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CPT 99082 Medicare carrier-priced amounts

Contractor-priced

99082 · PFS Q4 2026

Contractor-published range

$1.35–$37.38

Participating · Office (non-facility) · Whole service

MAC-published fee schedules available in Localis: 29 of 144 payment localities. Missing data does not establish a $0 allowance.

No national PFS rate in Q4 2026

Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.

Check for a published amount in your locality.

View contractor sources and effective dates

Amount evidence: MAC-published fee schedules and effective dates. The PFS row shows this code is priced by the contractor.

Inspect PFS status evidence
Code
99082
Release
Q4 2026, revision 2
Result
Contractor-priced

Citations

  • Shows this code’s PFS status (C). Result: Contractor-priced.

    Physician relative value file (PPRRVU)CMS RVU26DOctober 1 – December 31, 2026revision 2

    This PFS record alone does not establish a $0 allowance or a coverage determination. Any amount from another schedule needs its own evidence.

    PPRRVU2026_Oct_nonQPP.csv row 12,983 in rvu26d-updated-08-26-2026.zip

    In the CMS file

    Loading rows 12,981–12,985 of PPRRVU2026_Oct_nonQPP.csv…

    Download rvu26d-updated-08-26-2026.zip from CMS File fingerprint 4d0d3f19bd954ffc0f5b8439169d267da023d4f6911f4539bb6e98723cb1a626

Plain-text summaryReport a problem

CPT 99082 carries status C (carrier-priced) in the Q4 2026 release, so there is no single national rate—Medicare contractors publish their own amounts. Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. Contractor-published amounts on file range $1.35–$37.38 across 29 localities; enter a ZIP for the exact local amount.

Why is there no national PFS amount for 99082?

Its status indicator is C (carrier-priced). Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation.

Find the local Medicare amount for 99082 Copy link

Medicare sets this price locally

99082 has no single national Physician Fee Schedule amount. Use the ZIP, modifier, setting, and participation fields above to match it to a Medicare locality and the contractor amount we have on file.

Your practical estimate will appear here

We hold files from First_coast and Noridian across JE and JF and JN, most recently effective Jan 1, 2026. A missing locality means our contractor coverage is incomplete—not that Medicare pays $0.

This is the published amount for this code—not necessarily the entire visit or procedure. A hospital may bill a separate facility charge, and other services, drugs, or supplies can add to the total.

Contractor-published source figures, not a national rate. Par = participating-provider amount Non-par = nonparticipating-provider amount C = technical component capped at the OPPS amount # = facility-setting amount
View all 29 published fee rows
Jurisdiction / locality Modifier Note Par Non-par Limiting charge Effective Source
JE · California, Area 05 CMS 01112-05 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 09 CMS 01112-09 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 51 CMS 01112-51 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 52 CMS 01112-52 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 53 CMS 01112-53 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 54 CMS 01112-54 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 55 CMS 01112-55 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 56 CMS 01112-56 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 57 CMS 01112-57 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 58 CMS 01112-58 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 59 CMS 01112-59 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 60 CMS 01112-60 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 61 CMS 01112-61 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 62 CMS 01112-62 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 63 CMS 01112-63 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 64 CMS 01112-64 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 65 CMS 01112-65 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 66 CMS 01112-66 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 67 CMS 01112-67 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 68 CMS 01112-68 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 69 CMS 01112-69 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 70 CMS 01112-70 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JE · California, Area 75 CMS 01112-75 — — $37.38 $35.51 $40.84 Jan 1, 2026 Contractor file
JF · North Dakota, Area 01 CMS 03302-01 — — $1.35 $1.28 $1.47 Jan 1, 2026 Contractor file
JF · South Dakota, Area 02 CMS 03402-02 — — $1.35 $1.28 $1.47 Jan 1, 2026 Contractor file
JF · Wyoming, Area 21 CMS 03602-21 — — $1.35 $1.28 $1.47 Jan 1, 2026 Contractor file
JN · Florida, Area 03 CMS 09102-03 — — $2.20 $2.09 $2.40 Jan 1, 2024 Contractor file
JN · Florida, Area 04 CMS 09102-04 — — $2.20 $2.09 $2.40 Jan 1, 2024 Contractor file
JN · Florida, Area 99 CMS 09102-99 — — $2.20 $2.09 $2.40 Jan 1, 2024 Contractor file

The authenticated MAC fees API returns the same source rows. ZIP5s that span localities are flagged and use only the crosswalk's dominant locality until ZIP+4 overrides are available.

Payment considerations Copy link

Here are the inputs and payment rules that apply to this code. Each link takes you to the detail below.

NCCI same-day edits Applies MUE behavior Applies Contractor pricing Applies
Other payment indicators (7)
Facility/non-facility: Not determined, Professional/technical component: Does not apply, Bilateral adjustment: Does not apply, Multiple-procedure reduction: Does not apply, Assistant/co-surgeon treatment: Does not apply, Global surgery: Does not apply, Other fee-schedule routing: Does not apply.
Why would a Medicare claim for 99082 be denied or paid less?

