Pulmonology / Critical Care wRVU Calculator

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MGMA median benchmark: 6,500 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)

Pulmonology / Critical Care Procedure Codes

• 31622 — Diagnostic bronchoscopy (2.47 wRVU)
• 31623 — Bronchoscopy with brushing (2.56 wRVU)
• 31624 — Bronchoscopy with BAL (2.56 wRVU)
• 31625 — Bronchoscopy with biopsy (3.03 wRVU)
• 31628 — Transbronchial lung biopsy (3.46 wRVU)
• 31629 — Transbronchial needle aspiration (3.66 wRVU)
• 31645 — Bronchoscopy therapeutic aspiration (2.81 wRVU)
• 31652 — EBUS with TBNA, 1st target (4.35 wRVU)
• 31653 — EBUS TBNA, addl target (4.84 wRVU)
• 31627 — Navigational bronchoscopy (1.95 wRVU)
• 32554 — Thoracentesis, w/o imaging (1.77 wRVU)
• 32555 — Thoracentesis, w/ imaging (2.21 wRVU)
• 32551 — Chest tube insertion (2.96 wRVU)
• 32556 — Pleural drain catheter, w/o image (2.44 wRVU)
• 32560 — Pleurodesis (1.5 wRVU)
• 94010 — Spirometry (0.17 wRVU)
• 94060 — Bronchodilator response (0.21 wRVU)
• 94726 — Lung volumes (0.25 wRVU)
• 94729 — DLCO (0.19 wRVU)
• 95810 — Polysomnography interpretation (2.44 wRVU)
• 95811 — Split-night PSG with CPAP (2.54 wRVU)
• 95805 — MSLT / MWT interpretation (1.17 wRVU)
• 31500 — Emergency intubation (2.44 wRVU)
• 31600 — Planned tracheostomy (5.42 wRVU)
• 36556 — Central line insertion (2.5 wRVU)
• 36620 — Arterial line insertion (1.27 wRVU)