Wiki Urgent Care modifier

[dclarke27cpc@gmail.com]

Humana Gold requires a modifier for Urgent Care services which waive the patient's co-pay. I cannot find what that modifier needs to be. Any help? Thanks in advance.

 

[carlystur]

A quick Google search brings up modifier CS but that seems to be only for COVID testing. https://codingintel.com/why-and-when-to-use-modifier-cs/
Look here for more: https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/covid_waiver_codes.html

 

[trarut]

Can you provide more information about why the copay is being waived? It might help you get a more accurate answer.

 

[dclarke27cpc@gmail.com]

Can you provide more information about why the copay is being waived? It might help you get a more accurate answer.

The copay will be waived for the Urgent Care visit if applied to the claim. Humana will waive if applied to the claim.

 

[dclarke27cpc@gmail.com]

Can you provide more information about why the copay is being waived? It might help you get a more accurate answer.

The copay will be waived if the modifier is applied to claim. They are requesting a modifier to indicate it is an Urgent Care claim.

 

[trarut]

If the CS modifier isn't what they want, I don't see many other options. It looks like there is an ambulance destination modifier of P, which include urgent care facilities but I'm not aware of any others or can find any others. Sorry, wish I could be of more help.