List of the CPT codes for Urgent care 2023

Table of Contents

Urgent care is a healthcare setting that provides non-emergency medical care to patients who need to be seen quickly. Urgent care centers are typically open 7 days a week, and they offer a variety of services, including:

Evaluation and management of acute illnesses and injuries
Minor surgery
X-rays and other imaging studies
Laboratory tests
Infusions and injections
Casts and splints

Urgent care CPT codes 2023

The CPT codes are a set of standardized medical codes that are used to bill for healthcare services. There are a number of codes that can be used to bill for urgent care services. These codes include:

Evaluation and Management (E/M) Codes: These codes are used to bill for the level of care provided by a healthcare provider during an urgent care visit. The level of care is determined by the following factors:
- The complexity of the patient’s illness or injury.
- The amount of time spent with the patient.
- The number and complexity of the medical decision-making.

The E/M codes for urgent care are divided into 9 levels, ranging from 99201 to 99215. The higher the level, the more complex the care provided.

Here is a table that summarizes the E/M codes for urgent care:

Code	History	Examination	Medical Decision-Making
99201	Problem-focused	Problem-focused	Straightforward
99202	Problem-focused	Problem-focused	Moderate
99203	Expanded problem-focused	Expanded problem-focused	Straightforward
99204	Expanded problem-focused	Expanded problem-focused	Moderate
99205	Detailed	Detailed	Straightforward
99206	Detailed	Detailed	Moderate
99207	Comprehensive	Comprehensive	Straightforward
99208	Comprehensive	Comprehensive	Moderate
99209	Comprehensive	Comprehensive	High complexity

Other urgent care CPT codes

In addition to the E/M codes, there are a number of other CPT codes that may be used to bill for services provided in an urgent care setting. These include:

99214: Code for invoicing returning patient’s moderate complexity medical evaluation at urgent care.
99213: Code for invoicing low-complexity medical decision-making for existing urgent care patients.
99385: Minor surgery performed in an urgent care setting.
99386: Injections or infusions provided in an urgent care setting.
99387: Casts or splints applied in an urgent care setting.
99388: X-rays or other imaging studies performed in an urgent care setting.
99389: Laboratory tests performed in an urgent care setting.

What is S9083?

The “HCPCS code S9083” on your urgent care bill covers all the services you received. It’s a flat rate fee used by some payers, but not Medicare or Medicaid. Keep track of all services to ensure proper reimbursement. The amount varies with insurance but is generally lower than charging each service separately.

Here are some of the services that may be included in the global fee for code S9083:

Evaluation and management of the patient
History and physical examination
Laboratory tests
X-rays or other imaging studies
Minor procedures
Medications or treatments

What is S9088?

Urgent care providers can bill for HCPCS code S9088 to cover higher overhead costs, but not all payers will reimburse for it. Reimbursement usually ranges from $25-$50, so it’s wise to check with the payer first.

Here are some of the services that may be included in the evaluation and management of a patient in an urgent care setting:

History and physical examination
Review of laboratory tests and imaging studies
Discussion of treatment options
Prescription of medications
Provision of wound care

List of the CPT codes for Urgent care 2023