CPT 99281

Emergency Department Visit May Not Req Phys/Qhp

CPT 99281 is a evaluation and management code that the 2026 Medicare Physician Fee Schedule does not price. Commercial payers may still reimburse it.

Medicare rate by state

Medicare rates for this code are not published in the 2026 physician fee schedule.

Related Evaluation and Management

99282Emergency Department Visit Straightforward Mdm99283Emergency Department Visit Low Mdm99284Emergency Department Visit Moderate Mdm99285Emergency Department Visit High Mdm99291Critical Care Ill/Injured Patient Init 30-74 Min99292Critical Care Ill/Injured Patient Addl 30 Min99239Hospital Ip/Obs Discharge Day Mgmt > 30 Min99238Hospital Ip/Obs Discharge Day Mgmt 30 Min/<

Billed by 4 specialties

Emergency MedicineEvaluationGeneral Acute Care HospitalOphthalmology

Commercial rates for 99281

Medicare is the floor, not the market. See what UHC, Aetna, Cigna and BCBS actually pay — down to the TIN.

See negotiated rates