Forum - Questions & Answers

May 29th, 2009 - JULIA7014 8 

Urgent Care Info

Hello,

Do you have an article on billing/guidelines for Urgent Care?
Are the S9083 and S9088 the two only codes for billing Urgent Care?

Thank you.

May 29th, 2009 - nmaguire   2,606 

S9088

Never code S9088 for billing Medicare. By definition, S codes are codes that are never used to bill Medicare or Medicaid payors. They are BC/BS codes for most part.
An urgent care center, as defined by the Urgent Care Association of America, is an walk in medical clinic (offering at least plain-film radiology and CLIA-waved labs) that is open to the public for walk-in, unscheduled visits during all open hours and offering significant hours beyond the typical 9AM to 5PM, Monday through Friday. Use the E/M codes as documentation supports.



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