Urgent Care Billing Services

Urgent Care Billing Services

MBW RCM offers comprehensive urgent care billing services that support practices in managing high patient volumes, complex procedures, and payer requirements. Urgent care clinics manage walk-in visits and multiple procedures during a single patient visit, so billing workflows must handle E/M coding, procedure coding, and point-of-care testing accurately and efficiently.

Common Codes & Services in Urgent Care Billing

MBW RCM supports urgent care providers with E/M coding, procedure coding, POS 20 claim submission, and POCT & lab billing for rapid strep, flu, COVID-19, and urinalysis testing. Common coding areas include:

• 99202–99215 – E/M Coding: Level selection must reflect visit complexity and time to avoid under- or over-coding.
• POS 20 – Urgent Care Facility: Correct place-of-service coding is required for accurate facility-based reimbursement.
• Laceration Repair & I&D: Repair complexity and incision/drainage procedures require specific CPT selection.
• Fracture Care: Global fracture care codes bundle follow-up visits, requiring careful documentation of included services.
• POCT/Lab – Strep, Flu, COVID, UA: Point-of-care testing requires CLIA-waived billing and correct code-to-payer alignment.

Advanced Coding Expertise for Urgent Care

Our certified coders ensure clinical documentation is translated into compliant claims, reviewing every claim so procedures, diagnoses, and modifiers are accurately documented and aligned with payer requirements — including ICD-10 coding for common urgent care conditions, procedure coding for wound care and fracture management, and HCPCS Level II coding for injections and vaccines.

MBW RCM brings specialty-focused expertise to urgent care billing — accurate E/M and procedure coding, POS 20 compliant claim submission, and POCT/lab billing, backed by work that recovered $14.5 million in COVID-19 test and vaccination claims for one client.