Specialty guide · Endocrinology

RVU tracking,
built for endocrinologists.

Office E&M, thyroid biopsy, CGM analysis, and chronic care management — the codes that drive endocrine productivity, with 2026 CMS wRVU values.

~4,200
Median wRVUs / yr
$245K
Median compensation
1.56
Top procedure wRVU (60100)
2026
CMS data, pre-loaded

Endocrinology by the numbers

Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.

$245K
Median annual compensation
Doximity 2024 Physician Compensation Report
4,200
Median annual wRVUs
MGMA-aligned 2024 estimates
~$50
Typical wRVU conversion factor
Common endocrinology compensation models

Top Endocrinology CPT codes & 2026 wRVUs

The codes that drive the bulk of endocrinology billing, with current Work RVU values from the 2026 Medicare Physician Fee Schedule. Use these as a baseline — locality (GPCI) and modifiers adjust the final payment.

Code Description wRVU Type
99213 Office visit, est. patient, low (20 min) 1.30 E&M
99214 Office visit, est. patient, moderate (30 min) 1.92 E&M
99215 Office visit, est. patient, high (40 min) 2.80 E&M
99203 Office visit, new patient, low (30 min) 1.60 E&M
99204 Office visit, new patient, moderate (45 min) 2.60 E&M
99205 Office visit, new patient, high (60 min) 3.50 E&M
76536 Soft tissue head/neck ultrasound, real-time 0.56 Diagnostic
60100 Percutaneous core needle biopsy of thyroid 1.56 Procedure
95251 CGM analysis and interpretation, monthly 0.70 Diagnostic

Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.

Annual wRVU benchmarks

Where endocrinology productivity falls across the percentile distribution. Most RVU-based contracts target the median (50th percentile); high-volume practices push into the 75th-90th range.

10th
2,300
25th
3,200
50th
4,200
75th
5,500
90th
7,100

MGMA-aligned 2024 estimates. Verify with your group's data source for contract negotiations.

Compensation by career stage

Typical total compensation ranges across a endocrinology career. Numbers blend salary, RVU productivity, and bonus components reported in physician surveys.

Early career
$175K–$215K

First 1-3 years out of training. Base-heavy contracts; productivity bonuses begin to ramp.

Mid-career
$235K–$280K

Years 4-10. RVU-based comp dominates as case volume settles into a steady pattern.

Senior / partner
$295K–$380K+

10+ years, partnership track, ASC ownership, or high-volume practice settings.

Ranges synthesized from Doximity 2024 and AMGA / MGMA-aligned compensation reports. Actual offers vary by region, practice setting, and case mix.

Built for endocrinologists

Most RVU tools were built for one type of day. RVU Tracker handles the mix of clinic, procedures, and inpatient work that actually shows up on a endocrinology schedule.

One-tap encounter logging

Save your most-used codes as quick-add buttons. Log a visit in seconds between patients.

Multi-code encounters

Add multiple codes per encounter; the tracker sums correctly with MPPR awareness when relevant.

Productivity by setting

Tag clinic vs. procedure days and see productivity per session. Decide where to add capacity.

2026 CMS data pre-loaded

Every code ships with current Work RVU values. Year-over-year updates roll out automatically.

Bonus pace tracking

Set your wRVU threshold. The tracker shows monthly pace and projects year-end totals.

Compensation modeling

Plug in your conversion factor and see real-time earnings. Compare offers during contract review.

Coding pearls for endocrinology

A few high-leverage details that quietly cost RVUs (and revenue) when missed.

Thyroid US + biopsy same day

Diagnostic thyroid ultrasound (76536) and thyroid biopsy (60100) are both billable on the same day when the US is used to identify the lesion before biopsy. Document each separately; image guidance is included in 60100 if explicitly used during biopsy.

CGM coding split: place vs. interpret

95249 / 95250 cover sensor placement and patient education (no physician wRVU credit per CMS — practice-expense only); 95251 covers professional interpretation and carries the physician wRVU. Bill all applicable lines so the practice captures full revenue even though physician productivity comes from 95251.

Chronic care management

99490 (CCM, 20 min/mo) and 99491 (CCM by physician, 30 min/mo) cover work between visits for patients with 2+ chronic conditions — a perfect fit for diabetes + hypertension + thyroid disease patients. Many endocrine practices leave this on the table.

Time-based new-patient visits

Endocrine new-patient visits often run 60+ min for complex diabetes or pituitary cases. Use total-time coding for 99205 when documentation supports it — the time pathway frequently yields a higher level than MDM-based.

Frequently asked questions

How many wRVUs does a typical endocrinologist generate per year?
Median annual wRVUs for endocrinology fall around 4,200 nationally. Diabetes-heavy outpatient practices with high follow-up volume vary; subspecialty (pituitary, adrenal) often involves longer visits and lower volume.
What is the average endocrinologist salary?
Doximity's 2024 Physician Compensation Report places median endocrinology compensation at approximately $245,000, with academic and pediatric endocrinology subspecialty often slightly different.
How do I bill CGM placement and interpretation?
95249 (patient-owned device, placement) or 95250 (professional, placement + education) for the sensor work; 95251 for interpretation of results. Bill both when applicable.
Does RVU Tracker handle CCM time tracking?
Yes. Cumulative monthly minutes for 99490 / 99491 are tracked; the tracker prompts you when you cross the billable threshold each month.
Can I track thyroid ultrasound and biopsy separately?
Yes. 76536 and 60100 are tracked as discrete procedural codes alongside office E&M, so you can see the in-office procedural contribution to total productivity.
Does RVU Tracker include 2026 CMS RVU values for all endocrinology codes?
Yes. The full diabetes, thyroid, and care-management code set ships with current Work RVU values.

Start tracking your Endocrinology wRVUs today.

2026 CMS data pre-loaded for every code. Designed for the cadence of a real endocrinology day.