The Record - for physicians and other health care providers to share with their office staffs
Forward to a friend  |  Subscribe  |  The Record Archive  |  Contacts  |  bcbsm.com  |  Print this article
February 2013

Billing and participation for hospital urgent care centers summarized

In the December 2012 issue of The Record, we explained that urgent care evaluation and management services (*99201-*99205, *99211-*99215, *99381-*99387 and *99391-*99397) provided in the hospital outpatient setting must be reported on a professional claim effective April 1, 2013. This billing change mirrors how BCBSM pays our participating freestanding urgent care centers today for these services.

We encourage hospital outpatient urgent care departments to join the BCBSM Urgent Care Center Network, if they haven’t done so already. By participating in the network, your location is automatically listed in BCBSM’s urgent care center provider directory. This makes it easier for members to find you when they need an urgent care center.

To enroll in the urgent care center network, go to the Provider section of bcbsm.com and click on Sign up today.

No portion of this publication may be copied without the express written permission of Blue Cross Blue Shield of Michigan, except that BCBSM participating health care providers may make copies for their personal use. In no event may any portion of this publication be copied or reprinted and used for commercial purposes by any party other than BCBSM.

*CPT codes, descriptions and two-digit numeric modifiers only are copyright 2012 American Medical Association. All rights reserved.
Blue Cross Blue Shield of Michigan and Blue Care Network are nonprofit corporations and
independent licensees of the Blue Cross and Blue Shield Association.