Endo

Endocrinology

Cognitive specialty, mostly E/M. Procedural revenue comes from CGM interpretation, thyroid ultrasound and biopsy, and MNT supervision. CGM coding is a regulatory layer cake — get the time, sensor source, and patient setup right or the claim gets denied.

Top billed codes

The codes that drive revenue in this specialty. Click any code for documentation requirements, modifiers, and pitfalls.

CodeDescriptionwRVUTotal RVUMedicare $
99214
Office o/p est mod 30 min
The workhorse code. Two or more chronic problems with progression/treatment changes, OR one undiagnosed new problem with uncertain prognosis, OR prescription drug management.
1.924.06$136Details →
99215
Office o/p est hi 40 min
Severe exacerbation, decompensated chronic illness, decision regarding hospitalization, or extensive comorbidity management requiring high-risk decision-making.
2.805.76$192Details →
G2211
Complex e/m visit add on
Add-on to office E/M (99202-99215) when you are the continuing focal point for all needed care (primary care) OR the ongoing care provider for a single serious/complex condition.
0.330.52$17Details →
95249
CGM personal, patient-provided setup
One-time CGM setup and training when patient owns the device. Once per device, not once per visit.
0.001.80$60Details →
95250
Cont gluc mntr phys/qhp eqp
Practice-supplied CGM (you own the device and loan it for a sample period). Once per 30 days.
0.004.57$153Details →
95251
Cont gluc mntr analysis i&r
CGM data review and interpretation. Once per 30 days regardless of who supplied the device.
0.681.05$35Details →
76536
US soft tissue head/neck (thyroid)
Diagnostic neck ultrasound for thyroid nodules, neck masses.
0.593.22$108Details →
60100
Biopsy thyroid percutaneous needle
Percutaneous needle biopsy of the thyroid.
1.532.70$90Details →
G0270
MNT subsequent, 15 min, dx changed
Subsequent MNT visit when there has been a change in the patient's condition, diagnosis, or treatment regimen.
0.450.77$26Details →
G0447
Behavior counsel obesity 15m
Obesity counseling using the USPSTF intensive behavioral model. Requires BMI ≥30.
0.601.02$34Details →
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Educational reference, not billing or legal advice. Coverage curated, not exhaustive. Verify against payer contracts.