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MGMA median benchmark: 7,200 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)
General Surgery Procedure Codes
- 49591 — Anterior hernia repair, <3cm reducible (5.81 wRVU)
- 49592 — Anterior hernia repair, <3cm strang (8.25 wRVU)
- 49593 — Anterior hernia repair, 3-10cm reducible (10 wRVU)
- 49594 — Anterior hernia repair, 3-10cm strang (13.12 wRVU)
- 49595 — Anterior hernia repair, >10cm reducible (13.59 wRVU)
- 49596 — Anterior hernia repair, >10cm strang (18.2 wRVU)
- 49613 — Recurrent hernia, <3cm reducible (7.23 wRVU)
- 49615 — Recurrent hernia, 3-10cm reducible (11.17 wRVU)
- 49617 — Recurrent hernia, >10cm reducible (15.63 wRVU)
- 49505 — Inguinal hernia repair (7.76 wRVU)
- 49507 — Inguinal hernia repair, strang (8.86 wRVU)
- 49650 — Lap inguinal hernia, initial (6.2 wRVU)
- 49651 — Lap inguinal hernia, recurrent (8.17 wRVU)
- 47562 — Lap cholecystectomy (10.21 wRVU)
- 47563 — Lap chole + cholangiogram (11.18 wRVU)
- 44970 — Lap appendectomy (9.21 wRVU)
- 44950 — Open appendectomy (10.34 wRVU)
- 44960 — Open appy w/ peritonitis (14.14 wRVU)
- 44140 — Open partial colectomy (22.03 wRVU)
- 44143 — Open colectomy w/ end colostomy (27.1 wRVU)
- 44145 — Open colectomy w/ coloproctostomy (27.87 wRVU)
- 44204 — Lap partial colectomy (25.76 wRVU)
- 44205 — Lap colectomy w/ ileocolostomy (22.38 wRVU)
- 44207 — Lap colectomy w/ coloproctostomy (31.12 wRVU)
- 44208 — Lap colectomy w/ colostomy (33.14 wRVU)
- 44160 — Open right hemicolectomy (20.37 wRVU)
- 19120 — Breast lesion excision (5.77 wRVU)
- 19125 — Breast lesion + localization (6.52 wRVU)
- 19301 — Lumpectomy (9.88 wRVU)
- 19303 — Simple mastectomy (14.63 wRVU)
- 19307 — Modified radical mastectomy (17.54 wRVU)
- 43644 — Lap gastric bypass (28.67 wRVU)
- 43775 — Lap sleeve gastrectomy (19.87 wRVU)
- 43770 — Lap gastric band placement (17.55 wRVU)
- 10060 — I&D abscess, simple (1.19 wRVU)
- 10061 — I&D abscess, complicated (2.39 wRVU)
- 10140 — I&D hematoma/seroma (1.54 wRVU)
- 11042 — Debridement subq tissue (0.98 wRVU)
- 11043 — Debridement muscle/fascia (2.63 wRVU)
- 11044 — Debridement bone (4 wRVU)
- 49000 — Exploratory laparotomy (12.23 wRVU)
- 49002 — Reopen recent laparotomy (17.19 wRVU)
- 44180 — Lap lysis of adhesions (14.89 wRVU)
- 46083 — Thrombosed hemorrhoid I&D (1.52 wRVU)
- 46221 — Hemorrhoid banding (1.47 wRVU)
- 46255 — Hemorrhoidectomy, single (3.7 wRVU)
- 46258 — Hemorrhoidectomy + fistulectomy (5.9 wRVU)
- 46260 — Hemorrhoidectomy, 2+ groups (4.24 wRVU)
- 46270 — Fissurectomy + sphincterotomy (3.9 wRVU)
- 46280 — Lateral sphincterotomy (2.81 wRVU)
- 46320 — Extensive hemorrhoid excision (2.01 wRVU)
- 44120 — Open small bowel resection (16.21 wRVU)
- 44130 — Enteroenterostomy (12.86 wRVU)
- 44202 — Lap small bowel resection (17.9 wRVU)
- 43280 — Lap Nissen fundoplication (13.62 wRVU)
- 43281 — Lap paraesophageal hernia rpr (15.28 wRVU)
- 43631 — Distal gastrectomy (20.48 wRVU)
- 43634 — Total gastrectomy (28.89 wRVU)
- 36555 — Central line, non-tunneled <5y (2.5 wRVU)
- 36556 — Central line, non-tunneled 5y+ (2.2 wRVU)
- 36558 — Tunneled central line (3.22 wRVU)
- 36561 — Implantable port insertion (3.41 wRVU)
- 36569 — PICC line insertion (1.94 wRVU)
- 38100 — Open splenectomy (14.67 wRVU)
- 38120 — Lap splenectomy (12.71 wRVU)
- 19081 — Breast bx, stereotactic (3.08 wRVU)
- 19083 — Breast bx, US-guided (2.6 wRVU)
- 19298 — Breast localization device (1.52 wRVU)
- 38525 — Deep lymph node biopsy (5.92 wRVU)
- 38900 — Sentinel lymph node mapping (1.86 wRVU)
- 10180 — I&D post-op wound infection (3.4 wRVU)
- 12001 — Simple repair ≤2.5cm (1.14 wRVU)
- 12002 — Simple repair 2.6-7.5cm (1.47 wRVU)
- 47600 — Open cholecystectomy (15.29 wRVU)
- 47564 — Lap chole + CBD exploration (16.47 wRVU)
- 49320 — Diagnostic laparoscopy (5.13 wRVU)
- 49321 — Lap with biopsy (5.89 wRVU)
- 44310 — Ileostomy/jejunostomy (12.86 wRVU)
- 44340 — Colostomy revision, simple (8 wRVU)
- 44620 — Enterostomy closure (14.09 wRVU)
- 44188 — Lap colostomy (11.07 wRVU)
- 44150 — Open total colectomy (26.42 wRVU)
- 44210 — Lap total colectomy (31.54 wRVU)
- 45111 — Partial proctectomy (13.26 wRVU)
- 45395 — Lap proctectomy (33.14 wRVU)
- 38500 — Superficial LN biopsy, open (2.67 wRVU)
- 38510 — Deep cervical LN biopsy (5.92 wRVU)
- 11400 — Excision benign ≤0.5cm (0.93 wRVU)
- 11402 — Excision benign 1.1-2cm (1.3 wRVU)
- 11406 — Excision benign >4cm (2.33 wRVU)
- 11600 — Excision malig ≤0.5cm (1.14 wRVU)
- 11602 — Excision malig 1.1-2cm (1.6 wRVU)
- 11606 — Excision malig >4cm (2.94 wRVU)
- 21552 — Soft tissue tumor, subQ 3cm+ (3.81 wRVU)
- 43830 — Open gastrostomy (7.31 wRVU)
- 43653 — Lap gastrostomy (7.31 wRVU)
- 43239 — EGD with biopsy (2.33 wRVU)
- 47100 — Liver wedge biopsy (4.24 wRVU)
- 47120 — Partial hepatectomy (24.12 wRVU)
- 47125 — Left hepatectomy (28.89 wRVU)
- 46040 — I&D perirectal abscess (3.9 wRVU)
- 46060 — I&D deep perirectal abscess (5.61 wRVU)
- 46200 — Fissurectomy, open (2.33 wRVU)
- 46275 — Fistulotomy, subcutaneous (3.24 wRVU)
- 46285 — Fistulotomy, complex (6.24 wRVU)
- 46750 — Anal sphincteroplasty (8.86 wRVU)
- 60220 — Thyroid lobectomy (10.91 wRVU)
- 60240 — Total thyroidectomy (14.66 wRVU)
- 60252 — Thyroidectomy + neck dissect (21.46 wRVU)
- 60270 — Subtotal thyroidectomy (10.91 wRVU)
- 60540 — Open adrenalectomy (18 wRVU)
- 60650 — Lap adrenalectomy (18.8 wRVU)
- 48150 — Whipple procedure (44.93 wRVU)
- 48140 — Distal pancreatectomy (22.94 wRVU)
- 48120 — Pancreas lesion excision (18.2 wRVU)