We support 25+ medical specialties across 20+ EHR/PMS systems, chances are, we already know your payer quirks.
Every specialty has its own coding traps and payer behavior. Here's what we actually watch for in yours.
Chemo drugs, J-codes, infusion time units, prior auth on nearly every regimen.
Global maternity packages, antepartum/postpartum splits, ultrasound bundling. Learn more →
Injection modifiers, bilateral rules, medical-necessity documentation, LCD/NCD limits.
Surgical bundling, cystoscopy families, urodynamics, in-office procedure codes.
Fracture care coding, joint arthroplasty, global periods, RT/LT/50 modifiers, DME & RTM billing. Learn more →
Medical vs. dental crossover billing, extraction bundling, anesthesia units.
Screening vs. diagnostic colonoscopy, PT modifier, polyp removal rules.
Bilateral procedures, allergy testing units, endoscopy families.
Professional/technical splits, modifier 26/TC, contrast codes, global billing.
Cath lab bundling, echo components, device monitoring, stress test rules. Learn more →
PFT component billing, sleep studies, bronchoscopy families.
MCP codes, dialysis MCP tiers, vascular access procedures.
CPT 58970-58976 cycle billing, ICSI, PGT split billing, global period tracking. Learn more →
Progyny, Maven, WINFertility billing rules and prior auth requirements.
CPT 89250-89280 lab codes, separately billable services within the global period.
State-mandated fertility coverage rules (NY, MA, and others) applied per plan.
E/M level selection, chronic care management, annual wellness visits.
S-codes, POS 20 rules, payer-specific urgent care contracts.
8-minute rule, timed vs. untimed units, therapy caps, KX modifier.
Lesion destruction by count/size, Mohs stages, biopsy bundling.
Time-based E/M, add-on psychotherapy codes, telehealth POS/modifiers. Learn more →
Group vs. individual, H-codes, prior auth per session block. Learn more →
CGM billing, diabetes education, thyroid procedure codes.
Don't see yours?
Most billing companies run every specialty through the same process. That's why an oncology practice gets billed like a family clinic, and loses money on J-codes nobody understood.
Our founder spent 8+ years billing oncology, OB-GYN, pain management and urology directly. That knowledge is built into how we scrub every claim.
Book a free, zero-risk pilot audit. No setup fees, no long-term contract.
