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Thread: Add on question

  1. #1
    Join Date
    Apr 2007

    Post Add on question

    AAPC: Back to School
    I work for an urgent care center. We bill S9088 on our claims for the urgent care code. Can we also bill a 99051 for the weekends? I don't see anything saying we can't, but I wanted some other opinions. Thanks

  2. #2
    Join Date
    Apr 2007
    Sioux Falls South Dakota


    You can bill it, but Medicare/Medicaid definitely won't pay for it, as it's considered bundled. Many insurance companies won't pay for it either, especially if they base their payments/fee schedules on Medicare's. I would check with some of your contracted insurance companies to see if they allow it or consider it bundled.

    I hope this helps,
    Lucinda (Cindy) McGarry, CPC-P
    Applications Specialist
    Avera Health Plans
    Education Office Sioux Falls SD Local Chapter
    Past President Sioux Falls SD Local Chapter

  3. #3


    what is the overall reimbursement for S9088? I realize Medicare won't pay but do other carriers? What place of service is used? Do your patients experience higher or lower copays with this code and POS?

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