ACEP Emergency Department Facility Coding – Level 2 (CPT 99282)

Overview

CPT 99282 represents an Emergency Department (ED) visit for a patient who requires an expanded, problem-focused history and examination, and straightforward medical decision-making. This level of care includes slightly more complex interventions than Level 1 and may involve basic diagnostic tests or simple treatments.

• Type A: APC 613

• Type B: APC 627

• HCPCS: G0381

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Possible Interventions

Could include interventions from previous levels, plus any of:

• Tests by ED Staff (Urine dip, stool hemoccult, Accucheck or Dextrostix)

• Visual Acuity (Snellen)

• Obtain clean catch urine

• Apply ace wrap or sling

• Prep or assist with procedures such as: minor laceration repair, I&D of simple abscess, etc.

• Discussion of Discharge Instructions (Simple)

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Potential Symptoms/Examples Which Support the Interventions

• Localized skin rash, lesion, sunburn

• Minor viral infection

• Eye discharge – painless

• Ear pain

• Urinary frequency without fever

• Simple trauma (with no X-rays)

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Key Notes for Coders

• Level 2 visits typically involve one or two minor procedures or diagnostic tests.

• Document both the interventions and patient symptoms to justify this level of service.

• If the visit involves more complex testing or multiple reassessments, consider whether a higher-level code (e.g., 99283) is warranted.

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Next in the series: ACEP ED Facility Level 3 – Moderate Resource Use.