NPI Portal NPI Lookup & Verification

Emergency department & critical care

99282 - RVUs & Medicare payment (2026)

Emergency department visit, level 2.

Component Non-facility Facility
Work RVU 0.93 0.93
Practice expense RVU 0.17 0.17
Malpractice RVU 0.11 0.11
Total RVUs 1.21 1.21
National payment (CF $33.4009) $40.42 $40.42
Qualifying APM payment (CF $33.5675) $40.62 $40.62

How 99282 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 99282 ranges from $37.63 in Wisconsin (WI) to $54.67 in Alaska (AK); calculate 99282 for your locality.

Alaska (AK) $54.67 NYC Suburbs/Long Island (NY) $46.62 Miami (FL) $46.27 Manhattan (NY) $45.48 Chicago (IL) $45.42 Queens (NY) $45.06 San Jose-Sunnyvale-Santa Clara (CA) $44.64 San Jose-Sunnyvale-Santa Clara (CA) $44.13 National average $40.42 … 97 more localities between … Arkansas (AR) $37.83 Iowa (IA) $37.72 Nebraska (NE) $37.69 Wisconsin (WI) $37.63
Non-facility payment for 99282 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: XXX

No global period: the global surgery concept does not apply to this code.

Related codes - emergency department & critical care

  • 99281 · emergency department visit, level 1
  • 99283 · emergency department visit, level 3
  • 99284 · emergency department visit, level 4
  • 99285 · emergency department visit, level 5
  • 99291 · critical care, first 30-74 minutes
  • 99292 · critical care, each additional 30 minutes

Frequently asked questions

How much does Medicare pay for 99282 in 2026?
The national non-facility payment is $40.42 and the facility payment is $40.42, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.
What is the work RVU for 99282?
The 2026 work RVU for 99282 is 0.93. Total RVUs are 1.21 in the non-facility setting and 1.21 in the facility setting.
Why are the facility and non-facility amounts different?
Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.