ENT / Otolaryngology wRVU Calculator

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MGMA median benchmark: 7,500 wRVUs/year

E&M (Clinic) Codes

• 99202 — New patient, straightforward (0.93 wRVU)
• 99203 — New patient, low (1.6 wRVU)
• 99204 — New patient, moderate (2.6 wRVU)
• 99205 — New patient, high (3.5 wRVU)
• 99212 — Est. patient, straightforward (0.7 wRVU)
• 99213 — Est. patient, low (1.3 wRVU)
• 99214 — Est. patient, moderate (1.92 wRVU)
• 99215 — Est. patient, high (2.8 wRVU)
• 99221 — Initial hospital, low (1.92 wRVU)
• 99222 — Initial hospital, moderate (2.61 wRVU)
• 99223 — Initial hospital, high (3.86 wRVU)
• 99231 — Subsequent hospital, low (0.76 wRVU)
• 99232 — Subsequent hospital, moderate (1.39 wRVU)
• 99233 — Subsequent hospital, high (2 wRVU)
• 99238 — Discharge day, ≤30 min (1.28 wRVU)
• 99239 — Discharge day, >30 min (1.9 wRVU)
• 99242 — Consultation, straightforward (1.4 wRVU)
• 99243 — Consultation, low (2.29 wRVU)
• 99244 — Consultation, moderate (3.33 wRVU)
• 99245 — Consultation, high (4.38 wRVU)
• 99291 — Critical care, first hr (4.5 wRVU)
• 99292 — Critical care, addl 30 min (2.25 wRVU)

