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MGMA median benchmark: 4,800 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)
- 99218 — Initial observation, low (1.92 wRVU)
- 99219 — Initial observation, moderate (2.61 wRVU)
- 99220 — Initial observation, high (3.86 wRVU)
- 99224 — Subsequent observation, low (0.76 wRVU)
- 99225 — Subsequent observation, moderate (1.39 wRVU)
- 99226 — Subsequent observation, high (2 wRVU)
- 99354 — Prolonged service, first hr (2.1 wRVU)
- 99355 — Prolonged service, addl 30 min (1 wRVU)
- 99356 — Prolonged inpatient, first hr (2.1 wRVU)
- 99357 — Prolonged inpatient, addl 30 min (1 wRVU)
Internal Medicine / Hospitalist Procedure Codes
- 36556 — Central line insertion (2.5 wRVU)
- 36620 — Arterial line placement (1.27 wRVU)
- 62270 — Lumbar puncture (1.9 wRVU)
- 49083 — Paracentesis (1.77 wRVU)
- 32555 — Thoracentesis w/ imaging (2.21 wRVU)
- 32554 — Thoracentesis w/o imaging (1.77 wRVU)
- 20610 — Joint aspiration/injection (1.13 wRVU)
- 31500 — Emergency intubation (2.44 wRVU)
- 36410 — Venipuncture (physician) (0.3 wRVU)
- 99495 — TCM, moderate (2.78 wRVU)
- 99496 — TCM, high (3.79 wRVU)
- 99490 — Chronic care mgmt, 20 min (0.61 wRVU)
- 99491 — Chronic care mgmt, 30 min (1.36 wRVU)
- 99497 — Advance care planning (1.5 wRVU)
- 99498 — Advance care planning, addl (1.4 wRVU)
- 99151 — Moderate sedation, first 15 min (0.98 wRVU)
- 99152 — Moderate sedation, 5+, first 15 min (0.72 wRVU)
- 99153 — Moderate sedation, addl 15 min (0.5 wRVU)
- 10060 — I&D abscess, simple (1.22 wRVU)
- 10061 — I&D abscess, complicated (2.65 wRVU)
- 38222 — Bone marrow biopsy (1.82 wRVU)
- 38220 — Bone marrow aspiration (1.28 wRVU)