RVU Calculation Formula:
From: | To: |
The Relative Value Unit (RVU) calculation is used to measure the value of medical services. It consists of three components: work RVU (wRVU), practice expense RVU (peRVU), and malpractice RVU (mpRVU). The total RVU is used to determine physician reimbursement.
The calculator uses the RVU formula:
Where:
Explanation: The calculator looks up the RVU components for a given CPT code and sums them to get the total RVU value.
Details: RVU calculation is essential for determining fair reimbursement for medical services, practice management, and productivity measurement in healthcare.
Tips: Enter a valid CPT code to retrieve its RVU components and total value. Common evaluation and management codes are preloaded in the database.
Q1: What is a typical RVU for a 99213 office visit?
A: A 99213 visit typically has a total RVU of about 1.55 (wRVU 0.97 + peRVU 0.48 + mpRVU 0.10).
Q2: How often are RVU values updated?
A: RVU values are typically updated annually by CMS (Centers for Medicare & Medicaid Services).
Q3: Can I use this for all CPT codes?
A: This calculator includes common evaluation and management codes. For a complete database, consult the CMS Physician Fee Schedule.
Q4: How is RVU used in physician compensation?
A: Many practices use RVUs to measure physician productivity and determine compensation based on work performed.
Q5: What's the difference between wRVU and total RVU?
A: wRVU measures only the physician work component, while total RVU includes practice expenses and malpractice costs.