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99284 Emergency dept visit mod mdm

E&M

Also known as: ED visit moderate, emergency moderate, ER moderate severity, ED visit level 4, high complexity ER visit

Emergency department visit for the evaluation and management of a patient with moderate medical decision-making complexity.

Clinical Context

Used for emergency department visits with moderate medical decision-making complexity, such as multiple acute problems, new chronic conditions presenting acutely, or complications requiring intermediate-level evaluation.

RVU Breakdown

Work RVU2.74
Practice Expense RVU0.45
Malpractice RVU0.35
Total RVU3.54

Est. Medicare Payment

$118.24

National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).

Specialties

Emergency Medicine

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.