This Item requires times

Description

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

Notes:

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.

Claim must state start and end times.

Where timing is continuous submit an account for each patient, indicating "CCFPP" (continuing care from previous patient).

Not applicable to full or part-time emergency practitioners or to on site practitioners providing coverage in drop-in emergency clinics or hospital emergency rooms.

Pre-Amble References:

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

See Pre-Amble Notes