130 CMR, § 455.415

Current through Register 1536, December 6, 2024
Section 455.415 - Urgent Care Visits

The following restrictions and limitations apply to urgent care visits as defined in 130 CMR 455.402.

Treatments or Procedures. The UCC may bill for an urgent care visit, a treatment, or a procedure, but may not bill for more than one of these services provided to the same member on the same date when the services are performed in the same location. X-rays, laboratory tests, and certain diagnostic tests identified in Subchapter 6 of the Urgent Care Clinic Manual may be billed in addition to an urgent care visit.

130 CMR, § 455.415

Adopted by Mass Register Issue 1461, eff. 1/21/2022.