CPT code 99292: Critical care, each additional 30 minutes2026 Medicare rate & RVUs in Mississippi

Report 99292 with 99291 when a physician or qualified health care professional provides enough additional critical care time for a critically ill patient.

CMS RVU26DEffective Oct 1, 2026One payment locality406K Medicare services in 2024

In Mississippi, Medicare pays $124.83 for 99292 in the office and $95.78 when it’s performed in a hospital or facility.

$124.83Office (non-facility)
$95.78Hospital or facility
−6.8%vs the national office rate ($133.94)

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.

We’ll open 99292 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 99292 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 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 Mississippi 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. Mississippi pays $124.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

99292 in Mississippi vs other payment areas
  1. Mississippi · this page$124.83
  2. Los Angeles, CA · California$143.79+$18.96
  3. Washington, DC area · District of Columbia$147.96+$23.13
  4. Miami, FL · Florida$147.78+$22.95
  5. Chicago, IL · Illinois$144.67+$19.84
  6. Manhattan, NY · New York$151.53+$26.70
  7. Alaska · Alaska$171.39+$46.56

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

Every other payment area

99292 in every other Medicare payment locality
Payment localityOfficeFacility
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

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
99292 office rate range by state
State / territoryOffice rate rangeLocalities
AK$171.391
AL$124.221
AR$123.011
AZ$131.251
CA$136.56–$161.2329
CO$136.431
CT$140.991
DC$147.961
DE$132.921
FL$135.55–$147.783
GA$129.89–$136.522
GU$137.701
HI$137.701
IA$124.961
ID$125.801
IL$133.82–$144.674
IN$126.261
KS$125.221
KY$127.611
LA$127.74–$131.972
MA$136.29–$146.092
MD$134.67–$147.963
ME$126.95–$130.642
MI$130.48–$137.422
MN$130.011
MO$126.69–$131.503
MS$124.831
MT$133.921
NC$127.741
ND$129.371
NE$125.221
NH$135.071
NJ$142.39–$147.372
NM$131.241
NV$132.711
NY$129.10–$154.995
OH$129.551
OK$126.761
OR$131.45–$138.852
PA$129.32–$138.872
PR$134.381
RI$136.221
SC$128.901
SD$128.841
TN$125.731
TX$128.79–$137.078
UT$130.091
VA$130.81–$147.962
VI$134.381
VT$129.631
WA$135.79–$147.892
WI$126.481
WV$130.551
WY$131.941

See 99292 in every payment locality

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

Office or facility?

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 Mississippi 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

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 99292 in Mississippi
ComponentRVULocality factorAdjusted
Physician work2.25× 1.0002.2500
Practice expense1.53× 0.8611.3173
Malpractice0.23× 0.7390.1700
Total RVUs3.7373
Conversion factor× 33.4009

Office rate, Mississippi$124.83

Office: (2.25 × 1 + 1.53 × 0.861 + 0.23 × 0.739) × $33.4009 = $124.83

Facility: (2.25 × 1 + 0.52 × 0.861 + 0.23 × 0.739) × $33.4009 = $95.78

Open 99292 in the RVU calculator

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

RuleCMS valueWhat it means
Global periodZZZAdd-on code: falls within the primary procedure’s global period.
Multiple procedures0No multiple-procedure reduction.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

How 99292 has changed in Mississippi

99292 · Office / nonfacility

$124.83

Effective 2026-10-01

The base rate is $16.24 higher than on 2025-10-01, moving from $108.59 to $124.83 (15.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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
  1. January 1, 2026

    RVU26A

    $108.59changed to$124.83

    • 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 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $111.97changed to$108.59

    • 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.

  3. March 9, 2024

    RVU24AR

    $110.15changed to$111.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $112.61changed to$110.15

    • 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 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $114.79changed to$112.61

    • 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 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $115.45changed to$114.79

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 1.09 changed to 1.10

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $116.97changed to$115.45

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 1.03 changed to 1.09
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $115.42changed to$116.97

    • 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 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $115.61changed to$115.42

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 1.02 changed to 1.01

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $116.02changed to$115.61

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $116.28changed to$116.02

    • Conversion factor 35.8043 changed to 35.8887
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $116.70changed to$116.28

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $116.12changed to$116.70

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $116.39changed to$116.12

    • Conversion factor 35.8228 changed to 35.7547
    • Malpractice RVU 0.17 changed to 0.19
    • Practice expense GPCI 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $114.21changed to$116.39

    • 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 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $114.21

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$124.83$95.78RVU26D
2026-07-01$124.83$95.78RVU26C
2026-04-01$124.83$95.78RVU26B
2026-01-01$124.83$95.78RVU26A
2025-10-01$108.59$97.84RVU25D
2025-07-01$108.59$97.84RVU25C
2025-04-01$108.59$97.84RVU25B
2025-01-01$108.59$97.84RVU25A
2024-10-01$111.97$100.63RVU24D
2024-07-01$111.97$100.63RVU24C
2024-04-01$111.97$100.63RVU24B
2024-03-09$111.97$100.63RVU24AR
2024-01-01$110.15$98.99RVU24A
2023-10-01$112.61$101.71RVU23D
2023-07-01$112.61$101.71RVU23C
2023-04-01$112.61$101.71RVU23B
2023-01-01$112.61$101.71RVU23A
2022-10-01$114.79$103.72RVU22D
2022-07-01$114.79$103.72RVU22C
2022-04-01$114.79$103.72RVU22B
2022-01-01$114.79$103.72RVU22A
2021-10-01$115.45$104.58RVU21D
2021-07-01$115.45$104.58RVU21C
2021-04-01$115.45$104.58RVU21B
2021-01-01$115.45$104.58RVU21A
2020-10-01$116.97$106.78RVU20D
2020-07-01$116.97$106.78RVU20C
2020-04-01$116.97$106.78RVU20B
2020-01-01$116.97$106.78RVU20A
2019-10-01$115.42$105.70RVU19D
2019-07-01$115.42$105.70RVU19C
2019-04-01$115.42$105.70RVU19B
2019-01-01$115.42$105.70RVU19A
2018-10-01$115.61$105.90RVU18D
2018-07-01$115.61$105.90RVU18C
2018-04-01$115.61$105.90RVU18B
2018-01-01$115.61$105.90RVU18AR1
2017-10-01$116.02$106.68RVU17D
2017-07-01$116.02$106.68RVU17C
2017-04-01$116.02$106.68RVU17B
2017-01-01$116.02$106.68RVU17A
2016-10-01$116.28$107.00RVU16D
2016-07-01$116.28$107.00RVU16C
2016-04-01$116.28$107.00RVU16B
2016-01-01$116.28$107.00RVU16A
2015-10-01$116.70$107.39RVU15D
2015-07-01$116.70$107.39RVU15C
2015-04-01$116.12$106.85RVU15B
2015-01-01$116.12$106.85RVU15A
2014-10-01$116.39$107.10RVU14D
2014-07-01$116.39$107.10RVU14C
2014-04-01$116.39$107.10RVU14B
2014-01-01$116.39$107.10RVU14A
2013-10-01$114.21$104.49RVU13D
2013-07-01$114.21$104.49RVU13C
2013-04-01$114.21$104.49RVU13B
2013-01-01$114.21$104.49RVU13AR

Price 99292 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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
RVUs for 99292PPRRVU2026_Oct_nonQPP.csv, line 13,044 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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