# CPT 99282: Emergency department visit, straightforward medical decision making

Medicare CPT 99282 pays $40.42 in a non-facility setting and $40.42 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $37.63 in Wisconsin to $54.67 in Alaska, a 45% spread.

Web page: https://www.med-reveal.com/rates/99282-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Emergency Medicine, Evaluation, General Acute Care Hospital, Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $40.42 |
| National facility | $40.42 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $54.67 | $54.67 |
| Florida | $43.91 | $43.91 |
| New York | $43.86 | $43.86 |
| Illinois | $43.68 | $43.68 |
| District of Columbia | $43.52 | $43.52 |
| New Jersey | $43.04 | $43.04 |
| Connecticut | $42.25 | $42.25 |
| Michigan | $41.57 | $41.57 |
| Massachusetts | $41.43 | $41.43 |
| Washington | $41.41 | $41.41 |
| Maryland | $41.35 | $41.35 |
| West Virginia | $41.25 | $41.25 |
| Georgia | $40.92 | $40.92 |
| California | $40.89 | $40.89 |
| Pennsylvania | $40.84 | $40.84 |
| Rhode Island | $40.80 | $40.80 |
| New Mexico | $40.68 | $40.68 |
| Puerto Rico | $40.42 | $40.42 |
| Virgin Islands | $40.42 | $40.42 |
| Montana | $40.41 | $40.41 |
| Colorado | $40.35 | $40.35 |
| Texas | $40.24 | $40.24 |
| New Hampshire | $40.19 | $40.19 |
| Delaware | $40.13 | $40.13 |
| Louisiana | $40.10 | $40.10 |
| Ohio | $39.95 | $39.95 |
| Oregon | $39.95 | $39.95 |
| Missouri | $39.89 | $39.89 |
| Nevada | $39.81 | $39.81 |
| Arizona | $39.71 | $39.71 |
| Utah | $39.70 | $39.70 |
| Hawaii | $39.65 | $39.65 |
| Kentucky | $39.47 | $39.47 |
| Wyoming | $39.46 | $39.46 |
| South Carolina | $39.43 | $39.43 |
| Virginia | $39.24 | $39.24 |
| Oklahoma | $38.99 | $38.99 |
| Maine | $38.79 | $38.79 |
| North Carolina | $38.71 | $38.71 |
| Mississippi | $38.67 | $38.67 |
| Vermont | $38.54 | $38.54 |
| North Dakota | $38.23 | $38.23 |
| Tennessee | $38.20 | $38.20 |
| Alabama | $38.11 | $38.11 |
| Indiana | $38.11 | $38.11 |
| Kansas | $38.05 | $38.05 |
| Idaho | $38.02 | $38.02 |
| Minnesota | $37.99 | $37.99 |
| South Dakota | $37.98 | $37.98 |
| Arkansas | $37.83 | $37.83 |
| Iowa | $37.72 | $37.72 |
| Nebraska | $37.69 | $37.69 |
| Wisconsin | $37.63 | $37.63 |

## Related codes

- 99281: Emergency department visit, minimal problem, may not require physician presence — https://www.med-reveal.com/rates/99281-cpt-fee-schedule
- 99283: Emergency department visit, low medical decision making — https://www.med-reveal.com/rates/99283-cpt-fee-schedule
- 99284: Emergency department visit, moderate medical decision making — https://www.med-reveal.com/rates/99284-cpt-fee-schedule
- 99285: Emergency department visit, high medical decision making — https://www.med-reveal.com/rates/99285-cpt-fee-schedule

Commercial negotiated rates for 99282 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules