Level 5 Emergency Room Visit
HCPCS 99285
Emergency department visit for the evaluation and management of a patient, which requires a medically appropriate history and/or examination and high level of medical decision making
AI EXPLANATION: A level 5 emergency room visit involves the immediate evaluation and management of severe, complex, or potentially life-threatening symptoms. An emergency clinician takes a focused medical history, conducts an extensive physical examination, and makes high-complexity medical decisions, which often include coordinating urgent diagnostic tests, continuous monitoring, and vital medical interventions.
Across 9 hospitals, negotiated prices for this code range from $305 to $12,323. Each dot below is one payer and plan's rate as published by the hospital.
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