Specialty guide · General Surgery

RVU tracking,
built for general surgeons.

Lap chole to bowel resection — the codes that drive general surgery productivity, with current CMS wRVUs and a tracker built for OR-block + clinic + call-coverage rotations.

~7,500
Median wRVUs / yr
$432K
Median compensation
26.42
Top procedure wRVU (44204)
2026
CMS data, pre-loaded

General Surgery by the numbers

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

$432K
Median annual compensation
Doximity 2024 Physician Compensation Report
7,500
Median annual wRVUs
MGMA-aligned 2024 estimates
~$60
Typical wRVU conversion factor
Common general surgery compensation models

Top General Surgery CPT codes & 2026 wRVUs

The codes that drive the bulk of general surgery 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
47562 Laparoscopic cholecystectomy 10.47 Procedure
47563 Lap chole with cholangiography 11.47 Procedure
44970 Laparoscopic appendectomy 9.45 Procedure
49505 Inguinal hernia repair, open, age 5+ 7.96 Procedure
49593 Repair anterior abdominal hernia, initial, 3-10 cm, reducible 10.26 Procedure
44140 Partial colectomy, open 22.59 Procedure
44204 Laparoscopic partial colectomy 26.42 Procedure
19303 Mastectomy, simple, complete 15.00 Procedure
10060 Incision & drainage, abscess, simple 1.22 Procedure
99223 Initial hospital care, high complexity 3.50 E&M
99232 Subsequent hospital care, moderate 1.59 E&M
99238 Hospital discharge management, 30 min or less 1.50 E&M

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

Annual wRVU benchmarks

Where general surgery 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
4,100
25th
5,600
50th
7,500
75th
9,900
90th
12,600

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

Compensation by career stage

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

Early career
$310K–$380K

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

Mid-career
$410K–$495K

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

Senior / partner
$520K–$670K+

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 general surgeons

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 general surgery 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 general surgery

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

Lap-converted-to-open

If a lap chole (47562) converts to open mid-case, bill the open code (47600) only — not both. Document the indication for conversion clearly in the op note.

Mesh placement during hernia repair

Mesh placement (49568) is an add-on, not a stand-alone code. Bill it with the primary hernia repair code; tracking should capture both lines so the wRVU credit reflects both components.

Critical care vs. evaluation

99291 (critical care, first 30-74 min) is time-based. Document precise minutes; 99292 captures additional 30-min increments. Vague 'spent significant time' notes get downcoded by payers.

Global package and the 'separate problem' visit

During a 90-day global, an unrelated visit billed with -24 is allowed. The documentation must explicitly link the visit to a different problem, not post-op recovery.

Frequently asked questions

How many wRVUs does a typical general surgeon generate per year?
Median annual wRVUs for general surgery fall around 7,500 nationally. High-volume practices and trauma-heavy services exceed 10,000; subspecialized (e.g., colorectal, breast) varies widely.
What is the average general surgeon salary?
Doximity's 2024 Physician Compensation Report places median general surgery compensation at approximately $432,000. Trauma, surgical oncology, and rural-call-heavy positions trend higher.
Which CPT code is the highest-RVU procedure in general surgery?
Among common procedures, partial colectomy (44140 / 44204) and complex hernia repairs carry the highest wRVUs. Whipples and major HPB cases are higher still but less frequent.
How do I track RVUs across OR days, clinic, and call coverage?
Tag each encounter by setting (OR, clinic, ED consult, inpatient round) and the tracker reports per-session productivity so you can see whether call days are pulling their weight.
Does RVU Tracker include 2026 CMS RVU values for all general surgery codes?
Yes. Every general surgery CPT (4xxxx, 5xxxx series) ships with current Work RVU values, including the lap vs. open distinctions and add-on mesh codes.
Can I track productivity during a 90-day global?
Yes. Post-op visits during a global are tracked separately so they don't inflate clinic productivity, and -24 (unrelated visit during global) is captured when you tag it.

Start tracking your General Surgery wRVUs today.

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