Billing Code Lookup — CPT, HCPCS, DRG Codes & More
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
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Explore OpenPayer Data
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.
Toolbox
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- Prior Authorization LookupSearch payer prior authorization policies by drug, procedure, or policy name.
- Timely Filing LookupFind payer timely filing policies: claim deadlines, corrected claim windows, and appeal timeframes.
- Coverage Criteria LookupSearch payer coverage criteria and medical necessity requirements by drug, procedure, or payer.
- Payer Contact DirectoryClaims, prior authorization, provider services, and appeals contacts for health insurance payers.
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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