Work (wRVU) and Total (tRVU) List For Hospitalist E/M CPT® Codes.

UPDATE:  2011-2013 work RVU (wRVU) and total (tRVU) now included.  A reader asked me if I could explain what the most common hospitalist evaluation and management (E/M) codes were and provide a list of their RVU values.  Here is the question:  I recently found your website and love it.  I am finishing up my last few months of residency and starting as a Hospitalist July 1.  I was just curious if you could send a revised list of the most common RVUs used on a day to day basis.  Have they changed since Nov 2010?  I am having to learn all inpatient billing/coding/RVU on my own and I've learned a ton from your site.  I still have 4 months to learn as much as I can before actually start handing in my charges.  I was also wondering if you could email or send me a link to your card thing you carry around that lets you add up point for decision making.  Thanks for creating your site.

Below is an updated  list of the most common evaluation and management CPT® codes you will use and the RVU value (work and total) for each code in hospitalist medicine.  Make sure to review the AMA's authority on codes with their publication  CPT 2014 Standard Edition available below and to the right from Amazon.  While I did provide an updated table, the changes are minimal, mostly involving minor  changes in the practice expense component of the RVU total.

Remember,  your progress notes will be filled with ICD codes that represent your diagnosis.  You link the ICD codes to your E/M  CPT® code as I have listed  below in the tables.  The CPT® codes are the E/M codes.  Each E/M code is worth a specific number of total relative value units (RVUs).  The total RVU for each E/M code (CPT® code) is a sum of the workRVU + malpractice RVU + practice expense RVU.

There are published hospitalist benchmarks with regards to RVU embedded in the 2010 SHM/MGMA hospitalist salary and compensation survey.  This information is sure to  give you a great sense of what you are worth in the market place.  If  your income is  dependent on production, many programs will use work RVU as their marker of productivity.  You want an apples to apples comparison between programs.  Make sure you understand what you're reading in  your contract.    You want to know if your productivity benchmarks are in total RVUs or work RVUs, because there is a huge difference in these values.  

With that said, here are your tables of  values for the most commonly used E/M hospitalist CPT® codes and their RVU values, both total RVU (tRVU) and work RVU (wRVU).  I have reviewed the RVU values for 2013 and the few changes are highlighted in yellow below. They are essentially no changes, but   I have updated the 2012 table to include 2013 changes as well.  You can also look up any CPT® code on the CMS website, complete with RVU value and dollar value for any locality.  Just go to this link and you can search any CPt® code you desire.  Call it an RVU calculator if you'd like.   This table has been fully updated as of February, 2014 to show updates in the tRVU values for most CPT® codes.  

CPT® description   2012-2014 TABLE CPT® wRVU tRVU
low level in-patient admit
UPDATE 2014
99221

1.92

2.86
2.85
mid level in-patient admit
UPDATE 2014
99222

2.61

3.96
3.87
high level in-patient admit
UPDATE 2014
99223

3.86

5.82
5.70
low level observation admit
UPDATE 2014
99218

1.92

2.85
2.78
mid level observation admit
UPDATE 2014
99219

2.60

3.90
3.80
high level observation admit
UPDATE 2014
99220

3.56

5.32
5.20
low level admit/dc same date
UPDATE 2014
99234

2.56

3.88
3.79
mid level admit/dc same date
2013 UPDATE                  2014UPDATE
99235

3.24

4.86
4.83         4.74
high level admit/dc same date
2013 UPDATE                     2014 UPDATE
99236

4.20

6.27
6.24         6.12
low level in-patient consult
No CMS updates are available
99253

