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Federal IDR by specialty
Emergency medicine: out-of-network denials and recovery
Emergency department visit levels, critical care, and emergency procedures — the archetypal No Surprises Act claims, since patients cannot choose an in-network emergency provider.
9 disputed emergency medicine codes
Emergency department visit, minor
CPT 99281 · emergency department
Emergency department visit, low complexity
CPT 99282 · emergency department
Emergency department visit, moderate complexity
CPT 99283 · emergency department
Emergency department visit, high complexity
CPT 99284 · emergency department
Emergency department visit, highest complexity
CPT 99285 · emergency department
Critical care, first 30 to 74 minutes
CPT 99291 · critical care
Critical care, each additional 30 minutes
CPT 99292 · add-on · critical care
Simple repair of a superficial wound
CPT 12001 · skin
Emergency insertion of a breathing tube
CPT 31500 · airway
Emergency medicine denials by state
Medically & clinically reviewed by Dr. John M. Abrahams, MD
Board-certified neurosurgeon and founder of Sydra · Last reviewed September 2026 · About the author
Sources
Figures reflect the published federal record across all disputes, not a prediction about any individual claim. This is general information, not legal or financial advice.