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Medicare fee schedule

RVU & Medicare payment reference (2026)

National work RVUs and Medicare Physician Fee Schedule payments for commonly billed codes, from the CMS 2026 relative value file. Payments below use the standard $33.4009 conversion factor, non-facility setting. For any other code, locality, or setting, use the RVU calculator.

Office & outpatient visits

Code Service Work RVU Total RVUs National payment
99202 Office visit, new patient, level 2 (straightforward, 15-29 min) 0.93 2.25 $75.15
99203 Office visit, new patient, level 3 (low complexity, 30-44 min) 1.60 3.52 $117.57
99204 Office visit, new patient, level 4 (moderate complexity, 45-59 min) 2.60 5.31 $177.36
99205 Office visit, new patient, level 5 (high complexity, 60-74 min) 3.50 7.09 $236.81
99211 Office visit, established patient, level 1 (minimal, staff-level) 0.18 0.73 $24.38
99212 Office visit, established patient, level 2 (straightforward, 10-19 min) 0.70 1.78 $59.45
99213 Office visit, established patient, level 3 (low complexity, 20-29 min) 1.30 2.85 $95.19
99214 Office visit, established patient, level 4 (moderate complexity, 30-39 min) 1.92 4.06 $135.61
99215 Office visit, established patient, level 5 (high complexity, 40-54 min) 2.80 5.76 $192.39
G2212 Medicare prolonged visit add-on, each additional 15 minutes 0.61 1.02 $34.07
G2211 Medicare add-on for visit complexity in continuing, longitudinal care 0.33 0.52 $17.37

Hospital inpatient & observation

Code Service Work RVU Total RVUs National payment
99221 Initial hospital or observation visit, level 1 1.63 2.23 $74.48
99222 Initial hospital or observation visit, level 2 2.60 3.50 $116.90
99223 Initial hospital or observation visit, level 3 3.50 4.68 $156.32
99231 Subsequent hospital or observation visit, level 1 1.00 1.32 $44.09
99232 Subsequent hospital or observation visit, level 2 1.59 2.11 $70.48
99233 Subsequent hospital or observation visit, level 3 2.40 3.20 $106.88
99238 Hospital discharge management, 30 minutes or less 1.50 2.24 $74.82
99239 Hospital discharge management, more than 30 minutes 2.15 3.19 $106.55

Emergency department & critical care

Code Service Work RVU Total RVUs National payment
99281 Emergency department visit, level 1 0.25 0.33 $11.02
99282 Emergency department visit, level 2 0.93 1.21 $40.42
99283 Emergency department visit, level 3 1.60 2.08 $69.47
99284 Emergency department visit, level 4 2.74 3.54 $118.24
99285 Emergency department visit, level 5 4.00 5.13 $171.35
99291 Critical care, first 30-74 minutes 4.50 9.25 $308.96
99292 Critical care, each additional 30 minutes 2.25 4.01 $133.94

Nursing facility & home visits

Code Service Work RVU Total RVUs National payment
99304 Initial nursing facility visit, level 1 1.50 2.43 $81.16
99305 Initial nursing facility visit, level 2 2.50 4.22 $140.95
99306 Initial nursing facility visit, level 3 3.50 5.78 $193.06
99307 Subsequent nursing facility visit, level 1 0.70 1.26 $42.09
99308 Subsequent nursing facility visit, level 2 1.30 2.36 $78.83
99309 Subsequent nursing facility visit, level 3 1.92 3.43 $114.57
99310 Subsequent nursing facility visit, level 4 2.80 4.89 $163.33
99315 Nursing facility discharge management, 30 minutes or less 1.50 2.57 $85.84
99316 Nursing facility discharge management, more than 30 minutes 2.50 4.14 $138.28
99341 Home or residence visit, new patient, level 1 1.00 1.47 $49.10
99342 Home or residence visit, new patient, level 2 1.65 2.36 $78.83
99344 Home or residence visit, new patient, level 4 2.87 4.39 $146.63
99345 Home or residence visit, new patient, level 5 3.88 6.29 $210.09
99347 Home or residence visit, established patient, level 1 0.90 1.38 $46.09
99348 Home or residence visit, established patient, level 2 1.50 2.36 $78.83
99349 Home or residence visit, established patient, level 3 2.44 3.96 $132.27
99350 Home or residence visit, established patient, level 4 3.60 5.78 $193.06

