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Urgent care billing

  1. #1
    Default Urgent care billing
    Medical Coding Books
    Our hospital is establishing an Urgent Care Clinic within the Emergency Department. For non-emergent treatment thus preventing the higher emergency room visit charges for those non-emergent visits.

    I'm looking for someone who works in this type of environment, whom I can contact regarding the billing/coding of these visits. I know we would bill an E/M code for the professional component with Place of Service 20, but our CFO is stating there should be a facility code or technical component that can be billed in addition.

    Any help would be greatly appreciated.
    penny0222

  2. Default Urgent Care Billing
    Hi there,

    Were you able to find out any additional info. on urgent care billing? My understanding is that it is exactly the same as regular physician billing with POS 20?

    Joanne

  3. #3
    Location
    Columbia, MO
    Posts
    12,531
    Default
    We used a 451 rev code in our facility for the non emergency side of the ED

    Debra A. Mitchell, MSPH, CPC-H

  4. #4
    Default
    Did you see that there's an upcoming AAPC webinar on Urgent Care billing? I'm looking forward to it because I have a couple scenarios I'm unsure about myself.
    Dawnelle Beall, CPC, CPMA, CPC-I
    Licensed AAPC PMCC Instructor
    AAPC ICD-10CM Certified Trainer
    Previous AAPC Local Chapter President & VP

  5. #5
    Location
    Columbia, MO
    Posts
    12,531
    Default
    Just remember that an urgent care clinic is different that an urgent care department in the facilities.

    Debra A. Mitchell, MSPH, CPC-H

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