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Urgent Care E&M coding

  1. Default Urgent Care E&M coding
    Medical Coding Books
    So is anyone out there billing for afterhours urgent care? This would be for a clinic that is NOT opened for 24 hours, so would not be able to use emergency room level of service. So what codes would you use?

  2. #2
    Richardson, Texas
    I do the coding for an after hours pediatric urgent care facility and we use the new and established patient office visit codes (9920x-9921x). Hope this info is helpful.

    Linda Hallstrom, CPC, CEMC
    Phoenix Arizona AAPC Chapter
    2007-2010 Board of Directors, AAPC Chapter Association

  3. Default Thanks
    thanks...... any and all help is appreciated. So anything other than a 24 hr .....seeing patients all the time....... than we use the regular codes used for office visits?... That is what I thought but wanted to make sure. Do you use the after hours codes, and if so do they get reimbursed?
    Last edited by MCHUBB; 02-26-2009 at 02:50 PM.

  4. #4
    You can bill 99050, if after hours, in addition to your 992XX code. Yes, most private insurers pay them. Medicare does not.

  5. #5
    North Carolina
    99050 has a status indicator of "B". B=“Not payable, service part of another service performed on the same day”

    In the window, at the bottom, it states "View Items Per Page". Select your drop down key and select "all" and click *ALL*

    Select the last 2009 file and open up the "download"

    Select the spreed sheet listed as "PPRRVU09"

    Scroll down to CPT code 99050- B (Bundled)

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