2023 E/M Coding Calculator

E/M Calculator based on Medicare Reimbursement

New Patient Codes (Outpatient)

CPT CODE	CPT DESCRIPTION	UNIT VOLUME
99202	Office/outpatient visit new
99203	Office/outpatient visit new
99204	Office/outpatient visit new
99205	Office/outpatient visit new

Established Patient Codes (Outpatient)

CPT CODE	CPT DESCRIPTION	UNIT VOLUME
99211	Office/outpatient visit est
99212	Office/outpatient visit new
99213	Office/outpatient visit new
99214	Office/outpatient visit new
99215	Office/outpatient visit new

Select Hospital Inpatient Codes

CPT CODE	CPT DESCRIPTION	UNIT VOLUME
99221	1st hosp ip/obs sf/low 40
99222	1st hosp ip/obs moderate 55
99223	1st hosp ip/obs high 75
99231	Sbsq hosp ip/obs sf/low 25
99232	Sbsq hosp ip/obs moderate 35
99233	Sbsq hosp ip/obs high 50

Compensation Plan Variable

Plan Compensation Rate per wRVU

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Vice President
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Calculator Output

New Patient Codes

Historical wRVU	Projected wRVU	Increase/Decrease	Medicare Historical Reimbursement	Medicare Projected Reimbursement	Increase/Decrease

Established Patient Codes

Historical wRVU	Projected wRVU	Increase/Decrease	Medicare Historical Reimbursement	Medicare Projected Reimbursement	Increase/Decrease

Select Hopsital Inpatient Codes

Historical wRVU	Projected wRVU	Increase/Decrease	Medicare Historical Reimbursement	Medicare Projected Reimbursement	Increase/Decrease

Year over Year Projected Impact using Medicare Reimbursement

	Outpatient	Inpatient	Total
Incremental wRVUs:
Incremental Compensation Expense:
Incremental Revenue:
Financial Impact:

Please note that the results of the calculations include the national Medicare reimbursement impact based on the volume input.

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Copyright © 2023 Coker Group, LLC

This link leads to the machine-readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.