Physical Therapy RVU Calculator
The Physical Therapy RVU Calculator converts physical therapy CPT codes into Work RVU, Practice Expense RVU, and Malpractice RVU. Physical therapy billing uses time-based codes billed in 15-minute units: therapeutic exercises (97110), manual therapy (97140), neuromuscular reeducation (97112), and therapeutic activities (97530). PT codes carry moderate wRVU values per unit but generate consistent revenue through multiple units per patient visit. Built on 2026 CMS Medicare Physician Fee Schedule data with CF $33.40.
Physical Therapy RVU Calculator Pro
The Physical Therapy RVU Calculator converts physical therapy CPT codes into Work RVU, Practice Expense RVU, and Malpractice RVU. Physical therapy billing uses time-based codes billed in 15-minute units: therapeutic exercises (97110), manual therapy (97140), neuromuscular reeducation (97112), and th...
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Enter a CPT code above to calculate RVUs and estimated Medicare payment
Physical Therapy RVU Calculator - CPT Code Reference
Click any bar to load the CPT code into the Physical Therapy RVU Calculator above. All Work RVU values reflect 2026 CMS Medicare Physician Fee Schedule data.
Click any bar to load the CPT code into the calculator above
How to Use the Physical Therapy RVU Calculator
Follow 4 steps to calculate RVUs and estimate Medicare reimbursement for physical therapy rvu calculator services.
Enter CPT Code
Type any CPT code or search by description. The autocomplete shows wRVU values from the 2026 CMS Medicare Physician Fee Schedule. Use the chart above to find common specialty codes.
Select Place of Service
Choose Facility (hospital, ASC) or Non-Facility (office, independent clinic). The place of service directly determines the Practice Expense RVU applied to your calculation.
Adjust Units and GPCI
Enter the number of units performed. Adjust the GPCI for your geographic region. High-cost regions (NYC, SF, Boston) use GPCI values above 1.0 that increase Medicare payment.
Review Results and Use Bulk Calculator
Analyze the Work RVU, PE RVU, and Malpractice RVU breakdown with estimated Medicare payment. Use the bulk calculator below to analyze a full session or annual procedure mix.
Physical Therapy RVU Calculator - RVU by CPT Code
Complete CPT code database with sortable Work RVU, PE RVU, and Malpractice RVU values. Filter by category and search by code or description. All data reflects 2026 CMS Medicare Physician Fee Schedule values.
| Code ↑ | Description ↕ | Category ↕ | wRVU ↕ | PE RVU | MP RVU | Total |
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Physical Therapy RVU Calculator - Bulk wRVU Calculator
Physical therapy wRVU production is driven by patient volume, visit frequency, and units per visit. PT practices typically bill 4-8 timed units per patient visit (60-90 minute sessions), generating 1.8-3.8 wRVU per patient encounter.
Bulk RVU Calculation
Enter multiple CPT codes and quantities to calculate total RVU output and Medicare payment for a session, shift, or procedure day. Use this to project daily and annual wRVU production.
Enter Codes to Begin
Add CPT codes and quantities on the left, then click Calculate All
Physical Therapy wRVU Benchmarks
Physical therapy wRVU production is driven by patient volume, visit frequency, and units per visit. PT practices typically bill 4-8 timed units per patient visit (60-90 minute sessions), generating 1.8-3.8 wRVU per patient encounter.
Physical Therapy wRVU Benchmarks (MGMA 2024)
3,000-5,000 wRVUs/year for a full-time physical therapist. Based on 10-14 patients per day at 4-6 timed units each.
2,500-4,000 wRVUs/year. Mix of inpatient PT (lower CPT code density) and outpatient PT visits.
5,000-7,000 wRVUs/year. High patient volume with 8+ timed units per visit for post-surgical rehabilitation patients.
Each additional 15-minute timed unit adds 0.43-0.45 wRVU. Going from 4 to 6 units per patient adds 0.86-0.90 wRVU per encounter.
Physical therapy wRVU production is driven by patient volume, visit frequency, and units per visit. PT practices typically bill 4-8 timed units per patient visit (60-90 minute sessions), generating 1.8-3.8 wRVU per patient encounter.
Physical Therapy RVU Calculator - Frequently Asked Questions
How are physical therapy time-based codes billed?
Physical therapy timed codes (97110, 97140, 97112, 97530) are billed in 15-minute increments. The 8-minute rule applies: a single 15-minute unit can be billed for 8-22 minutes of a timed service. Two units require 23-37 minutes. Three units require 38-52 minutes. CMS applies the 8-minute rule to determine the total number of billable units per timed service.
What is the Medicare cap on physical therapy services?
Medicare Part B applies a therapy cap on outpatient physical therapy, occupational therapy, and speech-language pathology services. The 2024 cap is $2,330 for PT and SLP combined. Medically necessary services above the cap require the KX modifier. Services above the "automatic exception" threshold ($3,700 in 2024) require a manual medical review exception. The cap amount is updated annually by CMS.
Can physical therapists bill E&M codes?
Physical therapists cannot bill E&M codes (99202-99215) under Medicare - those codes are restricted to physicians and eligible non-physician practitioners with independent prescribing authority. PT practices bill physical therapy evaluation codes (97161-97163) for initial evaluations and re-evaluations (97164). These evaluation codes carry wRVU values of 0.98-2.24 depending on complexity.
What is the wRVU for a PT initial evaluation?
Physical therapy evaluation codes: Low complexity (CPT 97161) = 0.98 wRVU. Moderate complexity (CPT 97162) = 1.47 wRVU. High complexity (CPT 97163) = 2.24 wRVU. PT re-evaluation (CPT 97164) = 0.74 wRVU. These evaluation codes are not time-based and are billed once per evaluation. Selection depends on presentation complexity, prior level of function, and social context factors.
Start Using the Physical Therapy RVU Calculator
Calculate physical therapy RVUs for therapeutic exercises, manual therapy, neuromuscular reeducation, electrical stimulation, and PT evaluation codes. Project annual PT wRVU production and estimate Medicare payments using 2026 CMS data. Free.
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