Application of the resource-based relative value scale system to pediatrics

Robert S. Gerstle, Richard A. Molteni, Margie C. Andreae, Joel F. Bradley, Eileen D. Brewer, Jamie Calabrese, Steven E. Krug, Edward A. Liechty, Jeffrey F. Linzer, Julia M. Pillsbury, Sanjeev Y. Tuli, Lynn M. Wegner, Samuel D. Smith, Becky Dolan, Teri Salus, Linda Walsh

Research output: Contribution to journalShort surveypeer-review

8 Scopus citations


The majority of public and private payers in the United States currently use the Medicare Resource-Based Relative Value Scale as the basis for physician payment. Many large group and academic practices have adopted this objective system of physician work to benchmark physician productivity, including using it, wholly or in part, to determine compensation. The Resource-Based Relative Value Scale survey instrument, used to value physician services, was designed primarily for procedural services, leading to current concerns that American Medical Association/Specialty Society Relative Value Scale Update Committee (RUC) surveys may undervalue nonprocedural evaluation and management services. The American Academy of Pediatrics is represented on the RUC, the committee charged with maintaining accurate physician work values across specialties and age groups. The Academy, working closely with other primary care and subspecialty societies, actively pursues a balanced RUC membership and a survey instrument that will ensure appropriate work relative value unit assignments, thereby allowing pediatricians to receive appropriate payment for their services relative to other services.

Original languageEnglish (US)
Pages (from-to)1158-1162
Number of pages5
Issue number6
StatePublished - Jun 1 2014


  • CPT
  • Coding
  • Medicare payment
  • Physician work
  • RUC
  • Resource-Based Relative Value Scale (RBRVS)
  • Valuation

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health


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