Urgent Care services are defined as services furnished within 12 hours in order to avoid the likely onset of an emergency medical condition. You cannot code 99281 for the services rendered in the Urgent Care center since these codes represent the emergency services rendered in the hospitals and are reimbursed in POS 23 (Emergency Room), and are not to be used in the POS 20 (Urgent Care Facility).
Urgent Care medical billing is ever changing. Confronting declining payments, increasing patient responsibility and increased operational costs requires efficient and accurate medical billing procedures. TriumpHealth is well-versed in the nuances of urgent care billing.