RVU Lookup

RVU Lookup

Look up a CPT code and pricing for any area
Option Selection
Back to ACS Retail Multiplier represents the %
of the Medicare Allowable to display
RVU Year and Quarter
Facility or                The most common Non-Facility setting is the physician's office. If you are researching pricing for service performed in the doctor's office, leave the Non-Facility Based circle checked.

If you are billing for services performed in a Hospital, Outpatient Facility, Nursing Home, Ambulatory Surgery Center etc, check the Facility Based Pricing circle.

Non-Facility
Pricing
Non-Facility Based Pricing
Facility Based Pricing
9 Digit Zip Code:     A 9 digit Zip Code is required and must be valid for the selected year   (9 Digits Required)
Retail Multiplier:     The % rate of the Medicare Allowable to set for pricing.

For instance, if you wish to bill at 180% of the Medicare Allowable, enter 180 into this box.

If you wish to bill at 92% of the Medicare Allowable, enter 92 into this box.
(% of Medicare Allowable)
List of codes:          Enter up to 9 CPT codes here.
If you wish more than 9 codes, use the Code Range Lookup, below.

Enter from 1
to 6 CPT codes


Code Range:           Enter a From and To value.
As an example:
(from) 99200 (to) 99500
From:
To:   
          
Resource Based Relative Value Units (RBRVU) are used to assign a Relative Value Unit (RVU) multiplier to the physician's work (including the physician's time and amount of skill required for the procedure), the practice's supplies & overhead and the malpractice expense.

Payment varies based on the zip code of the location where services are rendered using a Geographic Practice Cost Index (GPCI) multiplier which changes every quarter with the intention of eventually paying all docs the same amount no matter where they do business across the nation.


The formula for 2017 physician fee schedule payment amount is as follows:
2017 Non-Facility Pricing Amount =
[(Work RVU * Work GPCI) +
(Non-Facility PE RVU * PE GPCI) +
(MP RVU * MP GPCI)] * Conversion Factor (CF)
2017 Facility Pricing Amount =
[(Work RVU * Work GPCI) +
(Facility PE RVU * PE GPCI) +
(MP RVU * MP GPCI)] * Conversion Factor