Preventive & Medicare wellness

Code Service Work RVU Total RVUs National payment
G0402 Welcome to Medicare preventive visit (once, first 12 months) 2.60 5.23 $174.69
G0438 Medicare annual wellness visit, initial 2.60 5.22 $174.35
G0439 Medicare annual wellness visit, subsequent 1.92 4.12 $137.61

Psychiatry & psychotherapy

Code Service Work RVU Total RVUs National payment
90791 Psychiatric diagnostic evaluation, no medical services 3.84 5.19 $173.35
90792 Psychiatric diagnostic evaluation with medical services 4.16 6.05 $202.08
90832 Psychotherapy, 30 minutes 1.94 2.57 $85.84
90833 Psychotherapy 30 minutes, add-on to an E/M visit 1.71 2.44 $81.50
90834 Psychotherapy, 45 minutes 2.56 3.41 $113.90
90836 Psychotherapy 45 minutes, add-on to an E/M visit 2.17 3.09 $103.21
90837 Psychotherapy, 60 minutes 3.78 5.00 $167.00
90838 Psychotherapy 60 minutes, add-on to an E/M visit 2.86 4.09 $136.61
90839 Psychotherapy for crisis, first 60 minutes 3.58 4.80 $160.32
90846 Family psychotherapy without the patient present, 50 minutes 2.74 3.17 $105.88
90847 Family psychotherapy with the patient present, 50 minutes 2.86 3.28 $109.55
90853 Group psychotherapy 0.67 0.91 $30.39
96130 Psychological test evaluation, first hour 2.56 3.71 $123.92
96131 Psychological test evaluation, each additional hour 1.96 2.59 $86.51
96136 Psychological/neuropsychological test administration, first 30 minutes 0.55 1.31 $43.76
96156 Health behavior assessment or re-assessment 2.40 3.22 $107.55
96158 Health behavior intervention, individual, first 30 minutes 1.66 2.21 $73.82

Digital, remote monitoring & care management

Code Service Work RVU Total RVUs National payment
99421 Online digital E/M, 5-10 minutes over 7 days 0.25 0.47 $15.70
99422 Online digital E/M, 11-20 minutes over 7 days 0.50 0.92 $30.73
99423 Online digital E/M, 21+ minutes over 7 days 0.80 1.46 $48.77
98966 Telephone assessment by qualified nonphysician, 5-10 minutes 0.25 0.41 $13.69
98967 Telephone assessment by qualified nonphysician, 11-20 minutes 0.50 0.75 $25.05
98968 Telephone assessment by qualified nonphysician, 21-30 minutes 0.75 1.04 $34.74
99453 Remote physiologic monitoring, setup and patient education 0.00 0.65 $21.71
99454 Remote physiologic monitoring, device supply per 30 days 0.00 1.56 $52.11
99457 Remote physiologic monitoring management, first 20 minutes/month 0.61 1.55 $51.77
99458 Remote physiologic monitoring management, each additional 20 minutes 0.61 1.24 $41.42
98975 Remote therapeutic monitoring, setup and patient education 0.00 0.65 $21.71
98977 Remote therapeutic monitoring, device supply per 30 days (musculoskeletal) 0.00 1.54 $51.44
98980 Remote therapeutic monitoring management, first 20 minutes/month 0.62 1.62 $54.11
98981 Remote therapeutic monitoring management, each additional 20 minutes 0.61 1.24 $41.42
99490 Chronic care management, clinical staff, first 20 minutes/month 1.00 1.98 $66.13
99439 Chronic care management, clinical staff, each additional 20 minutes 0.70 1.51 $50.44
99491 Chronic care management by physician/QHP, first 30 minutes/month 1.50 2.67 $89.18
99495 Transitional care management, moderate complexity (14-day contact) 2.78 6.59 $220.11
99496 Transitional care management, high complexity (7-day contact) 3.79 8.94 $298.60
99484 General behavioral health integration care management, per month 0.93 1.72 $57.45

Injections, infusions & immunizations

Code Service Work RVU Total RVUs National payment
96372 Therapeutic injection, subcutaneous or intramuscular 0.17 0.46 $15.36
96365 IV infusion for therapy, initial hour 0.21 2.01 $67.14
96374 IV push, single or initial drug 0.18 1.13 $37.74
96401 Chemotherapy injection, subcutaneous or intramuscular 0.21 2.15 $71.81
96413 Chemotherapy IV infusion, first hour 0.28 3.99 $133.27
90471 Immunization administration, first vaccine 0.17 0.66 $22.04
90472 Immunization administration, each additional vaccine 0.15 0.48 $16.03
90460 Immunization administration with counseling, under 19, first component 0.23 0.70 $23.38

Common office procedures

Code Service Work RVU Total RVUs National payment
10060 Incision and drainage of abscess, simple 1.19 3.85 $128.59
11102 Skin biopsy, tangential, first lesion 0.64 2.86 $95.53
11104 Skin biopsy, punch, first lesion 0.81 3.63 $121.25
11200 Removal of skin tags, up to 15 0.80 2.76 $92.19
11730 Nail plate avulsion, partial or complete, first 1.02 3.34 $111.56
11042 Debridement, subcutaneous tissue, first 20 sq cm 0.98 3.97 $132.60
12001 Simple wound repair, scalp/trunk/extremities, 2.5 cm or less 0.82 3.41 $113.90
17000 Destruction of premalignant lesion, first 0.59 1.99 $66.47
17003 Destruction of premalignant lesions, 2-14, each 0.04 0.19 $6.35
17110 Destruction of benign lesions, up to 14 0.68 3.33 $111.22
20610 Aspiration or injection of major joint (knee, shoulder, hip) 0.77 2.06 $68.81
20552 Trigger point injection, 1-2 muscles 0.64 1.55 $51.77
69210 Removal of impacted earwax, unilateral 0.59 1.43 $47.76

Physical, occupational & speech therapy

Code Service Work RVU Total RVUs National payment
97161 Physical therapy evaluation, low complexity 1.54 2.93 $97.86
97162 Physical therapy evaluation, moderate complexity 1.54 2.93 $97.86
97163 Physical therapy evaluation, high complexity 1.54 2.93 $97.86
97164 Physical therapy re-evaluation 0.96 2.02 $67.47
97165 Occupational therapy evaluation, low complexity 1.54 3.01 $100.54
97166 Occupational therapy evaluation, moderate complexity 1.54 3.01 $100.54
97167 Occupational therapy evaluation, high complexity 1.54 3.01 $100.54
97110 Therapeutic exercise, each 15 minutes 0.45 0.87 $29.06
97112 Neuromuscular re-education, each 15 minutes 0.50 0.98 $32.73
97116 Gait training, each 15 minutes 0.45 0.87 $29.06
97140 Manual therapy, each 15 minutes 0.43 0.83 $27.72
97530 Therapeutic activities, each 15 minutes 0.44 1.05 $35.07
97535 Self-care and home management training, each 15 minutes 0.45 0.97 $32.40
92507 Speech, language, voice treatment, individual 1.30 2.28 $76.15
92523 Evaluation of speech sound production and language 3.84 6.78 $226.46
92526 Treatment of swallowing or oral feeding function 1.34 2.52 $84.17
98940 Chiropractic manipulation, 1-2 spinal regions 0.45 0.80 $26.72
98941 Chiropractic manipulation, 3-4 spinal regions 0.69 1.15 $38.41
98942 Chiropractic manipulation, 5 spinal regions 0.94 1.49 $49.77
97810 Acupuncture without electrical stimulation, initial 15 minutes 0.61 1.44 $48.10
97811 Acupuncture without electrical stimulation, each additional 15 minutes 0.46 0.85 $28.39
97813 Acupuncture with electrical stimulation, initial 15 minutes 0.74 1.69 $56.45
97814 Acupuncture with electrical stimulation, each additional 15 minutes 0.47 0.86 $28.72

Imaging

Code Service Work RVU Total RVUs National payment
71045 Chest X-ray, single view 0.18 0.76 $25.38
71046 Chest X-ray, 2 views 0.21 0.99 $33.07
70450 CT head/brain without contrast 0.83 3.19 $106.55
70553 MRI brain without and with contrast 2.23 9.49 $316.97
72100 Lumbar spine X-ray, 2-3 views 0.21 1.21 $40.42
72148 MRI lumbar spine without contrast 1.44 5.74 $191.72
73030 Shoulder X-ray, complete 0.18 1.07 $35.74
73721 MRI lower-extremity joint without contrast 1.32 6.12 $204.41
74177 CT abdomen and pelvis with contrast 1.77 8.99 $300.27
76700 Ultrasound, abdomen, complete 0.79 3.42 $114.23
76805 Obstetric ultrasound, after first trimester 0.97 4.07 $135.94
76856 Pelvic ultrasound, complete 0.67 3.15 $105.21
77067 Screening mammography, bilateral 0.74 3.78 $126.26
77066 Diagnostic mammography, bilateral 0.98 4.70 $156.98

Cardiology & vascular

Code Service Work RVU Total RVUs National payment
93000 ECG, 12-lead, with interpretation and report 0.17 0.46 $15.36
93005 ECG, 12-lead, tracing only 0.00 0.21 $7.01
93010 ECG, 12-lead, interpretation and report only 0.17 0.25 $8.35
93306 Echocardiogram, complete, with spectral and color Doppler 1.42 5.89 $196.73
93307 Echocardiogram, complete, without Doppler 0.90 4.13 $137.95
93015 Cardiovascular stress test, complete 0.73 2.20 $73.48
93880 Carotid duplex ultrasound, bilateral 0.78 5.66 $189.05
93970 Venous duplex ultrasound, bilateral 0.68 5.51 $184.04

Endoscopy

Code Service Work RVU Total RVUs National payment
43239 Upper GI endoscopy with biopsy 2.33 12.54 $418.85
45378 Colonoscopy, diagnostic 3.18 11.32 $378.10
45380 Colonoscopy with biopsy 3.47 14.37 $479.97
45385 Colonoscopy with snare polypectomy 4.46 14.97 $500.01
G0121 Screening colonoscopy, not high risk (Medicare) 3.18 11.33 $378.43
G0105 Screening colonoscopy, high risk (Medicare) 3.18 11.32 $378.10
52000 Cystourethroscopy, diagnostic 1.49 6.46 $215.77

Eye & ear

Code Service Work RVU Total RVUs National payment
92002 Eye exam, new patient, intermediate 0.88 2.54 $84.84
92004 Eye exam, new patient, comprehensive 1.82 4.48 $149.64
92012 Eye exam, established patient, intermediate 0.92 2.71 $90.52
92014 Eye exam, established patient, comprehensive 1.42 3.81 $127.26
92083 Visual field examination, extended 0.49 1.91 $63.80
92134 Optical coherence tomography (OCT), retina 0.31 0.98 $32.73
66984 Cataract removal with intraocular lens insertion 7.17 13.85 $462.60
92557 Comprehensive hearing test (audiometry) 0.60 1.07 $35.74

Common surgery & pain management

Code Service Work RVU Total RVUs National payment
29881 Knee arthroscopy with meniscectomy 6.85 15.44 $515.71
27447 Total knee arthroplasty (knee replacement) 19.11 34.71 $1,159.35
27130 Total hip arthroplasty (hip replacement) 19.11 34.79 $1,162.02
47562 Laparoscopic cholecystectomy (gallbladder removal) 10.21 18.92 $631.95
49505 Open repair of inguinal hernia, initial 7.76 15.21 $508.03
19120 Excision of breast lesion 5.77 17.16 $573.16
63030 Lumbar discectomy, single level 11.70 26.89 $898.15
62323 Lumbar/caudal epidural injection with imaging guidance 1.76 8.18 $273.22
64483 Transforaminal epidural injection, lumbar/sacral, first level 1.85 7.93 $264.87
64493 Facet joint injection, lumbar/sacral, first level 1.48 5.70 $190.39
59400 Vaginal delivery with antepartum and postpartum care 37.00 66.30 $2,214.48

Other diagnostics

Code Service Work RVU Total RVUs National payment
88305 Surgical pathology, gross and microscopic exam, level IV 0.73 2.10 $70.14
95810 Sleep study (polysomnography), attended, 6+ parameters 2.44 20.17 $673.70
95004 Allergy skin tests, percutaneous, per test 0.01 0.11 $3.67
94010 Spirometry 0.17 0.89 $29.73
94060 Spirometry before and after bronchodilator 0.21 1.30 $43.42

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service descriptions are original plain-English summaries, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association.