Specialty guide · Neurology

RVU tracking,
built for neurologists.

Office E&M, EEG, EMG, sleep studies, and chemodenervation — the codes that drive neurology productivity, with 2026 CMS wRVU values.

~5,400
Median wRVUs / yr
$316K
Median compensation
1.85
Top procedure wRVU (64615)
2026
CMS data, pre-loaded

Neurology by the numbers

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

$316K
Median annual compensation
Doximity 2024 Physician Compensation Report
5,400
Median annual wRVUs
MGMA-aligned 2024 estimates
~$55
Typical wRVU conversion factor
Common neurology compensation models

Top Neurology CPT codes & 2026 wRVUs

The codes that drive the bulk of neurology 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
95810 Polysomnography, sleep staging with 4+ parameters, age 6+ 2.50 Diagnostic
95811 Polysomnography with CPAP titration, age 6+ 2.60 Diagnostic
95812 EEG, extended monitoring, 41-60 min 1.08 Diagnostic
95816 EEG, awake and drowsy 1.08 Diagnostic
95886 EMG, complete, each extremity 0.86 Diagnostic
95910 Nerve conduction studies, 7-8 studies 2.00 Diagnostic
64615 Chemodenervation, chronic migraine (Botox) 1.85 Procedure

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

Annual wRVU benchmarks

Where neurology 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
3,000
25th
4,000
50th
5,400
75th
7,100
90th
9,100

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

Compensation by career stage

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

Early career
$230K–$280K

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

Mid-career
$300K–$365K

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

Senior / partner
$380K–$490K+

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 neurologists

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 neurology 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 neurology

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

Time-based new-patient visits

Neurology consultation visits often run long (45-60+ min for complex cases). Use total-time coding for 99204/99205 and 99215 when documentation supports it — the time pathway frequently yields a higher level than MDM-based for cognitive specialties.

Botox for chronic migraine

64615 (chemodenervation, chronic migraine) bundles all sites; you don't bill per injection. Drug supply (J0585) is billed separately. Track J-code units precisely — underbilling drug units is a common revenue leak.

EMG + nerve conduction same day

EMG (95886) and nerve conduction (95907-95913) are commonly billed together. Use the appropriate NCS code based on study count (95907 for 1-2 studies, up to 95913 for 13+); under-coding study count is frequent.

Sleep study professional vs. global

Polysomnography (95810, 95811) often performed at sleep lab — append -26 for professional component if you're reading at a hospital-owned facility, global if you own the lab.

Frequently asked questions

How many wRVUs does a typical neurologist generate per year?
Median annual wRVUs for neurology fall around 5,400 nationally. Sleep-medicine and EMG/EEG-heavy practices push higher; cognitive-focused outpatient practices may be lower.
What is the average neurologist salary?
Doximity's 2024 Physician Compensation Report places median neurology compensation at approximately $316,000. Stroke neurology, neurocritical care, and sleep medicine subspecialties trend higher.
How do I track diagnostic studies vs. clinic?
Tag each encounter by setting; EEG/EMG/sleep study reads are tracked as a discrete bucket so you can see the contribution from diagnostic interpretations vs. office E&M.
Does the tracker handle Botox-for-migraine billing?
Yes. 64615 with J0585 drug supply units are tracked together so end-of-month reporting captures both the procedural and drug-supply revenue streams.
Can I track new-consult ramp-up over time?
Yes. Tag patients as new vs. established and the tracker reports new-patient volume monthly — useful for new-attending ramp-up tracking.
Does RVU Tracker include 2026 CMS RVU values for all neurology codes?
Yes. EEG, EMG, NCS, sleep study, and procedural codes ship with current Work RVU values, including -26 professional component handling.

Start tracking your Neurology wRVUs today.

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