Urgent Care CPT Codes and Modifiers for 2025

Urgent care centers handle a wide range of patient needs—from minor injuries and infections to diagnostic testing and laceration repairs. Given the fast-paced environment, accurate use of Urgent Care CPT codes and modifiers for 2025 is critical to ensure proper reimbursement and avoid billing errors.

Evaluation & Management (E/M) Codes

Common In-Office Procedures

Diagnostic Testing and Screenings

Immunizations and Administration

Urgent Care Billing Modifiers

Common ICD-10 Codes in Urgent Care

Urgent Care Billing Tips for 2025

• Use -25 when minor procedures and E/M services occur the same day.
• Correctly apply wound repair codes based on length and complexity.
• Document test results and necessity clearly for lab services.
• For telehealth urgent care, always append modifier -95.
• Ensure proper designation of new vs. established patients per CPT definitions.

Final Thoughts

Urgent care billing needs to be efficient and accurate to reflect the high patient volume and variety of services provided. Mastering Urgent Care CPT codes and modifiers for 2025 ensures smoother revenue cycles, faster reimbursement, and compliance with payer requirements—without slowing down your clinic’s fast pace.

For informational purposes only.