🎯 CPT 99282 - Emergency Department Visit (Level 2)

Description & Explanation: Used for the evaluation and management of a patient requiring a medically appropriate history/exam and Straightforward Medical Decision Making. The presenting problem is typically self-limited or minor.

  • MDM Level: Straightforward (Level 2).

    • Problems: Minimal (1 self-limited or minor problem).

    • Data: Minimal or none.

    • Risk: Minimal risk of morbidity from additional diagnostic testing or treatment.

Code Tree:

  • Evaluation and Management

    • Emergency Department Services

      • New or Established Patient

        • 99282: Straightforward MDM

Technical Data:

  • WRVU (2025): ~0.93

  • Global Period: XXX

  • Assistant Payable: No

  • HCC Information: N/A

Bundling & Edits:

  • Included: Interpretation of simple tests if not separately billed.

  • Exclusive: Moderate sedation or critical care.

Clinical Examples:

  1. Insect Bite: Patient with a localized insect bite, no systemic allergic reaction. Examined, prescribed a topical cream/Benadryl, and discharged.

  2. Minor Sunburn: Patient with localized sunburn seeking relief. Examined, advised on OTC creams/hydration.

  3. Subungual Hematoma: Painless or minor subungual hematoma not requiring trephination, examined and reassured.

TABLE WITHOUT ID
  link(file.link, cpt_code) AS "Code",
  short_title AS "Description",
  usage_mdm_level AS "MDM Level",
  wrvu AS "WRVU"
FROM #Emergency_Department
WHERE cpt_code != null
SORT wrvu ASC