Care setting rate rollup
Emergency Department Professional Services
Emergency department evaluation and management levels plus critical-care professional services furnished by clinicians.
A curated starter set for comparison—not a claim that every care setting bills every code, and not a utilization-weighted average.
At a glance
Q3 2026 compared with the prior available PFS release.
Conversion factor: 0.0%
Payable codes
7 / 7
Changed this release
0
Largest increase
None
Largest decrease
None
See the rates where you practice
Enter a ZIP code to apply that Medicare locality’s work, practice-expense, and malpractice adjustments to every row.
Current national rates
Q3 2026 releaseFacility amounts for professional services, GPCI 1.000, before sequestration.
| Code and service | Status | Facility amount | Prior release | Change |
|---|---|---|---|---|
| Visits and evaluation | ||||
| 99281 | Active | $11.02 | $11.02 | $0.00 · 0.0% |
| 99282 | Active | $40.42 | $40.42 | $0.00 · 0.0% |
| 99283 Emergency Department Visit, Level 3 | Active | $69.47 | $69.47 | $0.00 · 0.0% |
| 99284 Emergency Department Visit, Level 4 | Active | $118.24 | $118.24 | $0.00 · 0.0% |
| 99285 Emergency Department Visit, Level 5 | Active | $171.35 | $171.35 | $0.00 · 0.0% |
| 99291 Critical Care, First Time Block | Active | $199.07 | $199.07 | $0.00 · 0.0% |
| 99292 Critical Care, Additional Time | Active | $100.20 | $100.20 | $0.00 · 0.0% |
Every code links to its contracted-rate (% of Medicare) table and a full RVU breakdown, plus billing-policy context and rate history.
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How often these codes appear in Medicare
Across Original Medicare nationally in CY2024, the covered codes on this page accounted for the activity below. This is use by clinicians of all specialties—not a Emergency Department Professional Services utilization mix—and it is on a different publication cycle from the fee schedule.
Services
21.0M
Times these codes were billed
Allowed dollars
$3.4B
Across covered Medicare FFS services
Most used in this set
99285
9.1M services
Coverage: 7 of 7 displayed codes. HCPCS Level II and excluded drug codes may not appear in this utilization dataset.
Turn the list into contract math
Analyze a payer offer using these Emergency Department Professional Services codes
We’ll preload the code set in Contract Check. Add your annual volumes and ZIP to see the volume-weighted percentage of Medicare and annual-dollar difference.
Get notified when Emergency Department Professional Services rates change
Medicare updates the fee schedule every quarter. We'll email you only when a release moves one of the 7 Emergency Department Professional Services codes on this page.
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Source & method
Amounts computed from the CMS Medicare Physician Fee Schedule Q3 2026 release , GPCI 1.000, before the ~2% sequestration cut. This is our own clean-room grouping by common clinical scenario, not the AMA’s code-family taxonomy. It is a curated starter set, not a utilization-weighted specialty mix. A code with no amount is either not separately payable under the PFS or absent from the release—never a fake $0.
CMS defines the hospital emergency room as place of service 23. This page uses facility PFS amounts for clinician professional services only. It does not include the hospital facility claim paid under OPPS, ambulance transport, separately priced drugs or laboratory tests, or claim-level rules that can prevent separate payment for an emergency visit and critical care on the same date.