~8,200
Median wRVUs / yr
Cystoscopy, prostate biopsy, lithotripsy, and clinic E&M — the codes that drive urology productivity, with 2026 CMS wRVU values and a tracker built for clinic + procedure room workflows.
Compensation and productivity benchmarks pulled from public physician surveys and the 2026 Medicare Physician Fee Schedule.
The codes that drive the bulk of urology 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 |
| 52000 | Cystourethroscopy, diagnostic | 1.53 | Procedure |
| 52351 | Cystourethroscopy with biopsy | 5.75 | Procedure |
| 52332 | Cystourethroscopy with insertion of indwelling ureteral stent | 2.82 | Procedure |
| 52353 | Cystourethroscopy with laser lithotripsy | 7.50 | Procedure |
| 55700 | Prostate biopsy, needle or punch | 2.50 | Procedure |
| 50590 | Extracorporeal shock wave lithotripsy (ESWL) | 9.77 | Procedure |
| 55810 | Radical retropubic prostatectomy | 24.29 | Procedure |
| 55866 | Laparoscopic radical prostatectomy | 22.46 | Procedure |
Source: 2026 Medicare Physician Fee Schedule (CMS). Values reflect the national, unadjusted Work RVU.
Where urology 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 urology 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 urology 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 diagnostic cysto (52000) becomes therapeutic (52332 stent placement or 52351 biopsy), bill only the higher-RVU therapeutic code — not both. Diagnostic cysto is bundled into the therapeutic procedure.
Office-based cystoscopy uses the same CPT codes (52000, 52204, 52351) as OR-based, but with -SG (ASC facility) or facility-vs-non-facility distinctions affecting payment. Track setting precisely.
55700 (prostate biopsy) includes transrectal ultrasound guidance — don't separately bill 76872. The combined work is captured in the biopsy code's wRVU.
Robotic-assisted prostatectomy uses 55866 (laparoscopic) with no separate robotic modifier per CMS. Some commercial payers want -22 (increased work) with documentation — know your payer mix and apply consistently.
2026 CMS data pre-loaded for every code. Designed for the cadence of a real urology day.