~7,700
Median wRVUs / yr
Top GI CPT codes with current CMS wRVU values, salary benchmarks from Doximity, and a tracker that handles mixed endoscopy and clinic days the way they actually look on your schedule.
Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.
The codes that drive the bulk of gastroenterology 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 |
|---|---|---|---|
| 45378 | Diagnostic colonoscopy | 3.26 | Procedure |
| 45380 | Colonoscopy with biopsy | 3.56 | Procedure |
| 45381 | Colonoscopy with submucosal injection | 3.56 | Procedure |
| 45384 | Colonoscopy with hot biopsy / cautery | 4.07 | Procedure |
| 45385 | Colonoscopy with snare polypectomy | 4.57 | Procedure |
| 45386 | Colonoscopy with balloon dilation | 3.77 | Procedure |
| 45388 | Colonoscopy with ablation | 4.88 | Procedure |
| 43235 | Diagnostic EGD | 2.09 | Procedure |
| 43239 | EGD with biopsy | 2.39 | Procedure |
| 43249 | EGD with esophageal dilation <30 mm | 2.67 | Procedure |
| 43255 | EGD with control of bleeding | 3.56 | Procedure |
| 91110 | Capsule endoscopy, esophagus through ileum | 2.24 | Procedure |
| 99214 | Office visit, est. patient, moderate (30 min) | 1.92 | E&M |
| 99215 | Office visit, est. patient, high (40 min) | 2.80 | E&M |
Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.
Where gastroenterology 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 gastroenterology 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 gastroenterology 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.
When a single colonoscopy includes both snare (45385) and biopsy/cautery (45384), the higher-RVU code is paid at 100% and the next at the MPPR-reduced rate. Bill both — your tracker should sum the modified values correctly.
Reserve -22 for cases that materially exceed typical effort: extensive adhesions, unusual anatomy, prolonged times. Document the additional time and complexity. Most payers require physician justification before applying -22 adjustments.
If a screening colonoscopy (G0121, ICD-10 Z12.11) becomes diagnostic mid-procedure (polyp removal), bill the procedural code (e.g., 45385) with modifier -PT. This preserves patient cost-share protections while capturing the higher wRVU.
91110 covers the entire small bowel study; 91111 (capsule for esophagus) is read-only. Don't bill capsule and EGD on the same date unless they're clinically separate encounters with distinct documentation.
2026 CMS data pre-loaded for every code. Designed for the cadence of a real gastroenterology day.