Scope, boundary, and correct application — by code.
Every entry defines what the code covers, what it excludes, and where it ends. Browse by category or go directly to the code you need.
Code families organized for fast lookup
Evaluation & Management
Surgery
Radiology
Office visits, hospital care, consultations. The highest-volume codes and the most contested boundary cases.
Procedural codes by body system. Global period rules, bundling restrictions, and modifier applications included.
Diagnostic imaging and interventional radiology. Technical vs. professional component distinctions clearly marked.
Pathology & Laboratory
Medicine
Anesthesia
Base units, time units, and qualifying circumstance modifiers. Physical status designations and concurrent billing rules.
Lab panels, specimen handling, and molecular diagnostics. Correct ordering and bundling rules by test type.
Immunizations, psychiatry, ophthalmology, and non-surgical procedures. Frequently revised; current-cycle notes flagged.


What each entry tells you
Scope — exactly what services the code covers. Inclusions and exclusions stated plainly, not paraphrased from the codebook.
Adjacent codes — where the boundary sits with codes that share similar descriptions. The margin is named, not implied.
Patient scenario — a worked example matching a real visit type to the correct code, showing the documentation that supports it.
When two codes describe the same visit
The distinguishing factor
Rule-change flags
Adjacent codes often differ by medical decision-making complexity or time. Each comparison entry names the single variable that tips the selection — and shows it in a documented visit context.
When CMS revises a code's criteria, the comparison entry is updated in the same cycle. The change is noted inline so you see exactly what shifted and whether your current documentation still qualifies.


