A free standing Urgent Care under the umbrella of a Hospital system is billing Rev code 456 with 99283. Some insurers are processing this with an ER copay vs. Urgent Care copay. The CPT book notes for codes 99281-99285 the facility must be available 24 hours/day. In this case the Urgent Care facility has limited hours. Also since Rev Code 456 is under the ER section of the Revenue codes they are noting it should have ER copay applied.
Are there different guidelines for billing Urgent Care that is owned by a hopsital system? It seems like more appropriate billing in this scenario would be 0526 for Freenstanding Urgent Care Clinic or 0516 for Urgent Care Clinic since it is Hospital owned. What CPT code should be used for the E/M in this case? Thanks,
Are there different guidelines for billing Urgent Care that is owned by a hopsital system? It seems like more appropriate billing in this scenario would be 0526 for Freenstanding Urgent Care Clinic or 0516 for Urgent Care Clinic since it is Hospital owned. What CPT code should be used for the E/M in this case? Thanks,