These come from CMS indicators on this page, not general billing advice.

  • Its status indicator is C (carrier-priced)—Your Medicare Administrative Contractor prices this code case by case, usually after reviewing documentation. See status indicators
  • 3 codes form NCCI pairs with 99082 carrying modifier indicator 0—no NCCI-associated modifier bypasses the edit, so billed together on the same date of service, a line of the pair denies. See billing together
  • More than 1 unit per patient per date of service exceeds 99082's Medically Unlikely Edit (MUE) limit. See billing together
  • Bilateral surgery: no bilateral adjustment. See billing policy
  • Assistant at surgery: restricted without documentation. See billing policy
  • Co-surgeons: not permitted. See billing policy
  • Team surgery: not permitted. See billing policy

Payer-specific coverage and documentation rules live outside these files, so a claim that clears every check here can still be denied on other grounds.

Which billing rules and modifiers apply? Copy link

Global period: what 99082's fee already covers Copy link

XXX Does not apply

The global surgery concept does not apply to this code.

Billing policy Copy link

These billing-policy indicators explain how 99082 is treated. They apply whether the code is nationally priced or carrier-priced: a restriction like "bilateral not allowed" still matters on a carrier-priced code.

Policy Value What it means
Bilateral surgery 0 No bilateral adjustment. The 150% bilateral payment adjustment does not apply to this procedure.
Assistant at surgery 0 Restricted without documentation. Payment for an assistant at surgery is restricted for this procedure unless supporting documentation establishes medical necessity.
Co-surgeons 0 Not permitted. Medicare does not recognize co-surgeons (modifier 62) for this procedure.
Team surgery 0 Not permitted. Medicare does not recognize a surgical team (modifier 66) for this procedure.
Multiple procedures 0 No reduction. No multiple-procedure reduction applies when this procedure is billed with others on the same date; each is paid at its full fee schedule amount.
Professional/technical split 0 No PC/TC split. This is a physician service code; the professional/technical split does not apply, and the code is billed as a single service.

Can you bill it with another code? Copy link

Check a pair of codes Copy link

Enter a second CPT or HCPCS code billed on the same date of service. We'll check the current NCCI procedure-to-procedure edit for the pair.

See every current NCCI pair for 99082 →

Billing together (NCCI edits) Copy link

NCCI Q4 2026

Based on CMS's National Correct Coding Initiative (NCCI). A few examples appear here; use the complete edit page to check a specific pair.

Not separately payable with 99082 on the same date of service—no modifier bypasses the edit (modifier indicator 0)

36591 36591 denies
36592 36592 denies
96523 96523 denies

Check a paired code or view all 3 NCCI pairs →

Medically Unlikely Edit (MUE) limit: 1 unit per patient per date of service.

Reconciling a contractor-priced payment for 99082 Copy link

There is no national allowed amount for 99082, so every reconciliation of this line runs against the MAC fee schedule that was in force for the date of service rather than against a national baseline.

What to check

  • Compare the paid amount against the MAC fee schedule in force for the date of service; there is no national allowed amount here to reconcile against.
  • Check for documentation on file before appealing an assistant-at-surgery denial: payment on the -80 or -AS line is restricted for this procedure unless medical necessity is established.
  • Reprice the line against the release, locality, setting, modifier and participation status that applied to the date of service before treating any difference as an underpayment.

Compare against 99080, 99091 and 99078: their amounts are in Related codes.

Check an actual payment Model this code in a contract

Sources: CMS Medicare Physician Fee Schedule Relative Value Files; CMS Medicare Physician Fee Schedule Relative Value Files (status indicator field); 42 USC 1395w-4(i)(2) (SSA §1848(i)(2))—Assistants-at-surgery.

How has it changed? Copy link

When does this rate change?

CMS publishes a fee schedule release every quarter (January, April, July, October), and each is versioned here. See what changed each release, or get an email when a new release moves rates.

Sources: CMS Medicare Physician Fee Schedule Relative Value Files.

Usage and related codes Copy link

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Source & method

Show sources

Contractor amounts come from the MAC-published schedules and effective dates shown above. The PFS file shows this code is priced by the contractor. Past releases are never edited, so these sources stay valid after CMS publishes a newer one. Our methodology explains sourcing, parsing, versioning, and how we cross-check claims before we publish them.

Physician relative value file (Q4 2026) · rvu26d-updated-08-26-2026.zip (PPRRVU2026_Oct_nonQPP.csv row 12,983)

Cite this rate

The citation names the release, so anyone can check it even after CMS publishes a newer one.

CPT 99082 National PFS baseline: No national PFS rate (Q4 2026; participating physician; whole service; GPCI 1.000; sequestration excluded). CMS RVU26D, PPRRVU2026_Oct_nonQPP.csv row 12,983. Localis. https://localishealth.com/cpt/99082/2026/D