Primary Care RVU Calculator
The Primary Care RVU Calculator converts office-based E&M codes, Medicare wellness visits, chronic care management, and care coordination codes into Work RVU, Practice Expense RVU, and Malpractice RVU. Primary care RVU values increased significantly with the 2021 CMS E&M restructuring and the 2024 introduction of G2211. The 2026 conversion factor of $33.40 applies to all primary care CPT codes including internal medicine, family medicine, general practice, geriatrics, and preventive medicine.
Primary Care RVU Calculator Pro
The Primary Care RVU Calculator converts office-based E&M codes, Medicare wellness visits, chronic care management, and care coordination codes into Work RVU, Practice Expense RVU, and Malpractice RVU. Primary care RVU values increased significantly with the 2021 CMS E&M restructuring and the 2024 i...
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Enter a CPT code above to calculate RVUs and estimated Medicare payment
Primary Care RVU Calculator - CPT Code Reference
Click any bar to load the CPT code into the Primary Care 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 Primary Care RVU Calculator
Follow 4 steps to calculate RVUs and estimate Medicare reimbursement for primary care 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.
Primary Care 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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Primary Care RVU Calculator - Bulk wRVU Calculator
Primary care wRVU production is influenced by patient volume, documentation habits, and coding accuracy. Physicians who code at 99214 instead of 99213 when clinically appropriate generate 47% more wRVUs per encounter for equivalent clinical work.
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
Primary Care wRVU Benchmarks
Primary care wRVU production is influenced by patient volume, documentation habits, and coding accuracy. Physicians who code at 99214 instead of 99213 when clinically appropriate generate 47% more wRVUs per encounter for equivalent clinical work.
Primary Care wRVU Benchmarks (MGMA 2024)
4,200-5,000 wRVUs/year. 50th percentile for employed internists, based on 20 patients/day at a mix of 99213 and 99214 codes.
4,200-4,800 wRVUs/year. Similar to internal medicine. Practice structure and panel size are the primary drivers of wRVU volume.
3,500-4,500 wRVUs/year. Longer visit times for complex elderly patients reduce daily volume but increase per-visit wRVU through higher-level coding.
G2211 (0.33 wRVU/visit) adds approximately 600-800 annual wRVUs for primary care physicians billing it on 2,000+ eligible visits per year.
Primary care wRVU production is influenced by patient volume, documentation habits, and coding accuracy. Physicians who code at 99214 instead of 99213 when clinically appropriate generate 47% more wRVUs per encounter for equivalent clinical work.
Primary Care RVU Calculator - Frequently Asked Questions
What is the most commonly billed primary care CPT code?
CPT 99213 (established patient, low complexity) is the highest-volume primary care code nationally. Under the 2021 E&M revisions, 99213 carries 1.30 wRVU. At the 2026 CF of $33.40, the estimated Medicare payment for a non-facility 99213 is approximately $89 (2.69 total RVU x $33.40).
How does time-based billing work for primary care E&M codes?
Since 2021, physicians can select E&M level based on total time on the date of the encounter. Total time includes face-to-face time plus pre- and post-service work. Thresholds: 99212 = 10-19 minutes; 99213 = 20-29 minutes; 99214 = 30-39 minutes; 99215 = 40-54 minutes. For 55+ minutes, bill 99215 plus prolonged services add-on (99417 or G2212).
What is the difference between a preventive medicine visit and an Annual Wellness Visit?
A preventive medicine visit (99381-99397) is a comprehensive physical exam covered by commercial insurance. The Medicare Annual Wellness Visit (G0438 for first visit, G0439 for subsequent) focuses on health risk assessment, a personalized prevention plan, cognitive assessment, and advance care planning. AWVs are free for Medicare beneficiaries and cannot include comprehensive physical examination components.
How are Transitions of Care Management codes used in primary care?
TCM codes (99495, 99496) are billed when primary care physicians contact a patient within 2 business days of discharge and see the patient within 7-14 days. CPT 99495 (moderate complexity TCM, within 14 days) carries 2.78 wRVU. CPT 99496 (high complexity TCM, within 7 days) carries 3.79 wRVU - significantly higher wRVU than standard E&M codes.
Start Using the Primary Care RVU Calculator
Calculate primary care RVUs for office E&M visits, preventive medicine, Medicare Wellness Visits, CCM, and G2211 add-ons. Project annual primary care wRVU production and estimate 2026 Medicare payments. Free.
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