Gastroenterology wRVU Calculator

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MGMA median benchmark: 8,700 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)

Gastroenterology Procedure Codes

• 43235 — Diagnostic EGD (2.04 wRVU)
• 43239 — EGD with biopsy (2.33 wRVU)
• 43236 — EGD w/ submucosal injection (2.33 wRVU)
• 43243 — EGD varices injection (4.16 wRVU)
• 43244 — EGD varices ligation (4.29 wRVU)
• 43245 — EGD dilation (3 wRVU)
• 43246 — EGD with PEG placement (3.47 wRVU)
• 43247 — EGD with FB removal (3.03 wRVU)
• 43248 — EGD guide wire dilation (2.84 wRVU)
• 43250 — EGD cautery polypectomy (2.9 wRVU)
• 43251 — EGD snare polypectomy (3.38 wRVU)
• 43254 — EGD EMR (4.75 wRVU)
• 43255 — EGD control bleeding (3.47 wRVU)
• 45378 — Diagnostic colonoscopy (3.18 wRVU)
• 45380 — Colonoscopy with biopsy (3.47 wRVU)
• 45381 — Colonoscopy w/ submucosal inj (3.47 wRVU)
• 45382 — Colonoscopy control bleeding (4.54 wRVU)
• 45384 — Colonoscopy cautery polypectomy (3.97 wRVU)
• 45385 — Colonoscopy snare polypectomy (4.46 wRVU)
• 45386 — Colonoscopy balloon dilation (3.68 wRVU)
• 45388 — Colonoscopy with ablation (4.76 wRVU)
• 45390 — Colonoscopy EMR (5.89 wRVU)
• 45391 — Colonoscopy with EUS (4.52 wRVU)
• 45392 — Colonoscopy EUS-FNA (5.36 wRVU)
• 43260 — Diagnostic ERCP (5.7 wRVU)
• 43261 — ERCP with biopsy (6 wRVU)
• 43262 — ERCP with sphincterotomy (6.34 wRVU)
• 43264 — ERCP stone removal (6.46 wRVU)
• 43265 — ERCP lithotripsy (7.73 wRVU)
• 43274 — ERCP stent placement (8.27 wRVU)
• 43276 — ERCP stent exchange (8.62 wRVU)
• 45330 — Diagnostic flex sig (0.82 wRVU)
• 45331 — Flex sig with biopsy (1.11 wRVU)
• 45333 — Flex sig polypectomy (1.51 wRVU)
• 91110 — Capsule endoscopy (2.18 wRVU)
• 43200 — Diagnostic esophagoscopy (1.38 wRVU)
• 43202 — Esophagoscopy biopsy (1.68 wRVU)
• 43215 — Esophagoscopy FB removal (2.38 wRVU)
• 46600 — Diagnostic anoscopy (0.54 wRVU)
• 46606 — Anoscopy with biopsy (1.17 wRVU)
• 43237 — EGD with EUS (3.28 wRVU)
• 43238 — EGD + EUS-FNA (4.16 wRVU)
• 43242 — EUS-FNA pancreas (5.33 wRVU)
• 43253 — EUS pseudocyst drainage (8.97 wRVU)
• 43241 — EGD + esophageal stent (3.21 wRVU)
• 43252 — EGD endomicroscopy (3.47 wRVU)
• 43270 — EGD ablation (2.84 wRVU)
• 45389 — Colonoscopy + stent (5.33 wRVU)
• 45393 — Colonoscopy volvulus decomp (3.97 wRVU)
• 45398 — Colonoscopy hemorrhoid band (3.47 wRVU)
• 44360 — Enteroscopy, diagnostic (2.38 wRVU)
• 44361 — Enteroscopy with biopsy (2.84 wRVU)
• 44370 — Enteroscopy + stent (4 wRVU)
• 44378 — Enteroscopy bleeding control (3.47 wRVU)
• 91010 — Esophageal manometry (HRM) (1.32 wRVU)
• 91034 — Esophageal 24h pH study (0.83 wRVU)
• 91035 — Esophageal pH + impedance (0.83 wRVU)
• 91038 — Bravo pH capsule (0.92 wRVU)
• 47000 — Liver biopsy, percutaneous (1.42 wRVU)
• 47001 — Liver biopsy, add-on (0.68 wRVU)
• 49082 — Diagnostic paracentesis (1.27 wRVU)
• 49083 — Therapeutic paracentesis (1.42 wRVU)
• 43263 — ERCP sphincter manometry (6.34 wRVU)
• 43266 — ERCP pancreatic stent (8.27 wRVU)
• 43277 — ERCP balloon dilation (6.8 wRVU)
• 43278 — ERCP ablation (7.5 wRVU)
• 43211 — ESD, esophageal (8.53 wRVU)
• 45190 — ESD, colonic (9.75 wRVU)
• 91111 — Capsule endoscopy, esophagus (1.25 wRVU)
• 43233 — EGD balloon dilation ≥30mm (2.84 wRVU)
• 43249 — EGD balloon dilation <30mm (2.57 wRVU)
• 43257 — EGD Stretta procedure (3.47 wRVU)
• 43256 — EGD transendoscopic stent (3.81 wRVU)
• 43229 — EGD Barrett ablation (RFA) (3.47 wRVU)
• 43232 — EGD limited EUS (2.84 wRVU)
• 45379 — Colonoscopy FB removal (3.68 wRVU)
• 45394 — Colonoscopy large snare (5.89 wRVU)
• 45346 — Colonoscopy contact ablation (4.76 wRVU)
• 45347 — Colonoscopy endoscopic clip (3.47 wRVU)
• 45349 — Colonoscopy large EMR (7.31 wRVU)
• 45383 — Colonoscopy decomp tube (3.97 wRVU)
• 45332 — Flex sig FB removal (1.28 wRVU)
• 45334 — Flex sig bleeding control (1.96 wRVU)
• 45337 — Flex sig volvulus decomp (1.51 wRVU)
• 45340 — Flex sig balloon dilation (1.51 wRVU)
• 43273 — ERCP stent removal (6.34 wRVU)
• 43275 — ERCP biliary stone extract (6.46 wRVU)
• 46221 — Hemorrhoid banding (1.47 wRVU)
• 46500 — Hemorrhoid sclerotherapy (0.82 wRVU)
• 43762 — G-tube replacement (0.82 wRVU)
• 43760 — G-tube change (0.68 wRVU)
• 44372 — Enteroscopy + PEJ placement (3.47 wRVU)
• 76942 — US-guided needle placement (0.68 wRVU)
• 47382 — Liver tumor RFA, perc (8.53 wRVU)
• 91200 — Liver elastography (0.37 wRVU)
• 91065 — Breath hydrogen/methane test (0.13 wRVU)
• 43240 — EGD NOTES drainage (6.8 wRVU)
• 76975 — EUS interpretation (0.68 wRVU)
• 91122 — Anorectal manometry (0.68 wRVU)
• 43763 — G-tube replace w/ tract revision (2.04 wRVU)
• 44380 — Ileoscopy through stoma (1.68 wRVU)
• 44381 — Ileoscopy through stoma + bx (2.04 wRVU)
• 44385 — Pouchoscopy (1.68 wRVU)
• 44386 — Pouchoscopy with biopsy (2.04 wRVU)