Physician Assistant RVU Calculator
The Physician Assistant RVU Calculator converts PA CPT codes into Work RVU, Practice Expense RVU, and Malpractice RVU. Physician assistants bill the same CPT codes as physicians (99202-99215, hospital care, procedures) but Medicare reimburses PAs at 85% of the physician fee schedule when billing under their own NPI. PA wRVU productivity is measured using the same Work RVU values as physicians - the 85% rate affects payment but not wRVU credit in most employment contracts. Built on 2026 CMS Medicare Physician Fee Schedule data.
Physician Assistant RVU Calculator Pro
The Physician Assistant RVU Calculator converts PA CPT codes into Work RVU, Practice Expense RVU, and Malpractice RVU. Physician assistants bill the same CPT codes as physicians (99202-99215, hospital care, procedures) but Medicare reimburses PAs at 85% of the physician fee schedule when billing und...
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Enter a CPT code above to calculate RVUs and estimated Medicare payment
Physician Assistant RVU Calculator - CPT Code Reference
Click any bar to load the CPT code into the Physician Assistant 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 Physician Assistant RVU Calculator
Follow 4 steps to calculate RVUs and estimate Medicare reimbursement for physician assistant 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.
Physician Assistant 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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Physician Assistant RVU Calculator - Bulk wRVU Calculator
PA wRVU production follows the same RBRVS methodology as physicians. PAs in surgical specialties often generate higher annual wRVUs than primary care PAs due to higher per-procedure wRVU values.
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
Physician Assistant wRVU Benchmarks
PA wRVU production follows the same RBRVS methodology as physicians. PAs in surgical specialties often generate higher annual wRVUs than primary care PAs due to higher per-procedure wRVU values.
Physician Assistant wRVU Benchmarks (MGMA 2024)
3,500-4,500 wRVUs/year. Mix of established patient office visits (99212-99214) and acute care visits in outpatient settings.
4,000-7,000 wRVUs/year. Surgical first assist codes and post-operative care codes generate higher per-encounter wRVU for surgical specialty PAs.
4,000-6,000 wRVUs/year. Daily hospital rounds on 10-15 patients using subsequent care codes (99231-99233) plus initial care and discharge codes.
4,500-6,500 wRVUs/year. Mix of ED visit levels (99281-99285) with average 3.0-4.5 wRVU per patient encounter in busy EDs.
PA wRVU production follows the same RBRVS methodology as physicians. PAs in surgical specialties often generate higher annual wRVUs than primary care PAs due to higher per-procedure wRVU values.
Physician Assistant RVU Calculator - Frequently Asked Questions
How does Medicare reimburse PAs vs physicians?
Medicare pays PAs at 85% of the physician fee schedule rate when PAs bill under their own NPI. If a PA bills incident-to a physician in a qualifying scenario (physician-established plan of care, active involvement, office-based established patient), Medicare pays at 100% of the physician rate under the physician NPI. Incident-to billing has strict requirements and does not apply in hospital settings.
What hospital care codes can PAs bill independently?
PAs can independently bill all hospital care codes (99221-99223 for initial hospital care, 99231-99233 for subsequent care, 99238-99239 for discharge) under Medicare at 85% of the physician rate. PAs in hospitalist roles and surgical teams commonly bill these codes under their own NPI. Split/shared billing rules (2023+) require documentation of the key portion of the visit performed by the supervising physician if billed under the physician.
How is PA wRVU productivity tracked in employment contracts?
Most PA employment contracts use full physician-rate wRVU values for productivity credit, regardless of the 85% Medicare payment rate. A 99214 generates 1.92 wRVU credit whether billed by a PA or physician. This approach provides consistent productivity benchmarking. Some contracts use adjusted wRVU credit (85% of physician wRVU) to match actual revenue generation.
Can PAs bill for surgical first assist?
PAs can bill for surgical first assistant services using the appropriate surgical CPT code with modifier AS (PA first assist). Medicare pays 85% of 16% of the surgeon fee for surgical first assists performed by PAs and NPs - approximately 13.6% of the surgeon fee. For a total knee replacement (27447, physician fee approximately $1,136), the PA first assist Medicare payment would be approximately $154.
Start Using the Physician Assistant RVU Calculator
Calculate PA RVUs for office E&M visits, hospital care, surgical assist codes, and procedures. Analyze PA wRVU productivity at 85% Medicare reimbursement and project annual PA clinical output using 2026 CMS data. Free.
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