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Urgent Care Excellence

Keep Up With UCAOA Guidelines

Learn about staying current with UCAOA guidelines for top-notch urgent care. These standards cover patient care, staffing, and facility management. Keeping up ensures safe and efficient services that meet regulatory requirements.
Urgent Care Coding Basics

Common Urgent Care Billing Codes

ICD-10 Codes

R51
2023 Usage:
100K to 300K claims submitted

2023 Lost Revenue:
$500K to $1M lost due to denied claims

Common Error:
Use for Generalized Headaches

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M79.603
2023 Usage:
150K to 250K claims submitted

2023 Lost Revenue:
$1.5M to $2M lost due to denied claims

Common Error:
Application When Specific Arm is Known

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S93.499A
2023 Usage:
50K to 100K claims submitted

2023 Lost Revenue:
$1.5M to $2M lost due to denied claims

Common Error:
Application When Specific Arm is Known

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E86.0
2023 Usage:
100K to 200K claims submitted

2023 Lost Revenue:
$400K to $600K lost due to denied claims

Common Error:
Use for Minor Fluid Loss

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CPT Codes

99281
2023 Usage:
100K to 200K claims submitted

2023 Lost Revenue:
$300K to $600K lost due to denied claims

Common Error:
Using for More Complex ED Visits

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99291
2023 Usage:
30K to 75K claims submitted

2023 Lost Revenue:
$80K to $200K lost due to denied claims

Common Error:
Inaccurate Time Reporting

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A0427
2023 Usage:
10K to 20K claims submitted

2023 Lost Revenue:
$30K to $100K lost due to denied claims

Common Error:
Using for Non-Emergency Transports

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Latest Posts
cpt-code-a0427-overview
CPT Code

CPT Code A0427: Overview

Understand CPT Code A0427 for emergency transport services with advanced life support (ALS). Learn its use in urgent care for immediate medical attention.

cpt-code-99291-overview
CPT Code

CPT Code 99291: Overview

Learn about CPT Code 99291 for the first 30-74 minutes of critical care services. This code covers high complexity decision-making for treating organ failure.

cpt-code-99281-overview
CPT Code

CPT Code 99281: Overview

Understand CPT Code 99281 for minor conditions in the emergency department. This code represents the lowest level of care involving brief evaluations.

icd-10-code-e860-overview
ICD-10 Code

ICD-10 Code E86.0: Overview

Learn about ICD-10 Code E86.0 for diagnosing dehydration, a condition marked by significant loss of body water and minerals affecting bodily functions.

icd-10-code-s93499a-overview
ICD-10 Code

ICD-10 Code S93.499A: Overview

Explore ICD-10 Code S93.499A for diagnosing an unspecified ankle ligament sprain during the initial treatment encounter. Understand its application in urgent care.

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Urgent Care Insights

Top Urgent Care Podcasts 2025

Explore our curated selection of top Urgent Care podcasts featuring informative discussions and expert insights on the latest trends and practices in the United States for 2025. Tune in month-by-month to stay updated and informed about the advancements in urgent care services.
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