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Thread: Urgent Care

  1. #1
    Join Date
    Apr 2007

    Question Urgent Care

    AAPC: Back to School
    Does anyone know anything about Urgent Care coding? The insurance company is saying the visit I am working would be paid if it was coded with an emergency code. Is there a separate set of codes for Urgent Care Centers or do I use ER codes?
    Thanks in advance,
    NCHC - Holbrook, AZ

  2. #2
    Join Date
    Apr 2007
    Columbus, Ohio-President

    Default Urgent Code billing

    I do billing for Urgent Care and we do not use Emergency Department codes because do not meet the requirements. You use regular E/M codes.
    The problem might be because of the facility location you selected.

  3. #3
    Join Date
    Apr 2007

    Smile Urgent care billing

    We are billing for an urgent care. We also use the E/M codes with place of service 20. CMS came out with a few G codes to use for urgent care billing however none of the insurance companies are recognizing these. Hope this helps.

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