99285 Emergency dept visit hi mdm
Also known as: ED visit high complexity, emergency high, ER high severity, ED visit level 5, critical ER visit
Emergency department visit for the evaluation and management of a patient with high medical decision-making complexity.
Clinical Context
Used for emergency department visits with high medical decision-making complexity, such as critically ill or injured patients, multiple acute significant conditions, or presentations requiring extensive diagnostic and therapeutic evaluation.
RVU Breakdown
| Work RVU | 4.00 |
| Practice Expense RVU | 0.65 |
| Malpractice RVU | 0.48 |
| Total RVU | 5.13 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Specialties
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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.