CPT code 99292: Critical care, each additional 30 minutes2026 Medicare rate & RVUs in Indiana
Report 99292 with 99291 when a physician or qualified health care professional provides enough additional critical care time for a critically ill patient.
In Indiana, Medicare pays $126.26 for 99292 in the office and $94.99 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 99292 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 99292 covers
Code 99292 represents additional time spent managing a critically ill or injured patient whose condition creates a high risk of imminent, life-threatening deterioration. A physician or qualified health care professional may provide this care in settings such as an intensive care unit or emergency department; the patient’s acuity and the services furnished, not the unit’s name, support critical care. The work involves focused assessment and management of life-threatening organ-system problems, rather than routine monitoring or a high-complexity visit alone.
Report 99292 only with 99291, when documented critical care time meets the threshold for an additional unit: generally 75–104 minutes total for one unit, with another unit for each additional qualifying interval. Document the patient’s critical condition, the critical care services, and the total time for the date, excluding time spent on separately reportable procedures. CMS treats 99292 as an add-on code billed with a primary service and paid within that service’s global period.
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 Indiana compares for 99292
Across 109 of 109 payment localities, the office rate for 99292 runs from $123.01 in Arkansas to $171.39 in Alaska. Indiana pays $126.26. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Indiana · this page$126.26
- Los Angeles, CA · California$143.79+$17.53
- Washington, DC area · District of Columbia$147.96+$21.70
- Miami, FL · Florida$147.78+$21.52
- Chicago, IL · Illinois$144.67+$18.41
- Manhattan, NY · New York$151.53+$25.27
- Alaska · Alaska$171.39+$45.13
Other areas in Indiana first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $124.22 | $94.70 |
| ArkansasArkansas | $123.01 | $94.03 |
| ArizonaArizona | $131.25 | $98.56 |
| Bakersfield, CACalifornia | $137.27 | $100.29 |
| Chico, CACalifornia | $136.56 | $99.58 |
| El Centro, CACalifornia | $136.59 | $99.62 |
| Fresno, CACalifornia | $136.56 | $99.58 |
| Hanford, CACalifornia | $136.56 | $99.58 |
| Madera, CACalifornia | $136.56 | $99.58 |
| Merced, CACalifornia | $136.56 | $99.58 |
| Modesto, CACalifornia | $136.56 | $99.58 |
| Napa, CACalifornia | $151.14 | $106.68 |
| Oxnard, CACalifornia | $142.45 | $102.57 |
| Redding, CACalifornia | $136.56 | $99.58 |
| Rest of CaliforniaCalifornia | $136.56 | $99.58 |
| Riverside, CACalifornia | $139.07 | $102.09 |
| Sacramento, CACalifornia | $141.41 | $102.17 |
| Salinas, CACalifornia | $140.83 | $101.73 |
| San Diego, CACalifornia | $142.69 | $102.34 |
| Marin County, CACalifornia | $157.87 | $110.31 |
| San Francisco, CACalifornia | $157.61 | $110.05 |
| San Benito County, CACalifornia | $161.23 | $112.58 |
| Santa Clara County, CACalifornia | $160.16 | $111.51 |
| San Luis Obispo, CACalifornia | $138.75 | $100.33 |
| Santa Cruz, CACalifornia | $142.94 | $101.95 |
| Santa Maria, CACalifornia | $140.96 | $101.63 |
| Santa Rosa, CACalifornia | $144.28 | $102.85 |
| Stockton, CACalifornia | $136.56 | $99.58 |
| Vallejo, CACalifornia | $150.77 | $106.30 |
