99050 Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic service

Name of the Procedure:

After-Hours Office Service (Out-of-Hours Medical Care)

Summary

After-Hours Office Service involves providing medical care to patients during times when the office is typically closed, such as late evenings, weekends, and holidays. This service is offered in addition to standard office hours to address urgent healthcare needs.

Purpose

The purpose of After-Hours Office Service is to provide timely medical care for urgent, non-life-threatening conditions that arise when regular office hours are unavailable.

• Goals: To manage urgent medical conditions promptly, prevent worsening of symptoms, and avoid unnecessary emergency room visits.
• Expected Outcomes: Relief of symptoms, stabilization of the patient's condition, and appropriate follow-up care plans.

Indications

• Acute illnesses (e.g., flu, infections)
• Minor injuries (e.g., sprains, minor cuts)
• Severe but non-life-threatening symptoms (e.g., high fever)
• Patient's inability to attend regular office hours due to work or other commitments

Preparation

• Patients are generally not required to undertake specific preparations but may be advised to bring medical records or a list of current medications.
• Pre-existing medical conditions or allergies should be communicated to the healthcare provider.

Procedure Description

1. Check-In: Patient checks in at the office during out-of-hours times.
2. Assessment: A triage nurse or healthcare assistant performs an initial assessment of the patient's symptoms.
3. Consultation: The patient consults with a physician or a qualified healthcare provider who reviews the patient's medical history and performs a physical examination.
4. Treatment: Based on the assessment, the healthcare provider administers the necessary treatment (e.g., prescription medications, wound care).
5. Follow-Up: Patients may receive instructions for follow-up care or referrals to specialists if needed.

• Tools & Equipment: Standard medical tools such as stethoscopes, blood pressure cuffs, thermometers, diagnostic kits.
• Anesthesia/Sedation: Typically not required, except for minor procedures where local anesthesia might be used.

Duration

The duration can vary from 15 minutes to an hour, depending on the complexity of the medical issue.

Setting

The procedure is performed in the medical office, which is equipped similarly to an urgent care clinic.

Personnel

• Primary Care Physicians or Nurse Practitioners
• Nurses or Medical Assistants
• Administrative Staff for check-in and medical records

Risks and Complications

• Common Risks: Delays in receiving care if the office is very busy.
• Rare Complications: Misdiagnosis due to limited resources compared to a fully-equipped hospital.

Benefits

• Timely medical attention: Averts the progression of illnesses and reduces unnecessary ER visits.
• Convenience: Flexibility for patients who cannot attend during regular office hours.

Recovery

• Post-Procedure Care: Patients typically receive instructions on how to manage their condition at home.
• Recovery Time: Varies based on the specific medical issue; patients are often able to return to their normal activities shortly.

Alternatives

• Emergency Room Visits: For more severe conditions.
• Telemedicine Consultations: May be available, offering convenience without a physical visit.
• Pros and Cons: After-hours office services provide immediate care with a personal touch, whereas ERs handle more severe cases but may involve longer wait times.

Patient Experience

• During the Procedure: Patients might experience mild discomfort during some assessments or minor procedures.
• After the Procedure: Patients typically feel relieved having accessed timely care, with pain management and comfort measures provided as needed.