Medical billing and coding tools
Code lookups and form decoders for the day-to-day of medical billing and coding: ICD-10-CM, HCPCS Level II, CPT structural rows, NDC, CARC and RARC, MS-DRG, APC, NUBC revenue and TOB, CMS-1500 and UB-04 field-by-field references.
37 tools in this hub, all free, all in your browser.
Billing & Coding
Billing & Reimbursement
- MPFS Allowed Amount (RVU x GPCI x CF)
- Multiple-Procedure Payment Reduction
- Bilateral (Modifier 50) Payment by Indicator
- Assistant / Co- / Team-Surgeon Payment
- Medicare 2% Sequestration Adjustment
- NCCI Edit & Modifier-Bypass Checker
- MUE Units Adjudication (MAI 1/2/3)
- Modifier 59 vs XE/XS/XP/XU Selector
- Global Surgery Period & Required Modifier
- Pricing vs Informational Modifier Order
- E/M MDM Level by Setting (2023, all places of service)
- Critical Care Time (99291 + 99292 Units)
- Split / Shared Visit & FS Modifier
- Prolonged Services (99417 / G2212 Units)
- Therapy Units (8-Minute Rule vs Rule of Eights)
- Anesthesia Units (Base + Time + Modifying x CF)
- HCPCS Drug Billing Units (Dose -> Units)
- Drug Wastage (JW / JZ Units, Single-Dose Vial)
- Infusion Hierarchy (Initial Code Picker, 96360-96379)
- NPI Luhn Check-Digit Validator / Generator
- Medicare Beneficiary Identifier (MBI) Format Validator
- ICD-10-CM Structural & Specificity Checker
- 835 / EOB Remittance Balancing
Insurance & Patient Literacy
- Medicare Appeal-Level Deadline Calculator
- Claim Timely-Filing Deadline
- Prior-Authorization Decision-Deadline Clock
- 60-Day Overpayment Report-and-Return Clock
- Medicare Patient Cost-Share (Part A / B / SNF)
- Coordination of Benefits & Medicare Secondary Payer
- Contractual Write-Off vs Patient Balance
- No Surprises Act Cost-Share (QPA-Based)