CPT 99285 High-Acuity ED Visit Reimbursement | OpenPayer

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3 categories

Behavior Change Interventions, Individual

Behavior Change Interventions, Individual comprise targeted individual counseling for tobacco cessation and other behavior modifications. CPT range 99406–99409 includes time-based codes for individual behavior change interventions.

Codes 99406–99409Total Codes: 4

Updated 5/4/2026Standalone

Preventive Medicine, Group Counseling

Preventive Medicine, Group Counseling covers group-based wellness education and preventive counseling sessions. CPT range 99411–99418 includes codes for group preventive medicine counseling by session length and content.

Codes 99411–99418Total Codes: 3

Updated 5/4/2026Standalone

Preventive Medicine, Individual Counseling

Preventive Medicine, Individual Counseling includes face-to-face individualized counseling for prevention, screening, and risk reduction. CPT range 99401–99404 contains codes for individual preventive counseling visits based on duration.

Codes 99401–99404Total Codes: 4

Updated 5/4/2026Standalone

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CPT-99252-INPATIENT-OBSERVATION-CONSULTATION-EVALUATION-MANAGEMENT

CPT 99252: Initial Inpatient/Observation Consultation, Straightforward

CPT-99253-INPATIENT-OBSERVATION-CONSULTATION-LOW-MDM-45MIN

CPT 99253: Inpatient/Observation Consultation, Low Complexity

CPT-99254-INPATIENT-OBSERVATION-CONSULTATION-MODERATE-COMPLEXITY

CPT 99254: Inpatient/Observation Consultation, Moderate MDM or 60 Min

CPT-99255-INPATIENT-OBSERVATION-CONSULTATION-HIGH-LEVEL-EM

CPT 99255: Inpatient/Observation Consultation, High Complexity

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.