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MGMA median benchmark: 9,500 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)
Neurosurgery Procedure Codes
- 61510 — Craniotomy, brain tumor, supratentorial (30.06 wRVU)
- 61512 — Craniotomy, meningioma (36.21 wRVU)
- 61518 — Craniotomy, tumor, posterior fossa (38.89 wRVU)
- 61520 — Craniotomy, CPA tumor (55.66 wRVU)
- 61500 — Craniotomy, skull tumor/lesion (18.7 wRVU)
- 61517 — Implant brain chemo agent (1.35 wRVU)
- 61312 — Craniotomy, hematoma, supratentorial (29.42 wRVU)
- 61313 — Craniotomy, intracerebral hematoma (27.39 wRVU)
- 61314 — Craniotomy, hematoma, infratentorial (25.25 wRVU)
- 61304 — Craniotomy, exploratory (22.82 wRVU)
- 61154 — Burr hole, hematoma evacuation (16.64 wRVU)
- 61107 — Twist drill hole, subdural (4.87 wRVU)
- 63030 — Lumbar discectomy, single (11.7 wRVU)
- 63035 — Lumbar discectomy, addl level (3.76 wRVU)
- 63020 — Cervical discectomy, single (14.54 wRVU)
- 63047 — Lumbar laminectomy, single (14.99 wRVU)
- 63048 — Lumbar laminectomy, addl level (3.38 wRVU)
- 63045 — Cervical laminectomy, single (17.5 wRVU)
- 63046 — Thoracic laminectomy, single (16.82 wRVU)
- 63040 — Re-exploration laminotomy, cervical (19.8 wRVU)
- 22551 — ACDF, single level (24.38 wRVU)
- 22552 — ACDF, each addl level (6.34 wRVU)
- 22554 — Anterior cervical fusion (17.25 wRVU)
- 22600 — Posterior cervical fusion (16.97 wRVU)
- 22612 — Posterior lumbar fusion, single (22.94 wRVU)
- 22614 — Posterior lumbar fusion, addl level (6.27 wRVU)
- 22630 — PLIF, single level (21.54 wRVU)
- 22632 — PLIF, each addl level (5.09 wRVU)
- 22633 — Combined PLIF/PLF, single (26.13 wRVU)
- 22558 — ALIF, single level (22.94 wRVU)
- 22842 — Posterior instrumentation, 3-6 seg (12.25 wRVU)
- 22853 — Interbody device, anterior (4.14 wRVU)
- 61751 — Stereotactic biopsy, CT/MRI (18.32 wRVU)
- 61781 — Stereotactic navigation, cranial (3.66 wRVU)
- 61863 — Stereotactic neurostimulator implant (20.19 wRVU)
- 62223 — VP shunt creation (13.7 wRVU)
- 62220 — VA shunt creation (13.75 wRVU)
- 62230 — CSF shunt revision (11.14 wRVU)
- 64721 — Carpal tunnel release (4.85 wRVU)
- 64718 — Ulnar nerve transposition, elbow (7.08 wRVU)
- 64719 — Ulnar nerve decompression, wrist (4.85 wRVU)
- 61885 — Neurostimulator generator insert (5.9 wRVU)
- 62165 — Neuroendoscopic pituitary excision (22.65 wRVU)
- 62160 — Neuroendoscopic catheter placement (2.93 wRVU)
- 61710 — Cerebrovascular revision (30.51 wRVU)
- 61624 — Endovascular embolization, CNS (19.5 wRVU)