POS 20: Urgent Care Facility
Free-standing urgent care centers.
CMS description
“Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention.”
When to use POS 20
Free-standing urgent care centers.
Reimbursement
Non-facility rate. Many payers have urgent care-specific copay tiers.
Common billing issues
- Confused with POS 23 (ER) for after-hours care
- Some commercial plans require urgent care vs ER auth
Frequently asked questions
What is POS 20?
Urgent Care Facility. Location, distinct from a hospital emergency room, an office, or a clinic, whose purpose is to diagnose and treat illness or injury for unscheduled, ambulatory patients seeking immediate medical attention.
When do I use POS 20?
Free-standing urgent care centers.
How does POS 20 affect reimbursement?
Non-facility rate. Many payers have urgent care-specific copay tiers.
What are common POS 20 billing issues?
Confused with POS 23 (ER) for after-hours care; Some commercial plans require urgent care vs ER auth.
Related codes
Sources
Automate POS 20 billing — try ApprovalHelp free
ApprovalHelp auto-routes POS-related denials, flags POS/CPT mismatches before submission, and integrates with your billing workflow. no setup fee — no card.
Get started →Contact: hello@approvalhelp.com