Results 1 to 3 of 3

RVU Help....

  1. #1
    Question RVU Help....
    Medical Coding Books

    How are RVU's calculated?

    I heard that there is an amount charged per RVU

    Example: $10.00 each RVU is this information correct?
    Ivonne Atanacio CPC,CPB,CPMA,CPC-I

  2. #2
    Columbia, MO
    This is from an example I copied to show how to calculate the RVU:
    Using the formula below, first plug in the three Relative Value Unit (RVU) values that have been assigned to the CPT code and the three Geographic Practice Cost Index (GPCI) values that have been assigned to the locality where you are practicing; next plug in the Budget Neutrality Adjustor (which is 0.8994) and Conversion Factor (37.8975); and then it’s a simple matter of multiplication and addition.

    [ ((Work RVU x Budget Neutrality Adjustor)* x Work GPCI)
    + (Practice Expense RVU x Practice Expense GPCI)
    + (Malpractice RVU x Malpractice GPCI) ] = Geographically Adjusted RVU Total

    x Conversion Factor

    = Allowable Amount

    Example: If a Manhattan practice performs an eye exam on a new patient (CPT code 92004), what would the allowable be?

    ((1.67 Work RVU x 0.8994 Adjustor)* x 1.065 Work GPCI)


    + (1.67 PE RVU x 1.300 PE GPCI)

    + 2.1710

    + (0.04 MP RVU x 1.480 MP GPCI)

    + 0.0592

    = Geographically Adjusted RVU Total


    x Conversion Factor

    x 37.8975

    = Allowable Amount

    $ 145.06

    *After multiplying the Work RVU by the Adjustor, you must round off the product to two decimal places before multiplying by the Work GPCI.

    Each CPT code has three RVU values. The work RVU value is designed to reflect the work effort and intensity required of the physician in providing the service, the practice expense RVU value represents the expenses the practice incurs in providing the service, and the malpractice expense RVU value varies depending on the relative malpractice exposure of the CPT code. For example, an eye exam (CPT code 92004) has a work RVU value of 1.67, a practice expense RVU value of 1.67 and a malpractice expense RVU value of 0.04, for a total of 3.38 RVUs. For cataract surgery with an IOL (CPT code 66984), the three corresponding values would be 10.36, 7.24 and 0.39, for a total of 17.99 RVUs. Thus, Medicare pays more than five times more for a cataract surgery than it does for an eye exam.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Thank you very much...
    Ivonne Atanacio CPC,CPB,CPMA,CPC-I

Similar Threads

  1. RVU's
    By michelleaapc2012 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 04-02-2014, 08:33 AM
  2. Rvu = 1.0?
    By lorrpb in forum Billing/Reimbursement
    Replies: 0
    Last Post: 02-18-2014, 02:43 PM
  3. do you read the rvu schedule
    By bscott in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 01-12-2012, 04:45 PM
  4. Trial SCS & facility rvu's vs non-facility rvu's
    By djarrett in forum Anesthesia
    Replies: 3
    Last Post: 10-11-2011, 02:49 PM
  5. RVU's
    By hardtail58 in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 06-08-2010, 03:37 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.