SOURCES, CHANGES AND ACCOUNTABILITY
A reference you can inspect.
See which data we use, what changed and where a separate review is still needed.
October source verification and new Learn guides
- Compared all 436 catalog entries and 109 Medicare localities with CMS RVU26D, effective October 1. None of the imported code or locality fields changed from July. This does not describe changes outside our curated catalog. Public estimates continue to use the non-QP conversion factor of $33.4009.
- Corrected the conversion-factor guide to distinguish QP and non-QP rates, Medicare payment and contractual dollars per wRVU. Its worked example now uses the same data as the code catalog.
- Added a G2211 proposal explainer. Proposed 2027 policies are labeled as proposals and do not change the calculator or current billing guidance.
- Added hospital-at-home telehealth guidance based on CMS's October 1 bulletin and updated the existing telehealth guide. The bulletin is a clarification; its publication date is not described as a new effective date.
- Added a hospital-employed physician wRVU reconciliation checklist covering reporting periods, credited units, RVU versions and compensation questions.
2026 reference review
- Checked all 436 catalog entries against CMS RVU26C, effective July 1, 2026, including facility and non-facility values. Added RPM references 99445 and 99470.
- Corrected selected hospital, discharge, critical-care, prolonged-service and modifier guidance. Revised specialty examples to distinguish code alternatives from separately reportable services.
- Removed broad contrast-safety and treatment instructions from imaging billing references. Those decisions require current clinical guidance.
- Added facility payment modeling. Work RVU production remains national; geography and setting affect the payment estimate.
- Revised the HFrEF SmartPhrase to document individualized treatment, monitoring and fluid planning. This is a focused correction, not certification of the template library. Sources: ACC HFrEF pathway and HFA fluid and sodium consensus.
- Corrected the adult DKA/HHS and sepsis SmartPhrases: potassium precautions, DKA resolution documentation, emergency-care recording and severe-sepsis code labels. Sources: hyperglycemic-crisis consensus, ADA hospital standards, SSC 2026 and FY 2026 coding guidelines. These templates document care and require professional review before use.
- Revised anaphylaxis follow-up, febrile-neutropenia triage and hyperkalemia templates to document individualized decisions and escalation. Sources: AAAAI/ACAAI anaphylaxis parameters, ASCO/IDSA outpatient guidance, KDIGO CKD guidance and UK Kidney Association hyperkalemia guidance. Source comparison does not replace professional review.
- Corrected AF, post-ACS, DVT/PE, extended-anticoagulation and chest-pain templates. Removed automatic treatment decisions, unsupported shortcuts and unrelated imported text. Sources include 2026 PE guidance, 2026 lipid guidance and ASH VTE guidance; each revised template records its sources.
- Removed voxelotor as a sickle-cell treatment option following the FDA safety withdrawal notice. Revised the adult template to document specialist treatment and monitoring decisions.
- Contract Review now separates extracted terms from questions for an attorney, rather than claiming a state-by-state legal determination.
- Consolidated the ten explanatory guides so superseded drafts cannot silently override the current text.
What an update means
A numeric comparison verifies the imported fields against that release. It does not certify coverage, clinical care or an individual claim. Source links and page dates do not imply that a named independent clinician or coder has reviewed every statement.
The library is curated. It is not the full CPT catalog or a live NCCI edit engine. SmartPhrase clinical review remains pending. AI suggestions and documentation templates require professional review before use.
Public payment references use the non-QP conversion factor. The calculator allows a custom factor; confirm eligibility and the relevant CMS file before changing it. Compensation distributions are illustrative planning references, not licensed market percentiles.
How corrections are handled
Send the affected page, statement and primary source to admin@rvudoc.com. Please omit patient information. We compare the applicable service date and payer policy, correct supported errors and record material changes here.
Future-effective releases do not replace current data early. If primary sources conflict, we identify the uncertainty rather than inventing a single rule.
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