# CPT 99283

> Medicare paid $63.00 for CPT 99283 in the office (non-facility) setting and $63.00 in a facility under the Q3 2018 Physician Fee Schedule, effective July 2018. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2018, when it increased 0.3%.

## What it is

A moderate-complexity emergency department visit — for example, a laceration needing layered repair, a moderate asthma flare, or abdominal pain that needs basic labs or imaging to rule out something serious. Unlike office visits, ED visit levels are not timed and are not split into new versus established patients; the level depends on the complexity of the medical decision-making documented — the number of problems addressed, the data reviewed, and the risk of the work-up or treatment.

## Selected release

- Release: Q3 2018 (2018 C)
- Effective: July 1 – September 30, 2018
- Status indicator: A
- Office (non-facility) national allowed amount: $63.00
- Facility national allowed amount: $63.00
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.34
- Office (non-facility) practice expense RVU: 0.29
- Facility practice expense RVU: 0.29
- Malpractice RVU: 0.12
- Conversion factor: 35.9996
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q3 2018)
- CMS file: https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu18c1.zip
- Parsed file: PPRRVU18_JUL.csv, row 16,538
- Canonical page: https://localishealth.com/cpt/99283/2018/A
- Release-specific citation URL: https://localishealth.com/cpt/99283/2018/C
- Last significant update: 2026-08-04T03:08:27+00:00