# CPT 99283: Emergency department visit, low medical decision making

Medicare CPT 99283 pays $69.47 in a non-facility setting and $69.47 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $64.46 in Wisconsin to $93.80 in Alaska, a 46% spread.

Web page: https://www.med-reveal.com/rates/99283-cpt-fee-schedule
Section: Evaluation and Management
Billed by: Emergency Medicine, Evaluation, General Acute Care Hospital, Ophthalmology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $69.47 |
| National facility | $69.47 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $93.80 | $93.80 |
| Florida | $75.83 | $75.83 |
| New York | $75.49 | $75.49 |
| Illinois | $75.43 | $75.43 |
| District of Columbia | $74.78 | $74.78 |
| New Jersey | $73.96 | $73.96 |
| Connecticut | $72.67 | $72.67 |
| Michigan | $71.63 | $71.63 |
| West Virginia | $71.13 | $71.13 |
| Massachusetts | $71.10 | $71.10 |
| Maryland | $71.08 | $71.08 |
| Washington | $71.06 | $71.06 |
| Georgia | $70.44 | $70.44 |
| Pennsylvania | $70.22 | $70.22 |
| Rhode Island | $70.08 | $70.08 |
| California | $70.04 | $70.04 |
| New Mexico | $70.04 | $70.04 |
| Puerto Rico | $69.48 | $69.48 |
| Virgin Islands | $69.48 | $69.48 |
| Montana | $69.46 | $69.46 |
| Colorado | $69.25 | $69.25 |
| Texas | $69.15 | $69.15 |
| New Hampshire | $69.02 | $69.02 |
| Louisiana | $68.97 | $68.97 |
| Delaware | $68.95 | $68.95 |
| Ohio | $68.71 | $68.71 |
| Missouri | $68.60 | $68.60 |
| Oregon | $68.56 | $68.56 |
| Nevada | $68.37 | $68.37 |
| Utah | $68.23 | $68.23 |
| Arizona | $68.22 | $68.22 |
| Hawaii | $67.94 | $67.94 |
| Kentucky | $67.87 | $67.87 |
| South Carolina | $67.76 | $67.76 |
| Wyoming | $67.74 | $67.74 |
| Virginia | $67.35 | $67.35 |
| Oklahoma | $66.98 | $66.98 |
| Maine | $66.56 | $66.56 |
| North Carolina | $66.44 | $66.44 |
| Mississippi | $66.43 | $66.43 |
| Vermont | $66.08 | $66.08 |
| Tennessee | $65.53 | $65.53 |
| North Dakota | $65.51 | $65.51 |
| Alabama | $65.41 | $65.41 |
| Indiana | $65.36 | $65.36 |
| Kansas | $65.26 | $65.26 |
| Idaho | $65.21 | $65.21 |
| Minnesota | $65.04 | $65.04 |
| South Dakota | $65.04 | $65.04 |
| Arkansas | $64.92 | $64.92 |
| Iowa | $64.65 | $64.65 |
| Nebraska | $64.60 | $64.60 |
| Wisconsin | $64.46 | $64.46 |

## Related codes

- 99281: Emergency department visit, minimal problem, may not require physician presence — https://www.med-reveal.com/rates/99281-cpt-fee-schedule
- 99282: Emergency department visit, straightforward medical decision making — https://www.med-reveal.com/rates/99282-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 99283 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