CPT 99282 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Emergency Department Visit For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And/Or Examination And Straightforward Medical Decision Making (Desc Rvsd 1/1/23)

Key Fact	Detail
Service Type	• Evaluation and Management • Emergency Department Services
Common Place of Service	• 23 - Emergency Room • 22 - On Campus Outpatient Hospital
Common Modifiers	• None • 25 - Significant, separately identifiable E/M service same day • U5
Complexity Level	Moderate

National average reimbursement for CPT 99282 by major payers:

$56.31

$42.76

$55.00

$63.25

Preview provider-level rates for...

For billing codeCPT 99282

Payer	Code	Rate	NPI	Tax ID	State	Specialty
Select a payer to view fee schedule data Choose a payer from the options above to see rates for CPT 99282
United	99282	$67.06	1003310277 - NICHOLAS WALTER	10238552 - MAINEHEALTH	ME	Emergency Medicine Physician (207P00000X)
United	99282	$88.72	1598129819 - KENNEN LESS	582030692 - EMORY UNIVERSITY	GA	Emergency Medicine Physician (207P00000X)
United	99282	$104.37	1164047346 - TUCKER MATTHEWS	581537752 - EMORY UNIVERSITY	GA	Emergency Medicine Physician (207P00000X)
United	99282	$73.73	1760643829 - ARTHUR AU	232809585 - JEFFERSON UNIVERSITY PHYSICIANS	PA	Emergency Medicine Physician (207P00000X)
United	99282	$139.00	1972667665 - D SCOTT MOORE	453996169 - (IN) INDIANA PHYSICIAN MANAGEMENTMERCY LLC	GA	Emergency Medicine Physician (207P00000X)
United	99282	$52.34	1942275425 - MICHAEL HAMM	582643228	GA	Emergency Medicine Physician (207P00000X)
United	99282	$78.19	1003077058 - JASON MARTIN	742501542	FL	Emergency Medicine Physician (207P00000X)
United	99282	$58.20	1851954424 - SHELBY RANDALL	941458282 - NORTHBAY HEALTHCARE GROUP	GA	Emergency Medicine Physician (207P00000X)
United	99282	$44.27	1295728251 - NORMAN PENNINGTON	854115575 - (AZ) ALLIED MOBILE IMAGING LLC	NJ	Diagnostic Radiology Physician (2085R0202X)
United	99282	$41.59	1396912184 - ALBERT MICHAEL	592898487	FL	Emergency Medicine Physician (207P00000X)
United	99282	$120.88	1184201428 - ELIEZER HERNANDEZ-LINARTE	742161737 - UNIVERSITY PHYSICIANS INCORPORATED	CO	Emergency Medicine Physician (207P00000X)
United	99282	$58.36	1780656033 - HENK GOORHUIS	10215227 - RUMFORD HOSPITAL	ME	Emergency Medicine Physician (207P00000X)
United	99282	$87.27	1093007528 - ELIZABETH ILEDARE	581537752 - EMORY UNIVERSITY	GA	Emergency Medicine Physician (207P00000X)
United	99282	$120.88	1689108409 - ROBERT CAREY	742161737 - UNIVERSITY PHYSICIANS INCORPORATED	CO	Emergency Medicine Physician (207P00000X)
United	99282	$74.15	1770931107 - LEVY ONYANGO	831838249 - (PA) CARING COMMUNITY HEALTH CENTER	PA	Diagnostic Radiology Physician (2085R0202X)
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist
United	99202	$100.00	1234567890	1234567890	CA	Cardiologist

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CPT 99282 vs. Other Emergency Department Services Codes

The CPT 99282 code is part of the Evaluation and Management services used for Emergency Department Services. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 99282 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

Code	Complexity	Description
99281	Low	Emergency Department Visit For The Evaluation And Management Of A Patient That May Not Require The Presence Of A Physician Or Other Qualified Health Care Professional (Desc Rvsd 1/1/23)
99282	Low	Emergency Department Visit For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And/Or Examination And Straightforward Medical Decision Making (Desc Rvsd 1/1/23)
99283	Low	Emergency Department Visit For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And/Or Examination And Low Level Of Medical Decision Making (Desc Rvsd 1/1/23)
99284	Moderate	Emergency Department Visit For The Evaluation And Management Of A Patient Which Requires A Medically Appropriate History And/Or Examination And Moderate Level Of Medical Decision Making (Desc Rvsd 1/1/23)

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 99282. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 99282 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules

Medicare & Medicaid Rates

Government-set reimbursement amounts

Private Insurance Rates

Negotiated rates between providers and insurance companies

Geographic Location

Costs may be higher in urban areas.

Provider Type

Hospital providers may have different rates than private practice.

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