Is it covered? 43 urgent care codes, answered for the front desk.
Visit levels, tests, stitches, X-rays and after-hours fees: the codes an urgent care bills every shift, with what plans usually pay and where the copay, deductible and out-of-network surprises come from.
Visits
- 99214: Is a longer urgent care visit covered by insurance?
- 99213: Is an urgent care visit covered by insurance?
- 99204: Is a longer first urgent care visit covered by insurance?
- 99203: Is my first visit to urgent care covered by insurance?
- 99212: Is a quick urgent care visit covered by insurance?
- 99211: Is a nurse-only visit covered by insurance?
Tests
- 36415: Is a blood draw at urgent care covered by insurance?
- 87491: Is an STD test at urgent care covered by insurance?
- 87804: Is a flu test at urgent care covered by insurance?
- 81002: Is a urine test at urgent care covered by insurance?
- 87880: Is a rapid strep test covered by insurance?
- 87426: Is a COVID test at urgent care covered by insurance?
- 81025: Is a pregnancy test at urgent care covered by insurance?
- 87428: Is a combined flu and COVID test covered by insurance?
Also billed in urgent care
These codes are common in urgent care too. Each has one page in the guide that owns it.
- 17110: Is getting a wart removed covered by insurance?
- J3301: Is a Kenalog injection covered by insurance?
- 12032: Are stitches after a skin removal covered by insurance?
- 11750: Is ingrown toenail surgery covered by insurance?
- 10060: Is draining a cyst or abscess covered by insurance?
- 90471: Is the fee for giving a shot covered by insurance?
- 99401: Is nutrition or weight counseling covered by insurance?
- 99395: Is a yearly physical covered by insurance?
- 90715: Is the Tdap shot covered by insurance for teens?
- 90472: Are extra vaccine shots at the same visit covered?
- 99080: Are school, camp and sports forms covered by insurance?
- 86580: Is a TB skin test covered by health insurance?
- 99050: Is an after hours visit fee covered by insurance?
- 99202: Is a first chiropractic visit covered by insurance?
- 72100: Are chiropractic x-rays covered by insurance?
- 72040: Is a neck x-ray covered by health insurance?
- 72050: Are extra neck x-ray views covered by insurance?
- 73030: Is a shoulder x-ray covered by insurance?
Verify every urgent care patient in one click, before they check in.
Plan status, deductible left, copay and coinsurance, read off the actual plan in seconds. Plans from $39 a month per location, billed yearly, or from $49 month to month. Plus $2.50 or less per check we find — $0 when we can’t find the insurance. No setup fee and no seat fees.
Other guides: Dermatology · Pediatrics · Chiropractic · Dental (CDT)
CPT is a registered trademark of the American Medical Association. The explanations on these pages are Valian's own plain-English summaries for front-desk teams, not official CPT descriptor text, and are not billing or clinical advice. Coverage patterns describe common plan behaviors; every plan differs. Verify benefits before the visit.