tci ED Coding & Reimbursement Alert - 2019 Issue 6

Reader Question: Here’s How to Report Urgent Care Services

Question: We recently opened an urgent care clinic separate from the ED. Which E/M codes should we use to report the services at the clinic? Supercoder.com Subscriber Answer: To code and bill E/M services in the urgent care setting, you will use the Office or Other Outpatient E/M Level codes. The CPT® code ranges for these E/M Levels are: 99201-99205 for new patients and 99211-99215 for established patients. Zero in on These Key E/M Component Differences: Coders whose experience is mainly with the ED E/M levels 99281-99285 should carefully review the CPT® guidelines for coding the Office and...

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