Emergency Department
CPT 99284 vs 99285
ED Visit Level 4 vs Level 5 — side-by-side RVU comparison with clinical guidance on when to use each code.
Key Difference
99285 is reserved for the most complex ED encounters involving life threats, emergent decision-making, and high-risk interventions. The wRVU premium is substantial.
Clinical Documentation Tip
Document severity of illness, time-sensitive decision-making, and high-risk treatments. Sepsis, MI, stroke, and trauma often qualify.
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