2.27

3.26

mid level in-patient consult 
No CMS updates are available
99254

3.29

4.70

high level in-patient consult
No CMS updates are available
99255

4.0

5.68

low level in-patient follow-up
UPDATE 2014
99231

0.76

1.13
1.10
mid level in-patient follow-up
UPDATE 2014
99232

1.39

2.07
2.02
high level in-patient follow-up
UPDATE 2014
99233

2.0

2.97
2.91
low level observation follow-up
2014 UPDATE
99224

0.76

1.14
1.12
mid level observation  follow-up
2014 UPDATE
99225

1.39

2.06
2.03
high level observation follow-up
2014 UPDATE
99226

2.0

2.96
2.93
<30 minutes in-patient discharge
UPDATE 2014
99238

1.28

2.07
2.03
>30 minutes in-patient discharge
UPDATE 2014
99239

1.9

3.07
3.00
mid level established outpatient follow-up
UPDATE 2014
99213

0.97

1.46 (fac) 1.44
2.14 (nonfac) 2.04
>mid-high level established outpatient follow-up
UPDATE 2014
99214

1.5

2.25 (fac) 2.21
3.14 (nonfac) 3.01
>high level established outpatient follow-up
2014 UPDATE
99215

2.11

3.13 (fac)       3.11
4.20 (nonfac)  4.03
observation discharge
2014 UPDATE
99217

1.28

2.08
2.03
critical care initial
UPDATE 2014
99291

4.5

6.42
6.27 (fac) 7.67 (nonfac)
critical care add on
UPDATE 2014
99292

2.25

3.22
3.14 (fac)   3.44 (nonfac)
prolonged service initial in-patient
UPDATE 2014
99356

1.71

2.64
2.58
prolonged service add on in-patient
UPDATE 2014
99357

1.71

2.61
2.56
central line
UPDATE 2014
36556

2.5

3.61
3.51 (fac) 6.63 (nonfac)
paracentesis
UPDATE 2014
49082

1.24

2.05
2.12 (fac) 5.39 (nonfac)
lumbar puncture
UPDATE 2014
62270

1.37

2.29
2.27 (fac) 4.53 (nonfac)
thoracentesis
2014 UPDATES

32554

1.82

2.60    (fac) 5.61(nonfac)
CPR/Resuscitation
UPDATE 2014
92950

4.0

5.39
5.29 (fac) 8.52 (nonfac)
smoking cessation counseling 3-10 min
UPDATE 2014
99406

0.24

0.35
0.34 (fac) 0.39 (nonfac)
smoking cessation counseling > 10 min
UPDATE 2014
99407

0.5

0.74
0.72 (fac) 0.77 (nonfac)
CPT® description  2011 TABLE CPT® wRVU tRVU
low level in-patient admit

99221

1.92

2.86

mid level in-patient admit

99222

2.61

3.89

high level in-patient admit

99223

3.86

5.71

low level observation admit

99218

1.28

1.90

mid level observation admit

99219

2.14

3.17

high level observation admit

99220

2.99

4.43

low level admit/dc same date

99234

2.56

3.88

mid level admit/dc same date

99235

3.41

5.07

high level admit/dc same date

99236

4.26

6.30

low level in-patient consult

99253

2.27

3.26

mid level in-patient consult

99254

3.29

4.70

high level in-patient consult

99255

4.0

5.68

low level in-patient follow-up

99231

0.76

1.13

mid level in-patient follow-up

99232

1.39

2.05

high level in-patient follow-up

99233

2.0

2.94

low level observation follow-up

99224

0.54

0.82

mid level observation  follow-up

99225

0.96

1.45

high level observation follow-up

99226

1.44

2.17

<30 minutes in-patient discharge

99238

1.28

2.04

>30 minutes in-patient discharge

99239

1.9

2.99

observation discharge

99217

1.28

2.04

critical care initial

99291

4.5

6.4

critical care add on

99292

2.25

3.21

prolonged service initial in-patient

99356

1.71

2.57

prolonged service add on in-patient

99357

1.71

2.58

central line

36556

2.5

3.61

paracentesis

49080

1.35

2.05

lumbar puncture

62270

1.37

2.32

thoracentesis

32421

1.54

2.28

CPR/Resuscitation

92950

3.79

5.14

smoking cessation counseling 3-10 min

99406

0.24

0.35

smoking cessation counseling > 10 min

99407

0.5

0.73


Make sure to find all my other resources in my coding lectures and other important data on  hospitalist economics


LINK TO POCKET CODING CARD POST


EM Pocket Reference Cards Using Marshfield Clinic Point Audit



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