CPT 99285
Emergency DepartmentEmergency room visit for a life-threatening or potentially disabling condition
$320
Federal baseline rate
$1,500 - $6,000
Typical facility range
$1,000 - $4,000
Outpatient/clinic range
Official Description
Emergency department visit, high severity with significant threat to life
Common Billing Errors
Watch for these issues when reviewing your bill
- Used when patient was stable
- Condition did not pose immediate threat
- Insufficient documentation of severity
What to Look For
Tips for reviewing this charge on your bill
- Verify life-threatening condition documented
- Check for immediate threat indicators
- Review if intensive resources were needed
How to Dispute This Charge
- 1
Request an Itemized Bill
Ask your provider for a detailed bill showing all CPT codes and individual charges.
- 2
Compare to Typical Costs
Check if your charge falls within the typical range. Excessive charges may be negotiable.
- 3
Check for Errors
Review the common billing errors listed above and verify the service was actually performed.
- 4
Generate a Dispute Letter
Use our free tool to create a professional dispute letter citing specific concerns.
Quick Facts
Category
Emergency Department
CPT Code
99285
Medicare Rate
$320
Need to Dispute This Charge?
Generate a free, professional dispute letter that references CPT code 99285and explains your concerns.
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