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MGMA median benchmark: 10,200 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)
Interventional Cardiology Procedure Codes
- 93451 — Right heart cath (2.41 wRVU)
- 93452 — LHC with ventriculography (4.39 wRVU)
- 93453 — R&L HC w/ ventriculography (5.84 wRVU)
- 93454 — Coronary angiogram (4.43 wRVU)
- 93455 — Coronary + graft angiogram (5.16 wRVU)
- 93456 — RHC + coronary angiogram (5.75 wRVU)
- 93457 — RHC + coronary + graft angio (6.47 wRVU)
- 93458 — LHC + coronary angio (5.46 wRVU)
- 93459 — LHC + coronary + graft angio (6.19 wRVU)
- 93460 — R&L HC + coronary angio (6.92 wRVU)
- 93461 — R&L HC + coronary + graft angio (7.65 wRVU)
- 93462 — LHC transseptal (3.64 wRVU)
- 93463 — Drug admin w/ hemodynamics (1.95 wRVU)
- 93464 — Exercise w/ hemodynamics (1.76 wRVU)
- 92920 — PTCA single artery (8.14 wRVU)
- 92924 — Coronary atherectomy (9.88 wRVU)
- 92928 — Coronary stent (9.75 wRVU)
- 92933 — Coronary atherectomy + stent (11.64 wRVU)
- 92937 — PCI of bypass graft (11.02 wRVU)
- 92941 — PCI for AMI (12.4 wRVU)
- 92943 — PCI for CTO (13.35 wRVU)
- 92973 — Mechanical thrombectomy (1.71 wRVU)
- 92974 — Coronary brachytherapy cath (2.93 wRVU)
- 92978 — IVUS/OCT, first vessel (1.76 wRVU)
- 92979 — IVUS/OCT, addl vessel (1.4 wRVU)
- 93571 — FFR, first vessel (1.76 wRVU)
- 93572 — FFR, addl vessel (1.4 wRVU)
- 33361 — TAVR, percutaneous (21.91 wRVU)
- 92986 — Aortic valvuloplasty (22.04 wRVU)
- 93580 — ASD / PFO closure (17.52 wRVU)
- 33340 — LAA closure (Watchman) (9.99 wRVU)
- 93590 — Mitral paravalvular leak closure (21.16 wRVU)
- 93591 — Aortic paravalvular leak closure (17.52 wRVU)
- 93505 — Endomyocardial biopsy (4.02 wRVU)
- 92960 — External cardioversion (1.95 wRVU)
- 33362 — TAVR, open femoral (22.91 wRVU)
- 33363 — TAVR, transapical (27.06 wRVU)
- 33364 — TAVR, open iliac (24.38 wRVU)
- 33418 — MitraClip (21.16 wRVU)
- 33477 — Transcatheter pulmonary valve (20.13 wRVU)
- 92987 — Mitral valvuloplasty (22.04 wRVU)
- 33206 — Pacemaker, atrial (7.65 wRVU)
- 33207 — Pacemaker, ventricular (7.65 wRVU)
- 33208 — Pacemaker, dual chamber (8.97 wRVU)
- 33249 — ICD insertion (12.83 wRVU)
- 33262 — ICD generator replacement (7.31 wRVU)
- 33263 — ICD generator replace, dual (8.53 wRVU)
- 33285 — Implantable loop recorder (2.1 wRVU)
- 33233 — Pacemaker generator removal (3.38 wRVU)
- 33234 — Pacemaker lead removal (6.92 wRVU)
- 33241 — ICD generator removal (4 wRVU)
- 93306 — TTE complete w/ Doppler (1.5 wRVU)
- 93312 — TEE, real-time (2.73 wRVU)
- 93313 — TEE monitoring (2.03 wRVU)
- 93320 — Doppler echo (add-on) (0.36 wRVU)
- 37220 — Iliac angioplasty (7.75 wRVU)
- 37221 — Iliac stent (10.07 wRVU)
- 37224 — Fem/pop angioplasty (7.75 wRVU)
- 37226 — Fem/pop atherectomy (9.38 wRVU)
- 37228 — Tibial/peroneal angioplasty (8.53 wRVU)
- 92961 — Internal cardioversion (3.64 wRVU)
- 93567 — Aortography injection (0.39 wRVU)
- 93568 — Pulmonary angiography inject (0.39 wRVU)
- 93600 — His bundle recording (2.41 wRVU)
- 93619 — Comprehensive EP study (7.65 wRVU)
- 93620 — EP study w/ LA pacing (9.75 wRVU)
- 93653 — SVT ablation (14.3 wRVU)
- 93654 — VT ablation (17.52 wRVU)
- 93656 — AFib ablation (17.52 wRVU)
- 93657 — Additional ablation (add-on) (3.64 wRVU)
- 93650 — AV node ablation (7.65 wRVU)
- 93655 — Additional arrhythmia ablation (4.39 wRVU)
- 93613 — 3D EP mapping (add-on) (3.64 wRVU)
- 93621 — EP study AV/His evaluation (2.41 wRVU)
- 93623 — Drug challenge EP (add-on) (1.76 wRVU)
- 33274 — Leadless pacemaker (Micra) (8.97 wRVU)
- 33275 — Leadless pacemaker removal (8.97 wRVU)
- 33289 — S-ICD insertion (11.64 wRVU)
- 33264 — ICD generator replace, multi (9.75 wRVU)
- 33225 — CRT LV lead (add-on) (4.39 wRVU)
- 33224 — CRT-D LV lead (add-on) (4.39 wRVU)
- 33228 — Pacemaker upgrade to CRT (8.97 wRVU)
- 33230 — ICD generator w/ existing leads (7.31 wRVU)
- 33244 — ICD lead extraction (12.83 wRVU)
- 33235 — Pacemaker lead extraction, dual (9.75 wRVU)
- 33236 — Lead removal via thoracotomy (18.8 wRVU)
- 92921 — PTCA add-on branch (3.64 wRVU)
- 92929 — Coronary stent add-on branch (4.39 wRVU)
- 92925 — Coronary atherectomy add-on (4.39 wRVU)
- 33419 — MitraClip additional device (3.64 wRVU)
- 33741 — Balloon atrial septostomy (7.65 wRVU)
- 93582 — VSD closure (21.16 wRVU)
- 93503 — Swan-Ganz placement (2.41 wRVU)
- 93799 — Unlisted CV procedure (0 wRVU)
- 93015 — Stress test (exercise) (0.75 wRVU)
- 93350 — Stress echocardiogram (0.92 wRVU)
- 93351 — Stress echo, complete (1.5 wRVU)
- 78452 — Nuclear stress test (SPECT) (1.56 wRVU)
- 93228 — Mobile cardiac telemetry (0.52 wRVU)
- 37222 — Iliac angioplasty, addl (3.64 wRVU)
- 37223 — Iliac stent, addl (5.09 wRVU)