Emergency department & critical care

99283 - RVUs & Medicare payment (2026)

Emergency department visit, level 3.

Component	Non-facility	Facility
Work RVU	1.60	1.60
Practice expense RVU	0.28	0.28
Malpractice RVU	0.20	0.20
Total RVUs	2.08	2.08
National payment (CF $33.4009)	$69.47	$69.47
Qualifying APM payment (CF $33.5675)	$69.82	$69.82

How 99283 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 99283 ranges from $64.46 in Wisconsin (WI) to $93.80 in Alaska (AK); calculate 99283 for your locality.

Alaska (AK) $93.80 NYC Suburbs/Long Island (NY) $80.39 Miami (FL) $80.07 Chicago (IL) $78.55 Manhattan (NY) $78.32 Queens (NY) $77.55 San Jose-Sunnyvale-Santa Clara (CA) $76.39 East St. Louis (IL) $75.50 National average $69.47 … 97 more localities between … Arkansas (AR) $64.92 Iowa (IA) $64.65 Nebraska (NE) $64.60 Wisconsin (WI) $64.46

Non-facility payment for 99283 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
99282 · emergency department visit, level 2
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 99283 in 2026?

The national non-facility payment is $69.47 and the facility payment is $69.47, 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 99283?

The 2026 work RVU for 99283 is 1.60. Total RVUs are 2.08 in the non-facility setting and 2.08 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.