| Visalia, CACalifornia | $136.56 | $99.58 |
| Yuba City, CACalifornia | $136.56 | $99.58 |
| ColoradoColorado | $136.43 | $100.53 |
| ConnecticutConnecticut | $140.99 | $104.66 |
| DelawareDelaware | $132.92 | $99.59 |
| Fort Lauderdale, FLFlorida | $140.81 | $106.64 |
| Rest of FloridaFlorida | $135.55 | $103.30 |
| Atlanta, GAGeorgia | $136.52 | $102.25 |
| Rest of GeorgiaGeorgia | $129.89 | $99.80 |
| Hawaii, Guam, HIHawaii | $137.70 | $99.35 |
| IowaIowa | $124.96 | $94.09 |
| IdahoIdaho | $125.80 | $94.76 |
| East St. Louis, ILIllinois | $137.64 | $106.60 |
| Rest of IllinoisIllinois | $133.82 | $103.02 |
| Suburban Chicago, ILIllinois | $141.77 | $107.13 |
| KansasKansas | $125.22 | $94.72 |
| KentuckyKentucky | $127.61 | $97.62 |
| New Orleans, LALouisiana | $131.97 | $100.22 |
| Rest of LouisianaLouisiana | $127.74 | $97.88 |
| Metropolitan Boston, MAMassachusetts | $146.09 | $105.81 |
| Rest of MassachusettsMassachusetts | $136.29 | $100.77 |
| Baltimore area, MDMaryland | $140.69 | $104.49 |
| Rest of MarylandMaryland | $134.67 | $100.53 |
| Rest of MaineMaine | $126.95 | $95.91 |
| Southern Maine, MEMaine | $130.64 | $97.21 |
| Detroit, MIMichigan | $137.42 | $104.86 |
| Rest of MichiganMichigan | $130.48 | $99.68 |
| MinnesotaMinnesota | $130.01 | $95.30 |
| Metropolitan Kansas City, MOMissouri | $130.64 | $98.97 |
| Metropolitan St. Louis, MOMissouri | $131.50 | $99.38 |
| Rest of MissouriMissouri | $126.69 | $97.61 |
| MississippiMississippi | $124.83 | $95.78 |
| MontanaMontana | $133.92 | $100.19 |
| North CarolinaNorth Carolina | $127.74 | $96.27 |
| North DakotaNorth Dakota | $129.37 | $95.64 |
| NebraskaNebraska | $125.22 | $94.09 |
| New HampshireNew Hampshire | $135.07 | $99.95 |
| Northern New JerseyNew Jersey | $147.37 | $108.24 |
| Rest of New JerseyNew Jersey | $142.39 | $105.55 |
| New MexicoNew Mexico | $131.24 | $100.31 |
| NevadaNevada | $132.71 | $98.94 |
| NYC suburbs and Long Island, NYNew York | $154.99 | $114.88 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $143.79 | $106.85 |
| Queens, NYNew York | $151.44 | $111.57 |
| Rest of New YorkNew York | $129.10 | $97.05 |
| OhioOhio | $129.55 | $98.75 |
| OklahomaOklahoma | $126.76 | $96.63 |
| Portland, OROregon | $138.85 | $101.37 |
| Rest of OregonOregon | $131.45 | $97.85 |
| Metropolitan Philadelphia, PAPennsylvania | $138.87 | $103.75 |
| Rest of PennsylvaniaPennsylvania | $129.32 | $98.36 |
| Puerto RicoPuerto Rico | $134.38 | $100.28 |
| Rhode IslandRhode Island | $136.22 | $101.37 |
| South CarolinaSouth Carolina | $128.90 | $97.73 |
| South DakotaSouth Dakota | $128.84 | $95.10 |
| TennesseeTennessee | $125.73 | $95.07 |
| Austin, TXTexas | $136.18 | $100.48 |
| Beaumont, TXTexas | $128.79 | $98.09 |
| Brazoria, TXTexas | $132.39 | $98.96 |
| Dallas, TXTexas | $133.32 | $99.72 |
| Fort Worth, TXTexas | $132.91 | $99.64 |
| Galveston, TXTexas | $132.86 | $99.36 |
| Houston, TXTexas | $137.07 | $103.57 |
| Rest of TexasTexas | $130.59 | $98.57 |
| UtahUtah | $130.09 | $98.38 |
| VirginiaVirginia | $130.81 | $97.65 |
| Virgin Islands, VIUnited States Virgin Islands | $134.38 | $100.28 |
| VermontVermont | $129.63 | $96.23 |
| Rest of WashingtonWashington | $135.79 | $100.26 |
| King County, WAWashington | $147.89 | $106.50 |
| WisconsinWisconsin | $126.48 | $94.16 |
| West VirginiaWest Virginia | $130.55 | $101.24 |
| WyomingWyoming | $131.94 | $98.21 |
99292 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.
