CMS has made significant changes in 2021 to both their conversion factor and the RVUs for E&M services.
We have analyzed these changes. Selecting codes may become more arduous with the new E&M add-on codes. CMS believes that the overall finanical impact will be very modest, but we find that most practices will have some financial and RVU impact.
To see how the new RVUs and conversion factor will impact your providers, either:
- Enter the number of times you expect to perform each service, or
- Enter their NPI code in the field below, which will give you a head start by looking up the latest data available to us (2018).
The calculations use the difference between the 2020 and 2021 RVU values with your office visit procedure counts.
- For the new G2212 code, CMS expects that this will be used for 5% of your 99205 and 10% of your 99215.
The form will populate counts based on these assumptions when you enter values for 99205 and 99215 (which you may overwrite).