Hospital · CMS status A
99292
Critical care ea addl 30 min
Critical care, evaluation and management of the critically ill or critically injured patient, each additional 30 minutes beyond the first 74 minutes. CMS 2026 wRVU 2.25. Add-on code; must be reported with 99291.
Work RVU
2.25
2026 Medicare pays
$115.57
National GPCI · non-facility · CF $33.4009
RVU anatomyWork 2.25 + Practice 1.05 + Malpractice 0.16 = 3.46 total
Work (your effort)Practice expenseMalpractice
Billing guidance for 99292 is locked
- When to use it: the exact clinical situations that support billing 99292
- Documentation checklist: the 4 elements your note needs before submitting
- Common pitfalls: the 3 mistakes that get 99292 downcoded or denied
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Common ICD-10 pairings
A41.9I46.9J96.01
Payer notes
99292 is paid by Medicare and commercial payers at the standard PFS allowable. Multiple units of 99292 are allowed on the same calendar day for the same patient as long as documentation supports the cumulative time.
Pairs well with
Educational reference, not billing or legal advice. Verify against your payer contracts and your compliance team before submission.