$123.01
$171.39
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $171.39 | 1 |
| AL | $124.22 | 1 |
| AR | $123.01 | 1 |
| AZ | $131.25 | 1 |
| CA | $136.56–$161.23 | 29 |
| CO | $136.43 | 1 |
| CT | $140.99 | 1 |
| DC | $147.96 | 1 |
| DE | $132.92 | 1 |
| FL | $135.55–$147.78 | 3 |
| GA | $129.89–$136.52 | 2 |
| GU | $137.70 | 1 |
| HI | $137.70 | 1 |
| IA | $124.96 | 1 |
| ID | $125.80 | 1 |
| IL | $133.82–$144.67 | 4 |
| IN | $126.26 | 1 |
| KS | $125.22 | 1 |
| KY | $127.61 | 1 |
| LA | $127.74–$131.97 | 2 |
| MA | $136.29–$146.09 | 2 |
| MD | $134.67–$147.96 | 3 |
| ME | $126.95–$130.64 | 2 |
| MI | $130.48–$137.42 | 2 |
| MN | $130.01 | 1 |
| MO | $126.69–$131.50 | 3 |
| MS | $124.83 | 1 |
| MT | $133.92 | 1 |
| NC | $127.74 | 1 |
| ND | $129.37 | 1 |
| NE | $125.22 | 1 |
| NH | $135.07 | 1 |
| NJ | $142.39–$147.37 | 2 |
| NM | $131.24 | 1 |
| NV | $132.71 | 1 |
| NY | $129.10–$154.99 | 5 |
| OH | $129.55 | 1 |
| OK | $126.76 | 1 |
| OR | $131.45–$138.85 | 2 |
| PA | $129.32–$138.87 | 2 |
| PR | $134.38 | 1 |
| RI | $136.22 | 1 |
| SC | $128.90 | 1 |
| SD | $128.84 | 1 |
| TN | $125.73 | 1 |
| TX | $128.79–$137.07 | 8 |
| UT | $130.09 | 1 |
| VA | $130.81–$147.96 | 2 |
| VI | $134.38 | 1 |
| VT | $129.63 | 1 |
| WA | $135.79–$147.89 | 2 |
| WI | $126.48 | 1 |
| WV | $130.55 | 1 |
| WY | $131.94 | 1 |
How the 99292 rate is calculated
Each of 99292’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 · 99292
RVUs × geographic indexes × conversion factor
Work2.25
2.25 RVUs× 1.000 GPCI
Practice expense1.53
1.53 RVUs× 1.000 GPCI
Malpractice0.23
0.23 RVUs× 1.000 GPCI
Adjusted RVUs
4.0100
Conversion factor
$33.4009
Medicare rate
$133.94
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Indiana inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
13,044
- Code
- 99292
- Physician work
- 2.25
- Practice expense
- 1.53
- Malpractice
- 0.23
GPCI2026.csv
52
- Locality
- Indiana
- Physician work
- 1.000
- Practice expense
- 0.927
- Malpractice
- 0.486
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.25 | × 1.000 | 2.2500 |
| Practice expense | 1.53 | × 0.927 | 1.4183 |
| Malpractice | 0.23 | × 0.486 | 0.1118 |
| Total RVUs | 3.7801 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Indiana$126.26
Office: (2.25 × 1 + 1.53 × 0.927 + 0.23 × 0.486) × $33.4009 = $126.26
Facility: (2.25 × 1 + 0.52 × 0.927 + 0.23 × 0.486) × $33.4009 = $94.99
Payment rules and modifiers for 99292
The CMS indicators that decide how 99292 is paid alongside other services.
