US Medical Coding & Reimbursement Units Workbench
Deterministic pre-claim unit calculators, payer divergence checks, and copy-ready EHR audit documentation notes built for outpatient coders, clinic billers, therapy practices, and revenue integrity teams.
Medicare Part B JW & JZ Drug Waste Billing Unit Calculator
Free JW/JZ calculator: enter dose, vial size and HCPCS unit to get exact Medicare claim lines, including the sub-unit trap where JW is prohibited and JZ is required.
99417 vs G2212 TimeProlonged E/M (99417 vs. G2212) & Critical Care (99291/99292) Calculator
Enter total minutes: see instantly whether AMA CPT pays 99417 or 99292 and where CMS Medicare denies it (G2212 at 89/69 min, 99292 at 104 min). Free, no sign-up.
Anesthesia Units2026 Anesthesia Billing Units & Concurrency Modifier Calculator
Calculate anesthesia base + 15-minute time units for Medicare ($20.4976, 0.1 rounding, no P-status) vs commercial payers, with AA/QK/QX/QY/QZ direction splits.
PT/OT 8-Min & CQ/COTherapy Billing Units Allocator: CMS 8-Minute Rule vs. AMA + CQ/CO Check
Pool timed minutes across CPT codes the CMS way, compare AMA per-code units, and flag CQ/CO when a PTA/OTA passes 10%. Free therapy allocator with audit note.
NDC 10→11 ConverterHIPAA 10-to-11 Digit NDC Converter & Loop 2410 Quantity Builder
Convert FDA 4-4-2, 5-3-2 and 5-4-1 package NDCs to the 11-digit 5-4-2 claim format with NCPDP quantity and Loop 2410 LIN/CTP output. Rejects unhyphenated codes.
Global PeriodGlobal Surgical Period & Post-Op Modifier Decision Calculator
Enter a surgery date and CMS global indicator (000/010/090) to get the exact global window, then decide modifiers 24/25/57/58/78/79 with a copy-ready audit note.
PBM Days' SupplyPBM Audit-Safe Pharmacy Days' Supply Calculator
Calculate audit-defensible days' supply for tablets, insulin pens (with your PBM priming units), eye drops (your drops/mL) and inhalers. Formulas only, no hidden PBM values.
Infusion TimeInfusion Administration Time & Units Worksheet
Turn documented infusion minutes into initial, additional-hour, sequential and concurrent units for chemo, therapeutic and hydration families, with the >30-minute rule applied.
CCM / TCMChronic & Transitional Care Management Minutes and Deadline Calculator
Add monthly care-management minutes to reach 99490, 99491 or complex CCM thresholds, or enter a discharge date for TCM contact and 7/14-day visit deadlines (CMS MLN).
Therapy MPPRTherapy Multiple Procedure Payment Reduction (MPPR) Estimator
Estimate the CMS multiple procedure payment reduction on same-day therapy: highest-PE unit paid in full, PE of later units halved. Work and malpractice never reduced.
Mod 51 / 50 PayMultiple Procedure (51) & Bilateral Surgery (50) Payment Estimator
Estimate Medicare multiple-procedure pricing (100%/50%) and bilateral surgery payment by MPFS indicator (150%, 100% or already-priced) with modifier 51/50 claim notes.
Workers' Comp EMRWorkers' Compensation Experience Mod (EMR) & Premium Impact Estimator
Estimate your NCCI experience modification rate from your bureau worksheet (expected losses, W, ballast) and see the annual premium impact of a point of mod.