I’ve never heard of urgent care requiring referral from a pcp, that wouldn’t make any sense as the whole point of urgent care is being seen more urgently than your primary physician can accommodate. And seeing people who don’t have a primary physician and keeping them out of the ed if not necessary. I would ask your insurance for that policy in writing, that can’t be right. And if it is it should be reported to that state insurance commission because that’s totally asinine. I mean never underestimate the dumbness of insurance companies but I think something might be being lost in translation here.
Subsequent encounter means you’re seeing the doctor again for the same problem. So if you got sucked into a jet engine and lived somehow you’d probably be seeing the doctor a bunch of times, and the second doctor visit and all later visits would be encoded as “subsequent encounter”
I love weird icd 10 codes, my favorite is V91.07, burn due to water-skis on fire. Like has that ever actually happened? If so please post link, I must know.