CPT code 99282: ED visit, straightforward MDM2026 Medicare rate & RVUs in Minnesota

Report 99282 for an emergency department evaluation and management service when the encounter’s medical decision making is straightforward.

CMS RVU26DEffective Oct 1, 2026One payment locality144.8K Medicare services in 2024

In Minnesota, Medicare pays $37.99 for 99282 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$37.99Hospital or facility

Check a contract rate as a % of Medicare · 99282 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 99282 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Minnesota
  2. What 99282 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 99282 covers

This code describes a physician or other qualified health care professional’s evaluation and management of a patient in the emergency department, with straightforward medical decision making. It fits a limited, low-complexity encounter, such as assessment of a minor, uncomplicated complaint when the clinical evaluation and plan remain simple. The service is commonly furnished in a hospital emergency department; the clinician’s work is distinct from the hospital’s facility services.

Choose the level from medical decision making, not elapsed time. Documentation should show the problems evaluated, relevant data reviewed or analyzed, and the management risk so the documented decision making supports the level reported. CMS values the professional service through physician fee schedule work, practice expense, and malpractice RVUs. Report 99282 for the ED professional evaluation and management service, not as a substitute for an office visit or an inpatient hospital service.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Minnesota compares for 99282

Across 109 of 109 payment localities, the facility rate for 99282 runs from $37.63 in Wisconsin to $54.67 in Alaska. Minnesota pays $37.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

99282 in Minnesota vs other payment areas
  1. Minnesota · this page$37.99
  2. Los Angeles, CA · California$41.49+$3.50
  3. Washington, DC area · District of Columbia$43.52+$5.53
  4. Miami, FL · Florida$46.27+$8.28
  5. Chicago, IL · Illinois$45.42+$7.43
  6. Manhattan, NY · New York$45.48+$7.49
  7. Alaska · Alaska$54.67+$16.68

Other areas in Minnesota first, then benchmark localities. Bars start at $0.

Every other payment area

99282 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$38.11
ArkansasArkansas—$37.83
ArizonaArizona—$39.71
Bakersfield, CACalifornia—$40.11
Chico, CACalifornia—$39.78
El Centro, CACalifornia—$39.80
Fresno, CACalifornia—$39.78
Hanford, CACalifornia—$39.78

99282 rates by state

Office rate range in each state. Select a state to see its payment localities.

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
99282 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 99282 in every payment locality

How the 99282 rate is calculated

Each of 99282’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 99282

RVUs × geographic indexes × conversion factor

Office or facility?

Work0.93

0.93 RVUs× 1.000 GPCI

Practice expense0.17

0.17 RVUs× 1.000 GPCI

Malpractice0.11

0.11 RVUs× 1.000 GPCI

Adjusted RVUs

1.2100

Conversion factor

$33.4009

Medicare rate

$40.42

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Minnesota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

13,038

Code
99282
Physician work
0.93
Practice expense
0.17
Malpractice
0.11

GPCI2026.csv

66

Locality
Minnesota
Physician work
1.000
Practice expense
1.029
Malpractice
0.296
Facility calculation for 99282 in Minnesota
ComponentRVULocality factorAdjusted
Physician work0.93× 1.0000.9300
Practice expense0.17× 1.0290.1749
Malpractice0.11× 0.2960.0326
Total RVUs1.1375
Conversion factor× 33.4009

Facility rate, Minnesota$37.99

Facility: (0.93 × 1 + 0.17 × 1.029 + 0.11 × 0.296) × $33.4009 = $37.99

Open 99282 in the RVU calculator

Payment rules and modifiers for 99282

99282 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.

Place of service · 99282

Which rate does Medicare pay?

The POS code on the claim line (CMS-1500 box 24B).

POS 11 · non-facility rate · national

—

99282 isn’t priced in this setting.

