Billing code 99282: ED visitMedicare rate & RVUs in Oklahoma
Report 99282 for an emergency department evaluation and management service when the encounter’s medical decision making is straightforward.
CMS doesn’t publish an office rate for 99282 in Oklahoma.
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 9 sections
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.
99282 in Oklahoma
| Payment locality | Office | Facility |
|---|---|---|
| Oklahoma | Unavailable | $38.99 |
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
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.
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.
99282 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 99281ED visit
- 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.
- 99283Emergency department visit
- 99282 is for straightforward medical decision making; 99283 requires documentation supporting low medical decision making.
- 99284Emergency department visit
- Use 99284 when the encounter supports moderate medical decision making. A straightforward encounter supports 99282 instead.
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
Fee sheets
Put 99282 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →