Total RVU and work RVU for PM&R and Pain Management Clinics in 2014

2
22508

The Pain Source RVU numbers logoBelow is a list of the most common CPT codes (procedure codes) and there assigned relative value units (RVU) and work RVU used in a PM&R and interventional pain management clinic.   These have all been updated for the 2014 changes from the Centers for Medicare and Medicaid Services (CMS).  The data below is compiled from this CMS website.

Here is also a great collection of most CMS (Medicare) pain & spine physician payment rates for 2015 (compiled by ASIPP – American Society of Interventional Pain Physicians).  Link

Here is a PDF version of the below table

2014 CPT and RVU numbers

CPT code

Description

Work RVU

Total RVU

99201

Office/outpatient visit new

0.48

1.21

99202

Office/outpatient visit new

0.93

2.08

99203

Office/outpatient visit new

1.42

3.02

99204

Office/outpatient visit new

2.43

4.64

99205

Office/outpatient visit new

3.17

5.78

99211

Office/outpatient visit established

0.18

0.56

99212

Office/outpatient visit established

0.48

1.22

99213

Office/outpatient visit established

0.97

2.04

99214

Office/outpatient visit established

1.5

3.01

99215

Office/outpatient visit established

2.11

4.03

99241

Office consultation

0.64

1.37

99242

Office consultation

1.34

2.57

99243

Office consultation

1.88

3.51

99244

Office consultation

3.02

5.19

99245

Office consultation

3.77

6.35

Joints / Bursa / Muscle / Nerve / Other

20526

Carpal tunnel

0.94

2.15

20550

Tendon sheath or ligament

0.75

1.65

20551

Tendon origin/insertion

0.75

1.71

20552

Trigger point, 1-2 muscles

0.66

1.56

20553

Trigger point, 3+ muscles

0.75

1.80

96372

Injection – intramuscular

0.17

0.70

20600

Minor joint/bursa

0.66

1.35

20605

Intermediate joint/bursa

0.68

1.41

20610

Major joint/bursa

0.79

1.70

27096

SIJ with fluoro

1.48

4.61

20552

SIJ without fluoro

0.66

1.56

64450

Other peripheral nerve

0.75

2.26

64640

RFA – Sacral lateral branches

1.23

3.78

64420

Intercostal nerve (single)

1.18

3.20

64421

Intercostal nerve (multiple)

1.68

4.34

64510

Stellate ganglion

1.22

3.60

64520

Sympathetic T/L

1.35

5.42

64530

Celiac plexus

1.58

5.42

64405

Greater occipital block

0.94

2.85

77002

Fluoroscopy – non-spinal

0.54

2.88

77003

Fluoroscopy – spinal

0.6

2.54

Spinal Cord Stimulator

63650

SCS trial

7.15

37.67

63685

SCS pulse generator implant

5.19

10.42

63661

SCS lead removal

5.08

16.31

Botox Injections

95874

Needle EMG during chemodenervation

0.37

2.02

64616

Chemodenervation for neck

1.53

3.48

64615

Chemodenervation for face (migraines)

1.85

4.07

64642

Chemodenervation 1 extremity 1-4 ms

1.65

3.95

64643

each additional extremity, 1-4 ms 

1.22

2.60

64644

Chemodenervation, 1 extrem., 5+ ms

1.82

4.51

64645

each additional extremity, 5+ ms

1.39

3.18

Kyphoplasty

22523

Kypho (thoracic) 1st level

9.04

209.01

22524

Kypho (lumbar) 1st level

8.54

207.14

22525

Each additional level

4.47

126.67

72291

Fluoroscopic guidance for kypho

1.31

2.05

Vertebroplasty

22520

Vertebroplasty (thoracic) 1st level

9.22

63.37

22521

Vertebroplasty (lumbar) 1st level

8.65

63.45

22522

Vertebroplasty – each additional level

4.30

6.48

72291

Fluoroscopic guidance for vertebro.

1.31

2.05

Discograms

62291

Discogram – cervical/thoracic

2.91

9.16

62290

Discogram – lumbar

3

9.51

72285

Supervison fluoro for disco (C/T)

1.16

3.26

72295

Supervison fluoro for disco (Lumbar)

0.83

2.82

Epidurals

62310

IL ESI C/T

1.18

3.09

62311

IL ESI L/S

1.17

3.04

64479

TF ESI C/T first

2.29

6.82

64480

TF ESI C/T each additional

1.2

3.27

64483

TF ESI L/S first

1.9

6.29

64484

TF ESI L/S each additional

1

2.50

62273

Epidural blood patch

2.15

4.93

Facet (Zygapophysial joint)

64490

Facet – C/T first

1.82

5.48

64491

Facet – C/T second

1.16

2.69

64492

Facet – C/T third & additional

1.16

2.71

64493

Facet – L/S first

1.52

4.95

64494

Facet – L/S second

1

2.47

64495

Facet – L/S third & additional

1

2.48

64633

RFA – C/T 1st joint

3.84

12.30

64634

RFA – C/T each additional

1.32

5.58

64635

RFA – L/S 1st joint

3.78

12.13

64636

RFA – L/S each additional

1.16

5.04

Electrodiagnostics (EMG/NCS)

95831

MMT (no hand)

0.28

0.77

95832

MMT hands

0.29

0.71

95860

1 extremity w or w/o paraspinal areas

0.96

3.40

95861

2 extremities

1.54

4.71

95863

3 extremities

1.87

5.73

95864

4 extremities

1.99

6.60

95867

Unilateral cranial nerve muscles

0.79

2.62

95868

Bilateral cranial nerve muscles

1.18

3.65

95869

Thoracic paraspinal muscles

0.37

2.11

95874

Guidance with Botox

0.37

2.02

95885

Limited 4 or fewer muscles

0.35

1.64

95886

Complete 5+ muscles

0.86

2.57

95907

1-2 studies

1

2.66

95908

3-4 studies

1.25

3.28

95909

5-6 studies

1.5

3.95

95910

7-8 studies

2

5.19

95911

9-10 studies

2.5

6.31

95912

11-12 studies

3

7.42

95913

13+ studies

3.56

8.59

2 COMMENTS

  1. I will be on a wrvu model for my interventional pain practice as of March 1 of 2016. I perform all procedures in the hospital in an OR setting. When I perform a 2 level facet with the 50 modifier to indicate bilateral based on 2014 wrvu number would the wrvu be 2.52 times 2?

    Thank you

    • That’s a good question, and I’m not sure the answer. Bilateral procedures are reimbursed at half the rate as the first site (for instance, a left L4/5 facet gets the full reimbursement, but the right L4/5 facet is half when done on the same day). I’m not sure how hospitals then calculate the wRVU numbers. Sorry Amish.

LEAVE A REPLY

Please enter your comment!
Please enter your name here