Getting the right CPT codes for an urgent care facility is a very important requisite in perfecting payments and eliminating the risk of billing denials. CPT codes enunciated at arbitrary levels indicate the medical, surgical, and diagnostic procedures and services rendered by healthcare services to a health payer. In the urgent care domain, it expresses the varieties of services entertained from the simplest visits to very complex treatment services.

What are the CPT codes for urgent care?

Quite many depending on the service rendered. Some of the most commonly used codes in urgent care include

99201-99205 (New patient office visits): This is the code that pertains to first-time active visits for patients at urgent care. This allows service to be classified on basic cases to more complicated visits requiring Maximum evaluation.

99211 - 99215 (Established patient office visits): This code refers to established patients, and the code used is dependent on the level of service, beginning with 99211 for less complicated visits and extending to 99215 for complex and protracted consultations.

99050-99060 (After-hours or emergency services): These codes refer to visits in which extended services have been rendered after the clinic's normal operating hours, or the medical condition required emergency services.

A0428 (Emergency transportation): When an urgent care center provides an emergency service, such as an ambulance ride, this code is used for billing that service.

Correct coding enables timely payment and reimbursement for just-rendered services. This perfect use of proper coding would help correct the claim rejection denial, thus ensuring a practice is paid for the work it earns as one of its efficient medical billing coding.