Rheum
Rheumatology
Cognitive specialty with high-yield joint and soft tissue injections, plus chronic infusion management. Joint injection coding is anatomic-site stratified, and ultrasound guidance is its own bundled code.
Top billed codes
The codes that drive revenue in this specialty. Click any code for documentation requirements, modifiers, and pitfalls.
| Code | Description | wRVU | Total RVU | Medicare $ | |
|---|---|---|---|---|---|
| 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. | 1.92 | 4.06 | $136 | Details → |
| 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. | 2.80 | 5.76 | $192 | Details → |
| 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. | 0.33 | 0.52 | $17 | Details → |
| 20610 | Arthrocentesis major joint w/o US Major joint injection or aspiration without US guidance. | 0.94 | 2.06 | $69 | Details → |
| 20611 | Arthrocentesis major joint w/ US Major joint injection with US guidance and permanent recording. | 1.10 | 3.19 | $107 | Details → |
| 20605 | Arthrocentesis intermediate joint Intermediate joint injection without US guidance. | 0.68 | 1.60 | $53 | Details → |
| 20606 | Intermediate joint inj, US-guided Intermediate joint injection with US guidance and permanent recording. | 1.00 | 3.18 | $106 | Details → |
| 20550 | Inj tendon sheath/ligament De Quervain's, trigger finger, lateral epicondyle, plantar fascia injections. | 0.75 | 1.62 | $54 | Details → |
| 20552 | Inj trigger point 1-2 muscles Trigger point injection in 1 or 2 muscles (any number of injections within those muscles). | 0.66 | 1.36 | $45 | Details → |
| 20553 | Inj trigger point 3+ muscles Trigger point injection in 3 or more muscles. | 0.75 | 1.55 | $52 | Details → |
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Educational reference, not billing or legal advice. Coverage curated, not exhaustive. Verify against payer contracts.