Billing Code Lookup — CPT, HCPCS, DRG Codes & More
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- CPTIn content0005F0005F – Documentation shows osteoarthritis assessment using specific components. This is a supplemental tracking code.In clinical coding
- CPTIn content0012F0012F – Documentation shows community–acquired bacterial pneumonia assessment using specific components. This is a supplemental tracking code.In clinical coding
- CPTIn content0106U0106U – This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0106U for the Cairn 13C–Spirulina Gastric Emptying Breath Test (GEBT) from Cairn Diagnostics, d/b/a Advanced Breath Diagnostics, LLC, which is a noninvasive, nonradioactive breath test that measures the rate of gastric emptying of solids in adult patients.In clinical coding
- CPTIn content0193801938 – The provider performs anesthesia services for a patient undergoing percutaneous image–guided injection, drainage, or aspiration procedures on the lumbar or sacral spine or spinal cord.In clinical coding
- CPTIn content0207T0207T – The provider uses thermal energy and pressure for treatment of meibomian gland dysfunction that causes dry eye syndrome.In clinical coding
- CPTIn content0216U0216U – This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0216U for Genomic Unity® Ataxia Repeat Expansion and Sequence Analysis from Variantyx Inc. Analysis helps in the diagnosis of ataxia caused by tandem repeat expansion of 12 different loci.In clinical coding
- CPTIn content0217T0217T – The provider injects a diagnostic or therapeutic agent into an additional lumbar or sacral paravertebral facet joint or the nerves that exit the joint under ultrasound guidance. He performs the procedure to relieve pain or to administer an anesthetic for a surgical procedure.In clinical coding
- CPTIn content0231U0231U – This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0231U for Genomic Unity® CACNA1A Analysis from Variantyx Inc. The test uses a blood or saliva specimen processed using a PCR free whole genome sequencing (WGS) platform with algorithmic data analysis to evaluate the calcium voltage–gated channel subunit alpha1 A (CACNA1A) gene for variants relevant to certain conditions such as certain ataxias, familial hemiplegic migraine, and infantile epileptic encephalopathy.In clinical coding
- CPTIn content0269U0269U – This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0269U only for Versiti™ Autosomal Dominant Thrombocytopenia Panel from Versiti™ Diagnostic Laboratories using a specimen such as blood, buccal swab, or amniotic fluid. The test uses next–generation sequencing (NGS) analysis of 22 genes associated with autosomal dominant congenital thrombocytopenia (a blood clotting disorder). The test may aid clinicians in diagnosing symptomatic patients or evaluating familial risk for inherited conditions.In clinical coding
- CPTIn content0327U0327U – This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0327U only for Vasistera™ from Natera, Inc. Using cell–free DNA (cfDNA) from a maternal plasma specimen, the test analyzes select DNA sequences on an automated platform and uses an algorithm to calculate the likelihood of fetal aneuploidy, such as trisomy 21 (Down syndrome), trisomy 13 (Edwards syndrome), and trisomy 18 (Patau syndrome). The test is a noninvasive prenatal test (NIPT) available early in pregnancy to evaluate for these conditions.In clinical coding
- CPTIn content0372T0372T – Non-contact real-time fluorescence wound imaging for bacterial presence, location, and loadIn clinical coding
- CPTIn content0417T0417T – The provider performs an in–person evaluation and repeatedly adjusts the programmed settings of the components of an already–implanted cardiac contractility modulation (CCM) system to select the optimal permanent programmed values; this code includes the analysis, review, and report of his findings and the programmed settings.In clinical coding
- CPTIn content0419U0419U – This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0419U only for Tempus nP from Tempus Labs Inc. The test uses a saliva or buccal (cheek) swab specimen to analyze 13 genes. The test reports the gene [removed]phenotype) of the 13 genes and uses bioinformatics to provide a list of psychotropic (mental health) medications that may be beneficial or carry risk, based on the patient’s genes.In clinical coding
- CPTIn content0431U0431U – This is a Proprietary Laboratory Analyses (PLA) code, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0431U only for Glycine Receptor Alpha1 IgG from Mayo Clinic/Mayo Clinic Laboratories. Using a live–cell binding method, the test evaluates a cerebrospinal fluid (CSF) or serum specimen for the presence of immunoglobulin G (IgG) for alpha–1 subunit of glycine receptor, which is a biomarker for the autoimmune stiff–person spectrum of disorders.In clinical coding
- CPTIn content0441T0441T – The provider uses cryoablation, the application of freezing temperature, to destroy a distal/peripheral nerve near the end of the lower extremity to treat complex regional pain syndrome or other neuropathy.In clinical coding
- CPTIn content0444T0444T – The provider places a clear, flexible device, somewhat like a contact lens, that contains a drug, such as timolol to treat glaucoma, under one or more eyelids of one or both eyes; the procedure includes fitting, training the patient, and initial insertion. Glaucoma is an eye disorder characterized by increased intraocular pressure, the pressure caused by the fluid inside the eye, the aqueous humor, that helps maintain the shape of the eye.In clinical coding
- CPTIn content0446TMedicare avg $66270446T – The provider creates a pocket beneath the skin, typically in the upper arm of the patient, and places an interstitial glucose sensor in the pocket; he activates the system and trains the patient on its use.In clinical coding
- CPTIn content0500F0500F – No Summary found for this codeIn clinical coding
- CPTIn content0503F0503F – No Summary found for this codeIn clinical coding
- CPTIn content0505F0505F – No Summary found for this codeIn clinical coding
- CPTIn content0507T0507T – The provider uses a special device called a transilluminator that inverts the eyelid and shines a near–infrared light through the eyelid, and a camera that captures high–resolution images to assess the meibomian glands, sebaceous glands at the edges of the eyelid that secrete an oily substance that prevents evaporation of tears and keeps the surface of the eye from becoming too dry. He assesses one or both eyes, interprets the images, and prepares a report.In clinical coding
- CPTIn content0509F0509F – No Summary found for this codeIn clinical coding
- CPTIn content0513F0513F – The provider documents a plan of care to manage elevated blood pressure in a patient with chronic kidney disease (CKD).In clinical coding
- CPTIn content0514F0514F – No Summary found for this codeIn clinical coding
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Tool Description
Search any CPT, HCPCS, J-code, DRG, or dental code by number or procedure name.
Enter a code directly (29827, CPT 36415, or 90837 CPT code) or describe the procedure (“anesthesia services” or “total knee replacement”).
Covers office visit E/M codes, such as 99213 and 99214; therapy and injections like 97110 and 96372; radiology and surgery codes; injectable drugs like J9035; and inpatient DRG codes like DRG 470.
Every code page includes the full description, billing and coding guidelines, common modifiers, Medicare reimbursement, and coverage and prior authorization requirements from UnitedHealthcare, Aetna, Cigna, Humana, and hundreds of other payers.
OpenPayer also links each code to live payer policy updates — coverage criteria, prior auth phone numbers, timely filing limits, and reimbursement rates.
FAQ
Type a code number (99213, J9035, 72148) or a procedure name (“total knee replacement,” “colonoscopy”) into the search bar. Filter results by code type (CPT, HCPCS, DRG, or ICD) or browse by category. Open any result for the complete procedure code description, coding and billing guidance, common modifiers, reimbursement information, and related payer coverage policies.
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Each result here links into the full OpenPayer dataset. You can browse all CPT, HCPCS, J-code and DRG billing codes with payer coverage detail, or catch the latest payer policy updates in the live policy feed.
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Sources
References
- 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
- 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
- 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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