99199
No office rateUnlisted special svc px/rprt
Use 99175 for induction of vomiting; 99199 is reserved for a special service or procedure without a specific code.
On this page
CMS RVU26D · Effective 2026-10-01
99175 Emesis induction Medicare reimbursement rates in Vermont
Reports deliberate induction of vomiting during management of an ingestion when emesis is produced as a clinical service under physician supervision. Compare 99175 office and facility rates across CMS payment localities in Vermont.
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 99175 in Vermont?
Vermont 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
$45.14
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
No supported rate
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.
Special services
About 99175: Induced emesis for ingestion management
Reports deliberate induction of vomiting during management of an ingestion when emesis is produced as a clinical service under physician supervision.
Code 99175 describes deliberate induction of vomiting, historically including use of an emetic such as syrup of ipecac, as part of managing an ingestion. The service may be performed in an emergency department or another clinical setting by personnel working under physician supervision. It represents the emesis-induction procedure, not the evaluation of the ingestion itself.
Document the ingestion-related reason for the procedure, the method used, who performed it, and the physician supervision. Under the CMS rule supplied for this code, it is billed only when performed under physician supervision. CMS assigns zero work RVUs; practice-expense and malpractice RVUs contribute to its valuation. The 2024 Medicare volume data supplied for this code show no reported office or facility services.
CMS billing rules for 99175
- Professional and technical components
- Incident-to service: billed only when performed under physician supervision.
Where the value comes from
- Work RVU0.00 · 0%
- Practice expense (office) RVU1.36 · 99%
- Malpractice RVU0.01 · 1%
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.
99175 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
Code 99283 represents an emergency department evaluation, while 99175 represents the emesis-induction procedure. They describe different services.
Compare 99175 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
Vermont →
Office / nonfacility
$45.14
Facility
Unavailable
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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 99175 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
12,999
- Code
- 99175
- Physician work
- 0.00
- Practice expense
- 1.36
- Malpractice
- 0.01
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.00 | × 1.000 | 0.0000 |
| Practice expense | 1.36 | × 0.990 | 1.3464 |
| Malpractice | 0.01 | × 0.506 | 0.0051 |
| Total RVUs | 1.3515 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$45.14
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0 | 1 |
| Practice expense | 1.36 | 0.99 |
| Malpractice | 0.01 | 0.506 |
(0 × 1 + 1.36 × 0.99 + 0.01 × 0.506) × $33.4009 = $45.14
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.
99175 billing questions
When should 99175 be reported instead of 99199?
Report 99175 when the service performed is induction of vomiting. Code 99199 is for a special service or procedure without a more specific code.
Does the note need to identify who performed the procedure?
Yes. Document the method and performer, along with the ingestion-related indication and the physician supervision required for billing this service.
Can personnel other than the physician perform the service?
The CMS rule provided for 99175 permits billing only when the service is performed under physician supervision.
Does 99175 include evaluation of the ingestion?
The code describes induction of vomiting, not the clinical evaluation. Document the procedure separately from any evaluation or management service.
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.
12,99699172,,Ocular function screen,N,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,99799173,,Visual acuity screen,N,+,0.00,0.09,,0.09,NA,0.01,0.10,0.10,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,99899174,,Ocular instrumnt screen bil,N,+,0.00,0.19,,0.19,NA,0.01,0.20,0.20,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
12,99999175,,Induction of vomiting,A,,0.00,1.36,,1.36,NA,0.01,1.37,1.37,5,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,00099177,,Ocular instrumnt screen bil,N,+,0.00,0.15,,0.15,NA,0.01,0.16,0.16,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
13,00199183,,Hyperbaric oxygen therapy,A,,2.06,0.96,,0.96,,0.26,3.28,3.28,2,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
13,00299184,,Hypothermia ill neonate,A,,4.39,0.82,NA,0.82,,0.30,5.51,5.51,0,XXX,0.00,0.00,0.00,0,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817