CMS payment indicators · 99292
Critical care, each additional 30 minutes
| Rule | CMS value | What it means |
|---|---|---|
| Global period | ZZZ | Add-on code: falls within the primary procedure’s global period. |
| Multiple procedures | 0 | No multiple-procedure reduction. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
How 99292 has changed in Indiana
99292 · Office / nonfacility
$126.26
Effective 2026-10-01
The base rate is $17.08 higher than on 2025-10-01, moving from $109.18 to $126.26 (15.6%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$109.18changed to$126.26
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.11 changed to 1.53
- Malpractice RVU 0.21 changed to 0.23
- Practice expense GPCI 0.922 changed to 0.927
- Malpractice GPCI 0.485 changed to 0.486
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$112.37changed to$109.18
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 1.10 changed to 1.11
- Malpractice RVU 0.23 changed to 0.21
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$110.54changed to$112.37
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$113.13changed to$110.54
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.08 changed to 1.10
- Malpractice RVU 0.22 changed to 0.23
- Practice expense GPCI 0.911 changed to 0.922
- Malpractice GPCI 0.475 changed to 0.485
January 1, 2023
RVU23A
$115.50changed to$113.13
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 1.10 changed to 1.08
- Malpractice RVU 0.21 changed to 0.22
- Practice expense GPCI 0.900 changed to 0.911
- Malpractice GPCI 0.465 changed to 0.475
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$116.15changed to$115.50
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.09 changed to 1.10
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$118.23changed to$116.15
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 1.03 changed to 1.09
- Practice expense GPCI 0.910 changed to 0.900
- Malpractice GPCI 0.422 changed to 0.465
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$117.27changed to$118.23
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.01 changed to 1.03
- Malpractice RVU 0.20 changed to 0.21
- Practice expense GPCI 0.919 changed to 0.910
- Malpractice GPCI 0.379 changed to 0.422
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$117.47changed to$117.27
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.02 changed to 1.01
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$118.00changed to$117.47
- Conversion factor 35.8887 changed to 35.9996
- Practice expense GPCI 0.920 changed to 0.919
- Malpractice GPCI 0.498 changed to 0.379
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$118.39changed to$118.00
- Conversion factor 35.8043 changed to 35.8887
- Malpractice RVU 0.19 changed to 0.20
- Practice expense GPCI 0.921 changed to 0.920
- Malpractice GPCI 0.617 changed to 0.498
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$118.82changed to$118.39
- Conversion factor 35.9335 changed to 35.8043
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$118.23changed to$118.82
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$118.04changed to$118.23
- Conversion factor 35.8228 changed to 35.7547
- Malpractice RVU 0.17 changed to 0.19
- Practice expense GPCI 0.922 changed to 0.921
- Malpractice GPCI 0.615 changed to 0.617
Held through RVU15B.
January 1, 2014
RVU14A
$115.48changed to$118.04
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 1.12 changed to 1.02
- Malpractice RVU 0.18 changed to 0.17
- Practice expense GPCI 0.923 changed to 0.922
- Malpractice GPCI 0.613 changed to 0.615
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $115.48
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $126.26 | $94.99 | RVU26D |
| 2026-07-01 | $126.26 | $94.99 | RVU26C |
