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MGMA median benchmark: 7,500 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)
Urology Procedure Codes
- 52000 — Diagnostic cysto (1.49 wRVU)
- 52234 — Bladder tumor resection, small (4.5 wRVU)
- 52235 — Bladder tumor resection, medium (5.3 wRVU)
- 52240 — Bladder tumor resection, large (7.31 wRVU)
- 52281 — Urethral dilation (2.68 wRVU)
- 52310 — Stent removal, simple (2.74 wRVU)
- 52315 — Stent removal, complicated (5.07 wRVU)
- 52332 — Ureteral stent placement (2.75 wRVU)
- 52320 — Ureteroscopy (4.57 wRVU)
- 52325 — URS w/ stone frag (6 wRVU)
- 52330 — URS w/ stone manipulation (4.9 wRVU)
- 52351 — Diagnostic URS (5.61 wRVU)
- 52352 — URS w/ stone removal (6.58 wRVU)
- 52353 — URS w/ laser lithotripsy (7.31 wRVU)
- 52354 — URS w/ biopsy/fulguration (7.8 wRVU)
- 52356 — URS w/ lithotripsy + extraction (7.8 wRVU)
- 52601 — TURP (9.75 wRVU)
- 52648 — GreenLight laser prostate (9.8 wRVU)
- 53850 — Prostatic microwave (TUMT) (5.28 wRVU)
- 55710 — Prostate biopsy, MRI-targeted TP (3.81 wRVU)
- 55810 — Radical perineal prostatectomy (23.68 wRVU)
- 55840 — Radical retropubic prostatectomy (20.83 wRVU)
- 55845 — Radical prostatectomy + LND (24.55 wRVU)
- 55866 — Robotic prostatectomy (RALP) (21.9 wRVU)
- 55873 — Prostate cryoablation (13.26 wRVU)
- 55875 — Prostate brachytherapy (13.12 wRVU)
- 50060 — Open nephrolithotomy (20.43 wRVU)
- 50080 — PCNL (12.1 wRVU)
- 50200 — Renal biopsy (2.32 wRVU)
- 50230 — Open radical nephrectomy (23.21 wRVU)
- 50543 — Robotic partial nephrectomy (26.72 wRVU)
- 50545 — Robotic radical nephrectomy (24.43 wRVU)
- 50548 — Robotic nephroureterectomy (24.73 wRVU)
- 50590 — ESWL (9.53 wRVU)
- 54150 — Neonatal circumcision (1.85 wRVU)
- 54161 — Circumcision, older child/adult (3.24 wRVU)
- 54520 — Simple orchiectomy (5.17 wRVU)
- 54530 — Radical orchiectomy (8.25 wRVU)
- 54690 — Laparoscopic orchiectomy (11.41 wRVU)
- 55040 — Hydrocelectomy (5.31 wRVU)
- 55250 — Vasectomy (3.29 wRVU)
- 55400 — Vasectomy reversal (8.39 wRVU)
- 55530 — Varicocelectomy, abdominal (5.61 wRVU)
- 55540 — Varicocelectomy, inguinal (8.09 wRVU)
- 51702 — Foley catheter insertion (0.49 wRVU)
- 51992 — Laparoscopic sling (14.5 wRVU)
- 54405 — Penile prosthesis (inflatable) (14.16 wRVU)
- 52005 — Cysto w/ ureteral cath (2.57 wRVU)
- 52204 — Cysto w/ bladder biopsy (2.27 wRVU)
- 52214 — Cysto w/ fulguration trigone (2.94 wRVU)
- 52283 — Cysto w/ steroid injection (2.67 wRVU)
- 52287 — Cysto w/ bladder Botox (2.93 wRVU)
- 51725 — Simple CMG (0.69 wRVU)
- 51726 — Complex CMG w/ voiding study (1.96 wRVU)
- 51727 — CMG w/ urethral pressure (2.26 wRVU)
- 51741 — Complex uroflowmetry (0.76 wRVU)
- 51784 — EMG sphincter, needle (0.52 wRVU)
- 51797 — Voiding pressure study (0.68 wRVU)
- 51570 — Partial cystectomy (19.07 wRVU)
- 51575 — Partial cystectomy + reimplant (22.36 wRVU)
- 51585 — Radical cystectomy, female (31.18 wRVU)
- 51595 — Radical cystectomy + conduit (37.04 wRVU)
- 51596 — Radical cystectomy + continent (45 wRVU)
- 50081 — PCNL, >2cm (15.37 wRVU)
- 50220 — Open simple nephrectomy (16.64 wRVU)
- 50234 — Open nephroureterectomy (18 wRVU)
- 50432 — Perc nephrostomy placement (4.12 wRVU)
- 50433 — Perc nephroureteral cath (5.13 wRVU)
- 50693 — Stent via nephrostomy (2.98 wRVU)
- 54600 — Testicular detorsion (5.4 wRVU)
- 54640 — Orchiopexy, inguinal (7.7 wRVU)
- 55060 — Hydrocele repair, TV (5.31 wRVU)
- 55110 — Scrotal exploration (5.99 wRVU)
- 51715 — Urethral bulking injection (3.9 wRVU)
- 53260 — Urethral polyp excision (2.57 wRVU)
- 53440 — Male urethral sling (12.03 wRVU)
- 53447 — Artificial urinary sphincter (14.5 wRVU)
- 52001 — Cysto w/ clot evacuation (2.17 wRVU)
- 52276 — Cysto w/ DVIU (4.5 wRVU)
- 52500 — TURBN (6.4 wRVU)
- 52441 — UroLift implant (4.76 wRVU)
- 52442 — UroLift add-on (1.5 wRVU)
- 0582T — Rezum water vapor (4.88 wRVU)
- 50390 — Renal cyst aspiration (1.85 wRVU)
- 50240 — Open partial nephrectomy (22.47 wRVU)
- 50541 — Lap renal ablation (16.39 wRVU)
- 50592 — Perc renal RF ablation (8.98 wRVU)
- 50593 — Perc renal cryoablation (8.98 wRVU)
- 54860 — Epididymectomy (6.18 wRVU)
- 54840 — Spermatocele excision (5.61 wRVU)
- 55175 — Scrotoplasty, simple (3.38 wRVU)
- 54670 — Orchiopexy for torsion (5.4 wRVU)
- 51050 — Open bladder stone removal (8.86 wRVU)
- 52317 — Bladder stone litholapaxy (4.57 wRVU)
- 52318 — Large bladder stone litholapaxy (5.61 wRVU)
- 55200 — Vasotomy for vasogram (3.22 wRVU)
- 55500 — Spermatic cord hydrocele excision (5.31 wRVU)
- 54800 — Epididymis needle biopsy (1.42 wRVU)
- 54505 — Testis needle biopsy (1.42 wRVU)
- 53020 — Meatotomy (1.55 wRVU)
- 53431 — Urethroplasty, 1st stage (14.5 wRVU)
- 53410 — Urethroplasty, one-stage (10.88 wRVU)