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Urgent Care Coding - emergency room codes

  1. Default Urgent Care Coding - emergency room codes
    Medical Coding Books
    The hospital I work at is opening an urgent care center. As far as I know there are no urgent care codes. How do you bill and urgent care visit? We can't use emergency room codes because the urgent care center is separate from the emergency room. Is an urgent care visit billed using E&M codes?

  2. Default
    Yes, you use E/M codes if you will be billing insurances. Plus any additional things you do. So if you have an in house lab you would bill all of that lab work, x-rays, casting, stitching, etc. All get billed, but as for the visit itself it will be your 99201-99215 codes.

  3. Default
    The Urgent Care I worked for had contracts w/ some insurances - some you could bill the regular E/M, others wanted the UC code S9083

    HCPCS Codes:
    S9083 Global fee urgent care centers
    S9088 Services provided in an urgent care center (listed in addition to
    code for service)

    Now, with some of our contracts - we got paid one fee no matter what else was done, others paid for additional procedures

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