ENT / Otolaryngology Procedure Codes

• 42820 — T&A, age <12 (4.11 wRVU)
• 42821 — T&A, age 12+ (4.25 wRVU)
• 42825 — Tonsillectomy, age <12 (3.42 wRVU)
• 42826 — Tonsillectomy, age 12+ (3.36 wRVU)
• 30520 — Septoplasty (6.83 wRVU)
• 30140 — Turbinate resection (2.93 wRVU)
• 30930 — Turbinate fracture (1.28 wRVU)
• 21320 — Closed reduction nasal fracture (1.55 wRVU)
• 31231 — Diagnostic nasal endoscopy (1.07 wRVU)
• 31237 — FESS w/ biopsy/polypectomy (2.54 wRVU)
• 31238 — FESS w/ epistaxis control (2.67 wRVU)
• 31254 — FESS partial ethmoidectomy (4.16 wRVU)
• 31255 — FESS total ethmoidectomy (5.61 wRVU)
• 31256 — FESS maxillary antrostomy (3.03 wRVU)
• 31267 — FESS maxillary w/ tissue removal (4.56 wRVU)
• 31276 — FESS frontal sinus (6.58 wRVU)
• 31287 — FESS sphenoidotomy (3.41 wRVU)
• 31288 — FESS sphenoidotomy w/ removal (4 wRVU)
• 69210 — Cerumen removal (0.59 wRVU)
• 69420 — Myringotomy (1.35 wRVU)
• 69421 — Myringotomy under GA (1.74 wRVU)
• 69433 — Tympanostomy tubes, local (1.53 wRVU)
• 69436 — Tympanostomy tubes, GA (1.96 wRVU)
• 69930 — Cochlear implant (17.29 wRVU)
• 31575 — Flexible laryngoscopy (0.92 wRVU)
• 31525 — Diagnostic laryngoscopy (2.56 wRVU)
• 31530 — Laryngoscopy w/ FB removal (3.3 wRVU)
• 31535 — Laryngoscopy w/ biopsy (3.08 wRVU)
• 31541 — Laryngoscopy w/ tumor excision (4.41 wRVU)
• 31570 — Laryngoscopy w/ VC injection (3.76 wRVU)
• 60220 — Thyroid lobectomy (10.91 wRVU)
• 60240 — Total thyroidectomy (14.66 wRVU)
• 60252 — Thyroidectomy + neck dissection (21.46 wRVU)
• 60500 — Parathyroidectomy (15.21 wRVU)
• 60502 — Parathyroid re-exploration (20.62 wRVU)
• 42415 — Parotidectomy, lateral lobe (16.73 wRVU)
• 42420 — Total parotidectomy (19.04 wRVU)
• 42440 — Submandibular gland excision (5.99 wRVU)
• 31600 — Planned tracheostomy (5.42 wRVU)
• 31603 — Emergency tracheostomy (5.85 wRVU)
• 42145 — UPPP (6.05 wRVU)
• 42160 — Palate/uvula lesion excision (2.74 wRVU)
• 41512 — Tongue base suspension (5.61 wRVU)
• 41530 — Tongue base RF ablation (2.38 wRVU)
• 30400 — Rhinoplasty, primary, lateral (6.24 wRVU)
• 30410 — Rhinoplasty, primary, complete (8.9 wRVU)
• 30420 — Rhinoplasty, secondary (9.42 wRVU)
• 30465 — Rhinoplasty, major revision (11.19 wRVU)
• 31360 — Total laryngectomy (26.51 wRVU)
• 31365 — Supraglottic laryngectomy (19.41 wRVU)
• 41135 — Partial glossectomy + neck (15.5 wRVU)
• 41153 — Total glossectomy (23.58 wRVU)
• 38720 — Radical neck dissection (16.73 wRVU)
• 38724 — Modified radical neck dissect (15.63 wRVU)
• 30117 — Intranasal lesion excision (2.94 wRVU)
• 30801 — Turbinate cautery, unilateral (1.55 wRVU)
• 30802 — Turbinate cautery, bilateral (1.97 wRVU)
• 31295 — Balloon sinuplasty, maxillary (2.27 wRVU)
• 31296 — Balloon sinuplasty, frontal (3.41 wRVU)
• 31297 — Balloon sinuplasty, sphenoid (2.67 wRVU)
• 69620 — Myringoplasty (7.8 wRVU)
• 69631 — Tympanoplasty + mastoidectomy (14.16 wRVU)
• 69641 — Tympanoplasty, wall down (16.06 wRVU)
• 69300 — Otoplasty (6.25 wRVU)
• 31571 — Laryngoscopy + VC injection (2.04 wRVU)
• 31579 — Laryngoscopy + stroboscopy (0.66 wRVU)
• 61580 — Anterior skull base approach (34.33 wRVU)
• 31290 — Endoscopic orbital decompress (12.83 wRVU)
• 42830 — Adenoidectomy, age <12 (2.56 wRVU)
• 42831 — Adenoidectomy, age 12+ (2.67 wRVU)
• 42836 — Adenoidectomy, secondary (3.03 wRVU)
• 42700 — I&D peritonsillar abscess (1.47 wRVU)
• 30901 — Anterior epistaxis, simple (0.76 wRVU)
• 30903 — Anterior epistaxis, complex (1.55 wRVU)
• 30905 — Posterior epistaxis (2.57 wRVU)
• 30906 — Posterior epistaxis, repeat (2.94 wRVU)
• 31622 — Diagnostic bronchoscopy (2.27 wRVU)
• 31623 — Bronchoscopy with brushing (2.57 wRVU)
• 31624 — Bronchoscopy with BAL (2.57 wRVU)
• 31625 — Bronchoscopy with biopsy (2.84 wRVU)
• 31628 — Bronchoscopy transbronchial bx (3.47 wRVU)
• 69000 — External ear I&D, simple (0.89 wRVU)
• 69100 — External ear biopsy (0.76 wRVU)
• 69200 — FB removal, ear canal (0.54 wRVU)
• 69220 — Mastoid debridement, simple (0.82 wRVU)
• 69501 — Complete mastoidectomy (12.83 wRVU)
• 69502 — Modified radical mastoidectomy (14.16 wRVU)
• 69710 — BAHA removal/revision (3.7 wRVU)
• 69714 — BAHA implant, percutaneous (5.61 wRVU)
• 31540 — Microlaryngoscopy w/ excision (4.41 wRVU)
• 31545 — Laryngoscopy, subglottic (6.58 wRVU)
• 31551 — Thyroplasty, medialization (8.76 wRVU)
• 31580 — Laryngoplasty w/ stent (10.35 wRVU)
• 38542 — Deep jugular node dissection (6.58 wRVU)
• 21557 — Radical soft tissue tumor, neck (13.94 wRVU)
• 31233 — Endoscopic maxillary sinus exam (1.55 wRVU)
• 31235 — Endoscopic sphenoid sinus exam (1.55 wRVU)
• 21385 — ORIF orbital floor fracture (11.7 wRVU)
• 21360 — ORIF malar/ZMC fracture (10.35 wRVU)
• 21421 — ORIF LeFort I fracture (14.93 wRVU)
• 21432 — ORIF LeFort III fracture (21.46 wRVU)
• 21461 — Open reduction mandible fx (7.8 wRVU)
• 21462 — ORIF mandible fracture (12.23 wRVU)