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Thread: Urgent Care - When I worked at a pediatric urgent care

  1. #1

    Default Urgent Care - When I worked at a pediatric urgent care

    AAPC: Back to School
    When I worked at a pediatric urgent care their hours were 5pm to 5am and we added 99051 to every invoice. I have been asked about the use of S9083 and S9088, which are urgent care specific. Has anyone used these codes and if so, under what scenario?

  2. #2

    Default S9088

    We currently use this code. We are a certified Urgent Care. In the past,
    we coded for holidays, evenings and weekends. We aren't currenyly
    using those.

  3. #3
    Join Date
    Apr 2007


    We use both 99051 and S9088 on all claims except one of our managed cares, Blue Care Network. They have an all inclusive contract and pay a flat fee of $80 no matter what we do, they also require us to bill with the S9083. That is the only carrier I have that wants that code at this point.

    I am in Michigan and we have a freestanding urgent care.

    Laura, CPC, CPMA, CEMC

  4. #4
    Join Date
    Apr 2007
    Modesto California

    Default Urgent care

    We use 99051. I am in California...I heve never used the S code because our payors pay the 99051. Medicare patients we don't bill the 99051 at all. All other payors recognize 99051 here.

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