Questions for Dr. Stern
About Your Urgent Care Center
30. I was interested in more information on the "S" Codes. I do have a question though concerning the following: How does clinic licensing/certification effect the reimbursement for the facility? eg. OV versus Urgent Care*Place of service 11- OV , 20-UC ******** is affiliated with a local hospital as a free-standing UC/WC Clinic. The practice is comprised of Industrial Medicine Visits (injuries/preplacement) and Walk-in Urgent Care Visits based upon after hours contracts with medical groups, IPAs, and insurance carriers.
Good question. It is generally best to use POS-20 (when appropriate) if billing an S9083 or S9088. However, it will depend on what your payor requires. Some payors will pay on either POS and some will pay on neither. You can call and ask; good luck finding anyone with the correct answer. Or you can send in a few trial claims for each payor and record your results.
Note: Make sure that you are seeing patients for walk-in, unscheduled visits if you are using these codes.
Let me know if this answers your question.
