CPT 99304 RVU Value — 1st nf care sf/low mdm 25
2026 CMS Physician Fee Schedule · 1.50 Work RVUs · 2.43 Total RVUs
Work RVU
Physician time and effort
Practice Expense RVU
Equipment and overhead costs
Malpractice RVU
Professional liability costs
Total RVU
Sum of all components
Evaluation & Management
Patient encounters and consultations
Common specialties: Primary Care, Hospitalist, Internal Medicine
About CPT 99304
How many wRVUs is 99304 in 2026?
CPT code 99304 has 1.50 work RVUs in 2026 according to the CMS Physician Fee Schedule. The total RVU value including all components is 2.43 RVUs.
What type of procedure is 99304?
99304 is classified as E/M: 1st nf care sf/low mdm 25. This procedure is commonly used by: Primary Care, Hospitalist, Internal Medicine.
What is the RVU breakdown for CPT 99304?
CPT 99304 has three RVU components in 2026: Work RVU 1.50 (physician effort), Practice Expense RVU 0.84 (overhead costs), and Malpractice RVU 0.09 (liability). The combined Total RVU is 2.43.
How do I calculate total compensation for 99304?
To calculate compensation: Work RVUs (1.50) x Your dollar-per-wRVU rate x Geographic Practice Cost Index (GPCI). For example, at $55/wRVU, one 99304 generates approximately $83 in physician compensation. Use the calculator below to estimate values for multiple quantities.
Clinical Usage Guidelines
Documentation Requirements
Important: Proper documentation is required to support billing for 99304. Ensure your documentation meets CMS guidelines and local carrier policies.
Common Modifiers
Calculate RVUs for 99304
wRVU Calculator
Related CPT Codes
Anesthesia for all procedures on the integumentary system
Anesthesia for procedures on the integumentary system on the extremities
Anesthesia for all procedures on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand
Dstr mal les s/n/h/f/g 0.6-1
Control of nosebleed
Treat pleurodesis w/agent
Explore More Evaluation & Management Codes
Discover other high-value CPT codes in evaluation & managementand optimize your practice productivity.
View Evaluation & Management Hub