What are the CPT Codes for Urgent Care Center
Understanding CPT Codes
CPT (Current Procedural Terminology) codes are a standardized numerical system used to describe medical procedures and services. They are crucial for billing and insurance claims. In the context of urgent care, these codes help healthcare providers accurately represent the services they provide to patients.
Common CPT Codes in Urgent Care
While the specific CPT codes used in urgent care centers can vary depending on the nature of the patient’s condition and the services rendered, here are some of the most frequently encountered codes:
Evaluation and Management (E/M) Codes
These codes cover the time spent evaluating a patient, the complexity of the medical decision-making, and the nature of the patient’s visit. Common E/M codes used in urgent care include:
- 99281: Office visit for established patient, 15 minutes.
- 99282: Office visit for established patient, 30 minutes.
- 99283: Office visit for established patient, 45 minutes.
- 99284: Office visit for established patient, 1 hour.
- 99285: Office visit for established patient, 1.5 hours.
Minor Procedures
These codes cover simple procedures performed in an urgent care setting. Examples include:
- 21000: Incision and drainage of abscess, simple.
- 21012: Incision and drainage of abscess, complex.
- 21555: Removal of foreign body from subcutaneous tissue, simple.
- 21556: Removal of foreign body from subcutaneous tissue, complex.
CPT Codes for Musculoskeletal Procedures in Urgent Care
Musculoskeletal injuries are a common reason for urgent care visits. Here’s a more detailed look at some CPT codes frequently used for these procedures:
Fractures
- Closed Reduction and Immobilization:
- 22505: Forearm
- 22510: Tibia
- 22515: Fibula
- 22520: Clavicle
- 22525: Humerus
- 22530: Radius
- 22535: Ulna
- 22550: Phalanges, hand
- 22555: Phalanges, foot
Open Reduction Internal Fixation (ORIF):
- 22600: Forearm
- 22610: Tibia
- 22615: Fibula
- 22620: Clavicle
- 22625: Humerus
- 22630: Radius
- 22635: Ulna
- 22650: Phalanges, hand
- 22655: Phalanges, foot
Joint Procedures
- Aspiration:
- 22625: Knee
- 22626: Shoulder
- 22627: Hip
- 22628: Elbow
- 22629: Wrist
Injection:
- 22626: Knee
- 22627: Shoulder
- 22628: Hip
- 22629: Elbow
- 22630: Wrist
Wound Care
These codes cover procedures related to the care of wounds. Examples include:
- 97602: Debridement of wound, initial.
- 97603: Debridement of wound, subsequent.
- 97606: Application of dressing, complex.
- 97610: Application of cast or splint.
Miscellaneous Codes
Other CPT codes commonly used in urgent care include:
- 96365: Electrocardiogram (ECG).
- 96401: X-ray, chest.
- 96415: X-ray, extremity.
- 96730: Urinalysis.
- 96830: Rapid strep test.
How Right Medical Billing LLC Can Help Your Urgent Care Center
Accurate Coding and Documentation:
- Expert Coders: Our team of experienced coders ensures accurate CPT code selection based on the specific services provided.
- Comprehensive Training: We provide ongoing training to your staff on the latest coding guidelines and regulations.
- Quality Assurance: Rigorous quality control measures are in place to minimize errors and ensure compliance.
Quick Reimbursement:
- Clean Claims: Our expertise in coding and documentation helps submit clean claims, reducing the likelihood of denials.
- Efficient Follow-up: We actively follow up on claims with payers to expedite reimbursement.
- Payer Negotiations: We negotiate with payers on behalf of your urgent care center to resolve disputes and secure timely payments.
Contact Right Medical Billing LLC today to learn more about how our services can benefit your urgent care center.
