Update for Procedure Codes S9083 and S9088 (Effective August 1, 2026)

Date: 04/09/26

Effective August 1, 2026, the following procedure codes will become reimbursable when billed with place of service 20 (urgent care facilities). Claims submitted with another place of service will be denied, as these codes are not reimbursable for those locations.

• Code S9083: Global fee urgent care centers
  • Represents a facility-level global urgent care service.
  • Indicates the member is physically seen in an urgent care setting.
• Code S9088: Urgent care add-on code
  • Used only in addition to an E/M or procedure code.
  • Indicates urgent care operational costs.
  • Used when services are provided in person in an urgent care setting.

If you have questions about this bulletin or other provider resources, please contact your Provider Engagement Account Manager (PEAM).

Questions?

Ambetter Health has a wealth of resources available to help answer your questions and address your concerns:

• Provider Support: Finding the Right Contact
• Provider Services: Call 1-877-687-1169
• Secure Provider Portal: Visit the Secure Provider Portal to check member eligibility, submit claims and more.
• Provider Engagement: Use the Find Your Account Manager tool to find the Provider Engagement Account Manager (PEAM) supporting your specialty and region.
• Provider News: Bookmark Ambetter Health Provider News and Sunshine Health Provider News to keep up with the latest updates.
• Provider Newsflash: Subscribe to our e-newsletter to get regular updates.

Provider Resources: Visit Ambetter Health Provider Resources to find provider manuals, important forms, scheduling standards, and other provider resources.