Specialty guide · Hematology & Oncology

RVU tracking,
built for hematologists / oncologists.

Office E&M, infusion, bone marrow biopsy, and chronic care management — the codes that make up a heme/onc practice, with 2026 CMS wRVU values.

~5,800
Median wRVUs / yr
$417K
Median compensation
1.44
Top procedure wRVU (38222)
2026
CMS data, pre-loaded

Hematology & Oncology by the numbers

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

$417K
Median annual compensation
Doximity 2024 Physician Compensation Report
5,800
Median annual wRVUs
MGMA-aligned 2024 estimates
~$60
Typical wRVU conversion factor
Common hematology & oncology compensation models

Top Hematology & Oncology CPT codes & 2026 wRVUs

The codes that drive the bulk of hematology & oncology 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
99204 Office visit, new patient, moderate (45 min) 2.60 E&M
99205 Office visit, new patient, high (60 min) 3.50 E&M
96413 Chemotherapy administration, IV infusion, first hour 0.28 Procedure
96415 Chemotherapy administration, IV infusion, each additional hour 0.19 Procedure
96365 IV infusion, therapeutic, first hour 0.21 Procedure
96367 IV infusion, additional sequential drug, each 0.19 Procedure
38221 Bone marrow biopsy, needle or trocar 1.28 Procedure
38222 Bone marrow biopsy with aspiration 1.44 Procedure

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

Annual wRVU benchmarks

Where hematology & oncology 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
3,200
25th
4,400
50th
5,800
75th
7,700
90th
9,700

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

Compensation by career stage

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

Early career
$300K–$365K

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

Mid-career
$395K–$480K

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

Senior / partner
$500K–$645K+

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 hematologists / oncologists

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 hematology & oncology 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 hematology & oncology

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

Chemo + hydration + push billing order

Chemo (96413/96415) is the primary, hydration (96360/96361) is secondary, push (96409) is tertiary. Sequential vs. concurrent matters. Document precisely — misordered billing is the most common revenue leak in heme/onc.

E&M with chemo same-day

Office E&M (99213-99215) is separately billable on a chemo day with -25 if the visit addressed a separately significant problem (treatment plan, toxicity assessment). Documentation must clearly separate the work.

Bone marrow biopsy + aspiration

38222 (biopsy + aspiration) replaces what used to be billed as 38221 + 38220. Don't double-bill the components if you used the combined code; payers will deny the unbundled pair.

Care management for cancer survivors

99490 / 99491 (CCM) is appropriate for cancer survivors with chronic surveillance needs. Many heme/onc practices underbill care management for survivorship work that legitimately qualifies.

Frequently asked questions

How many wRVUs does a typical hematologist/oncologist generate per year?
Median annual wRVUs for heme/onc fall around 5,800 nationally. Practices with heavy infusion-suite volume or solid tumor focus vary; academic positions often lower volume but include research effort.
What is the average hematologist/oncologist salary?
Doximity's 2024 Physician Compensation Report places median heme/onc compensation at approximately $417,000. Practice ownership in private oncology groups (with infusion-suite revenue) often pushes meaningfully higher.
How does infusion-suite revenue factor into productivity?
Infusion administration codes (96413, 96415, 96365, 96367) carry meaningful wRVUs and are tracked separately so you can see the contribution from infusion-suite work versus E&M.
Does the tracker handle chemo billing order rules?
Yes. Primary / secondary / tertiary infusion ordering is enforced when you log the encounter; the tracker prompts if codes are out of order to prevent the most common heme/onc denials.
Can I track CCM for cancer survivorship?
Yes. 99490 / 99491 minutes accumulate monthly per patient and the tracker prompts when the billable threshold is crossed.
Does RVU Tracker include 2026 CMS RVU values for all heme/onc codes?
Yes. The 96xxx infusion series, 38xxx bone marrow series, and office E&M codes ship with current Work RVU values.

Start tracking your Hematology & Oncology wRVUs today.

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