| 2026-04-01 | $126.26 | $94.99 | RVU26B |
| 2026-01-01 | $126.26 | $94.99 | RVU26A |
| 2025-10-01 | $109.18 | $97.55 | RVU25D |
| 2025-07-01 | $109.18 | $97.55 | RVU25C |
| 2025-04-01 | $109.18 | $97.55 | RVU25B |
| 2025-01-01 | $109.18 | $97.55 | RVU25A |
| 2024-10-01 | $112.37 | $100.09 | RVU24D |
| 2024-07-01 | $112.37 | $100.09 | RVU24C |
| 2024-04-01 | $112.37 | $100.09 | RVU24B |
| 2024-03-09 | $112.37 | $100.09 | RVU24AR |
| 2024-01-01 | $110.54 | $98.46 | RVU24A |
| 2023-10-01 | $113.13 | $101.40 | RVU23D |
| 2023-07-01 | $113.13 | $101.40 | RVU23C |
| 2023-04-01 | $113.13 | $101.40 | RVU23B |
| 2023-01-01 | $113.13 | $101.40 | RVU23A |
| 2022-10-01 | $115.50 | $103.67 | RVU22D |
| 2022-07-01 | $115.50 | $103.67 | RVU22C |
| 2022-04-01 | $115.50 | $103.67 | RVU22B |
| 2022-01-01 | $115.50 | $103.67 | RVU22A |
| 2021-10-01 | $116.15 | $104.53 | RVU21D |
| 2021-07-01 | $116.15 | $104.53 | RVU21C |
| 2021-04-01 | $116.15 | $104.53 | RVU21B |
| 2021-01-01 | $116.15 | $104.53 | RVU21A |
| 2020-10-01 | $118.23 | $107.39 | RVU20D |
| 2020-07-01 | $118.23 | $107.39 | RVU20C |
| 2020-04-01 | $118.23 | $107.39 | RVU20B |
| 2020-01-01 | $118.23 | $107.39 | RVU20A |
| 2019-10-01 | $117.27 | $107.00 | RVU19D |
| 2019-07-01 | $117.27 | $107.00 | RVU19C |
| 2019-04-01 | $117.27 | $107.00 | RVU19B |
| 2019-01-01 | $117.27 | $107.00 | RVU19A |
| 2018-10-01 | $117.47 | $107.22 | RVU18D |
| 2018-07-01 | $117.47 | $107.22 | RVU18C |
| 2018-04-01 | $117.47 | $107.22 | RVU18B |
| 2018-01-01 | $117.47 | $107.22 | RVU18AR1 |
| 2017-10-01 | $118.00 | $108.10 | RVU17D |
| 2017-07-01 | $118.00 | $108.10 | RVU17C |
| 2017-04-01 | $118.00 | $108.10 | RVU17B |
| 2017-01-01 | $118.00 | $108.10 | RVU17A |
| 2016-10-01 | $118.39 | $108.50 | RVU16D |
| 2016-07-01 | $118.39 | $108.50 | RVU16C |
| 2016-04-01 | $118.39 | $108.50 | RVU16B |
| 2016-01-01 | $118.39 | $108.50 | RVU16A |
| 2015-10-01 | $118.82 | $108.89 | RVU15D |
| 2015-07-01 | $118.82 | $108.89 | RVU15C |
| 2015-04-01 | $118.23 | $108.35 | RVU15B |
| 2015-01-01 | $118.23 | $108.35 | RVU15A |
| 2014-10-01 | $118.04 | $108.13 | RVU14D |
| 2014-07-01 | $118.04 | $108.13 | RVU14C |
| 2014-04-01 | $118.04 | $108.13 | RVU14B |
| 2014-01-01 | $118.04 | $108.13 | RVU14A |
| 2013-10-01 | $115.48 | $105.11 | RVU13D |
| 2013-07-01 | $115.48 | $105.11 | RVU13C |
| 2013-04-01 | $115.48 | $105.11 | RVU13B |
| 2013-01-01 | $115.48 | $105.11 | RVU13AR |
Where the Indiana rate applies
Indiana is a Medicare payment area, not a city. Our Census mapping connects it to 974 cities and communities in Indiana. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Abington
- Adams
- Adams Lake
- Advance
- Akron
- Alamo
- Albany
99292 billing questions
When is 99292 reported with 99291?
Report 99292 for qualifying critical care time beyond the time represented by 99291. One unit generally applies at 75–104 total minutes; additional units require additional qualifying time.
Can 99292 be billed by itself?
No. It is an add-on code and must be reported with 99291 as the primary critical care service.
Does the patient have to be in an ICU?
No. Critical care may be furnished in an emergency department or another setting; the patient’s life-threatening condition and the services provided support the code.
What time should the record support?
Document total critical care time for the date, the patient’s critical condition, and the management performed. Do not include time spent on separately reportable procedures.
How is 99292 different from a high-level emergency visit?
99292 is additional time for critical care reported with 99291. A high-level emergency department evaluation code describes an ED visit that does not meet critical care criteria.
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
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