This information is obtained from the Medicare Physician Fee Schedule (MPFS) and third party sources[1][2] for work Relative Value Units (wRVUs) for CPT® (Current Procedural Terminology) E/M (evaluation and management) billing codes. Please be aware that there seems to be variability in the content publicly available. Suggestions for additional resources are welcome.
Inpatient
E/M billing code
|
Service
|
wRVU
|
Time billing
|
99221
|
Initial hospital level care, level 1, straightforward/low medical decision making
|
|
30 minutes
|
99222
|
Initial hospital level care, level 2, moderate medical decision making
|
|
50 minutes
|
99223
|
Initial hospital level care, level 3, high medical decision making
|
|
70 minutes
|
99231
|
Subsequent hospital care, level 1, straightforward/low medical decision making
|
|
15 minutes
|
99232
|
Subsequent hospital care, level 2, moderate medical decision making
|
|
25 minutes
|
99233
|
Subsequent hospital care, level 3, high medical decision making
|
|
35 minutes
|
99251
|
Inpatient initial consultation, level 1, straightforward medical decision making
|
|
20 minutes
|
99252
|
Inpatient initial consultation, level 2, straightforward medical decision making
|
|
40 minutes
|
99253
|
Inpatient initial consultation, level 3, low medical decision making
|
|
55 minutes
|
99254
|
Inpatient initial consultation, level 4, moderate medical decision making
|
|
80 minutes
|
99255
|
Inpatient initial consultation, level 5, high medical decision making
|
|
110 minutes
|
99238
|
Inpatient discharge day management, up to 30 minutes
|
|
≤30 minutes
|
99239
|
Inpatient discharge day management, over 30 minutes
|
|
>30 minutes
|
Outpatient
E/M billing code
|
Service
|
wRVU
|
Time billing
|
99201
|
Office visit, new patient, level 1, straightforward medical decision making
|
|
10 minutes
|
99202
|
Office visit, new patient, level 2, straightforward medical decision making
|
|
20 minutes
|
99203
|
Office visit, new patient, level 3, low medical decision making
|
|
30 minutes
|
99204
|
Office visit, new patient, level 4, moderate medical decision making
|
|
45 minutes
|
99205
|
Office visit, new patient, level 5, high medical decision making
|
|
60 minutes
|
99212
|
Office visit, established patient, level 2, straightforward medical decision making
|
|
10 minutes
|
99213
|
Office visit, established patient, level 3, low medical decision making
|
|
15 minutes
|
99214
|
Office visit, established patient, level 4, moderate medical decision making
|
|
25 minutes
|
99215
|
Office visit, established patient, level 5, high medical decision making
|
|
40 minutes
|
99241
|
Office visit, new consult, level 1, straightforward medical decision making
|
|
15 minutes
|
99242
|
Office visit, new consult, level 2, straightforward medical decision making
|
|
30 minutes
|
99243
|
Office visit, new consult, level 3, low medical decision making
|
|
40 minutes
|
99244
|
Office visit, new consult, level 4, moderate medical decision making
|
|
60 minutes
|
99245
|
Office visit, new consult, level 5, high medical decision making
|
|
80 minutes
|
Observation
E/M billing code
|
Service
|
wRVU
|
Time billing
|
99218
|
Initial observation care, level 1, straightforward/low medical decision making
|
|
|
99219
|
Initial observation care, level 2, moderate medical decision making
|
|
|
99220
|
Initial observation care, level 3, high medical decision making
|
|
|
99224
|
Subsequent observation care, level 1, straightforward/low medical decision making
|
|
|
99225
|
Subsequent observation care, level 2, moderate medical decision making
|
|
|
99226
|
Subsequent observation care, level 3, high medical decision making
|
|
|
99217
|
Observation discharge day management
|
|
|
Procedures
E/M billing code
|
Service
|
wRVU
|
38220
|
Bone marrow aspiration
|
|
38221
|
Bone marrow biopsy
|
|
References