Urgent Care CPT Codes for 2024 + Modifiers

Accurate medical billing is crucial in the healthcare industry, particularly for maximizing collections and minimizing the risk of claim denials. If the codes used by your urgent care practice are incorrect, it could lead to lost revenue or even trigger an audit.

Urgent Care CPT Code Ranges for 2024

Here are the updated CPT codes for urgent care in 2024:

• S9083 -facility service fee.
• S9088 – billing for medical diagnosis and treatment.
• 99202 – medical history exam.

Established Patient Office Visit

Here are the 2024 CPT codes specific to Established Patient Office Visit:

• 99211 – E/M code, minor problems that do not necessitate a physician’s care, typically requiring 5 minutes.
• 99212 – established patient, straightforward problem, requiring at least 10 minutes.
• 99213 – established patients who require treatment, requiring at least 20 minutes.
• 99214 – established patient, moderate to high complexity.
• 99215 – established patient office visit, comprehensive history and/or examination, high complexity, at least 40 minutes.

New Patient Office Visit

• 99202 – new patient, straightforward, for a self-limited or minor problem, requiring at least 15 minutes.
• 99203 – new patient, limited complexity, a minimum duration of 30 minutes.
• 99204 – new patient, moderate to high complexity.
• 99205 – same as 99204 plus at least 60 minutes needed due to the high complexity of medical decision-making.

Urgent Care CPT Modifiers

Using the correct CPT codes and modifiers in urgent care ensures precise billing and helps optimize revenue collection.

• -25 – Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service.
• 310 – Not vaccinated against COVID-19.
• 311 – Partly vaccinated against COVID-19.
• 39 – Indicates any other under-immunized status.

For informational purposes only.