How 99282 has changed in Minnesota

99282 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$37.99RVU26D
2026-07-01Not available in this setting$37.99RVU26C
2026-04-01Not available in this setting$37.99RVU26B
2026-01-01Not available in this setting$37.99RVU26A
2025-10-01Not available in this setting$38.35RVU25D
2025-07-01Not available in this setting$38.35RVU25C
2025-04-01Not available in this setting$38.35RVU25B
2025-01-01Not available in this setting$38.35RVU25A
2024-10-01Not available in this setting$39.12RVU24D
2024-07-01Not available in this setting$39.12RVU24C
2024-04-01Not available in this setting$39.12RVU24B
2024-03-09Not available in this setting$39.12RVU24AR
2024-01-01Not available in this setting$38.48RVU24A
2023-10-01Not available in this setting$39.87RVU23D
2023-07-01Not available in this setting$39.87RVU23C
2023-04-01Not available in this setting$39.87RVU23B
2023-01-01Not available in this setting$39.87RVU23A
2022-10-01Not available in this setting$40.77RVU22D
2022-07-01Not available in this setting$40.77RVU22C
2022-04-01Not available in this setting$40.77RVU22B
2022-01-01Not available in this setting$40.77RVU22A
2021-10-01Not available in this setting$41.11RVU21D
2021-07-01Not available in this setting$41.11RVU21C
2021-04-01Not available in this setting$41.11RVU21B
2021-01-01Not available in this setting$41.11RVU21A
2020-10-01Not available in this setting$42.39RVU20D
2020-07-01Not available in this setting$42.39RVU20C
2020-04-01Not available in this setting$42.39RVU20B
2020-01-01Not available in this setting$42.39RVU20A
2019-10-01Not available in this setting$40.41RVU19D
2019-07-01Not available in this setting$40.41RVU19C
2019-04-01Not available in this setting$40.41RVU19B
2019-01-01Not available in this setting$40.41RVU19A
2018-10-01Not available in this setting$40.37RVU18D
2018-07-01Not available in this setting$40.37RVU18C
2018-04-01Not available in this setting$40.37RVU18B
2018-01-01Not available in this setting$40.37RVU18AR1
2017-10-01Not available in this setting$40.22RVU17D
2017-07-01Not available in this setting$40.22RVU17C
2017-04-01Not available in this setting$40.22RVU17B
2017-01-01Not available in this setting$40.22RVU17A
2016-10-01Not available in this setting$40.09RVU16D
2016-07-01Not available in this setting$40.09RVU16C
2016-04-01Not available in this setting$40.09RVU16B
2016-01-01Not available in this setting$40.09RVU16A
2015-10-01Not available in this setting$40.12RVU15D
2015-07-01Not available in this setting$40.12RVU15C
2015-04-01Not available in this setting$39.92RVU15B
2015-01-01Not available in this setting$39.92RVU15A
2014-10-01Not available in this setting$39.92RVU14D
2014-07-01Not available in this setting$39.92RVU14C
2014-04-01Not available in this setting$39.92RVU14B
2014-01-01Not available in this setting$39.92RVU14A
2013-10-01Not available in this setting$38.53RVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 99282 for an earlier date of service

Where the Minnesota rate applies

Minnesota is a Medicare payment area, not a city. Our Census mapping connects it to 916 cities and communities in Minnesota. Some span more than one payment area; confirm with the service ZIP.

  • Ada
  • Adams
  • Adrian
  • Afton
  • Aitkin
  • Akeley
  • Albany
  • Albert Lea

Browse all communities in Minnesota

99282 billing questions

How does 99282 differ from 99281?

99282 represents straightforward medical decision making by a physician or other qualified health care professional. 99281 is for an ED service that may not require that clinician’s presence.

When should the ED visit be coded 99283 instead?

Use 99283 when the documented medical decision making supports a low level rather than a straightforward level. Compare the problems, data, and management risk documented for the encounter.

Is 99282 selected by time?

No. Select the ED visit level based on medical decision making, not the time spent with the patient.

Can diagnostic tests be reported with 99282?

Diagnostic services may be reported separately when performed and separately reportable. The ED note should support the evaluation and decision making underlying 99282.

What documentation supports 99282?

Document the complaint and problems addressed, pertinent information reviewed or analyzed, and the management plan and its risk. The record should support straightforward medical decision making.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 99282PPRRVU2026_Oct_nonQPP.csv, line 13,038 (RVU26D)
Geographic factors for MinnesotaGPCI2026.csv, line 66 (RVU26D)

Open CMS sourceHow we calculate rates

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