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MGMA median benchmark: 4,200 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)
Psychiatry Procedure Codes
- 90791 — Psych diagnostic eval (3 wRVU)
- 90792 — Psych diagnostic eval w/ medical (3.5 wRVU)
- 90832 — Psychotherapy, 30 min (1.51 wRVU)
- 90834 — Psychotherapy, 45 min (2 wRVU)
- 90837 — Psychotherapy, 60 min (2.8 wRVU)
- 90833 — Therapy add-on, 30 min (1.2 wRVU)
- 90836 — Therapy add-on, 45 min (1.62 wRVU)
- 90838 — Therapy add-on, 60 min (2.12 wRVU)
- 90839 — Crisis therapy, first 60 min (3.8 wRVU)
- 90840 — Crisis therapy, addl 30 min (1.9 wRVU)
- 90853 — Group psychotherapy (0.58 wRVU)
- 90870 — ECT, single seizure (2 wRVU)
- 90867 — TMS, initial (1.21 wRVU)
- 90868 — TMS, subsequent (0.7 wRVU)
- 90869 — TMS, re-determination (1.21 wRVU)
- 96130 — Psych testing eval, first hr (1.86 wRVU)
- 96131 — Psych testing eval, addl hr (1.86 wRVU)
- 96136 — Test administration, first 30 min (0.76 wRVU)
- 96137 — Test administration, addl 30 min (0.76 wRVU)
- 99492 — Collab care, initial 70 min (2.73 wRVU)
- 99493 — Collab care, subsequent 60 min (2.2 wRVU)
- 99494 — Collab care, addl 30 min (1.1 wRVU)
- 96156 — Health behavior assessment (1.5 wRVU)
- 96158 — Health behavior intervention, 30 min (0.98 wRVU)
- 96159 — Health behavior intervention, addl 15 (0.49 wRVU)