No office rate
99281 covers an ED service that may not require a physician or other qualified health care professional. For 99282, the clinician provides the ED evaluation and the documented decision making is straightforward.
On this page
CMS RVU26D · Effective 2026-10-01
99282 ED visit Medicare reimbursement rates in Minnesota
Report 99282 for an emergency department evaluation and management service when the encounter’s medical decision making is straightforward. Compare 99282 office and facility rates across CMS payment localities in Minnesota.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 99282 in Minnesota?
Minnesota has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$37.99
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Emergency department
About 99282: Emergency department visit, straightforward decision making
Report 99282 for an emergency department evaluation and management service when the encounter’s medical decision making is straightforward.
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.
Where the value comes from
- Work RVU0.93 · 77%
- Practice expense (office) RVU0.17 · 14%
- Malpractice RVU0.11 · 9%
144.8K
Medicare services in 2024 · #460 by national volume
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.
99282 compared with similar codes
Office rates for Minnesota, from the same CMS release.
No office rate
99282 is for straightforward medical decision making; 99283 requires documentation supporting low medical decision making.
No office rate
Use 99284 when the encounter supports moderate medical decision making. A straightforward encounter supports 99282 instead.
Compare 99282 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Minnesota →
Office / nonfacility
Unavailable
Facility
$37.99
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How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 99282 in Minnesota.
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
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.93 | × 1.000 | 0.9300 |
| Practice expense | 0.17 | × 1.029 | 0.1749 |
| Malpractice | 0.11 | × 0.296 | 0.0326 |
| Total RVUs | 1.1375 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Minnesota$37.99
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.93 | 1 |
| Practice expense | 0.17 | 1.029 |
| Malpractice | 0.11 | 0.296 |
(0.93 × 1 + 0.17 × 1.029 + 0.11 × 0.296) × $33.4009 = $37.99
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
13,03599254,,Ip/obs cnsltj new/est mod 60,I,+,2.72,1.23,NA,1.23,,0.17,4.12,4.12,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,03699255,,Ip/obs consltj new/est hi 80,I,+,3.86,1.44,NA,1.44,,0.23,5.53,5.53,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,03799281,,Emr dpt vst mayx req phy/qhp,A,,0.25,0.05,NA,0.05,,0.03,0.33,0.33,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,03899282,,Emergency dept visit sf mdm,A,,0.93,0.17,NA,0.17,,0.11,1.21,1.21,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,03999283,,Emergency dept visit low mdm,A,,1.60,0.28,NA,0.28,,0.20,2.08,2.08,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,04099284,,Emergency dept visit mod mdm,A,,2.74,0.45,NA,0.45,,0.35,3.54,3.54,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,04199285,,Emergency dept visit hi mdm,A,,4.00,0.65,NA,0.65,,0.48,5.13,5.13,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002