Office E&M, thyroid biopsy, CGM analysis, and chronic care management — the codes that drive endocrine productivity, with 2026 CMS wRVU values.
Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.
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.
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.
MGMA-aligned 2024 estimates. Verify with your group's data source for contract negotiations.
Typical total compensation ranges across a endocrinology career. Numbers blend salary, RVU productivity, and bonus components reported in physician surveys.
First 1-3 years out of training. Base-heavy contracts; productivity bonuses begin to ramp.
Years 4-10. RVU-based comp dominates as case volume settles into a steady pattern.
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.
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.
Save your most-used codes as quick-add buttons. Log a visit in seconds between patients.
Add multiple codes per encounter; the tracker sums correctly with MPPR awareness when relevant.
Tag clinic vs. procedure days and see productivity per session. Decide where to add capacity.
Every code ships with current Work RVU values. Year-over-year updates roll out automatically.
Set your wRVU threshold. The tracker shows monthly pace and projects year-end totals.
Plug in your conversion factor and see real-time earnings. Compare offers during contract review.
A few high-leverage details that quietly cost RVUs (and revenue) when missed.
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.
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.
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.
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.
2026 CMS data pre-loaded for every code. Designed for the cadence of a real endocrinology day.