Methodology Verified against CMS 2026 code set

Our Data & Methodology

How PayerReady sources, validates, and continuously updates one of the largest privately-maintained RCM reference datasets outside a clearinghouse. Every number on this site traces to a CMS, AMA, CDC, or X12 source you can verify yourself.

Dataset at a glance

Reference row counts

Live counts from our production database. Updated nightly against upstream source releases.

11,025
CPT codes
98,186
ICD-10-CM
79,113
ICD-10-PCS
9,068
HCPCS Level II
422
CPT Modifiers
4.5M
NCCI Edits
860K
MPFS Fee Rows
1,506
CARC + RARC
9.5M
NPI Records
111K
NDC Drugs
Authoritative Sources

Where every number on this site comes from

CMS, AMA, CDC, X12, and CMS NPPES are the only first-source publishers we use. We never invent fees, never hallucinate codes, never paraphrase clinical descriptors.

11,025
rows

CPT Procedure Codes

CPT code numbers and short descriptors from CMS Physician Fee Schedule. Long descriptors are AMA copyright and not redistributed; PayerReady publishes our own billing guidance instead.

Source
AMA + CMS PFS PPRRVU
Cadence
Annual (Jan 1) + quarterly RVU updates
98,186
rows

ICD-10-CM Diagnoses

Complete CDC tabular list with chapter/section hierarchy, Excludes1/Excludes2 notes, Includes/Code First/Use Additional Code annotations, billable flags, and HCC v28 mapping.

Source
CDC NCHS + CMS
Cadence
Annual (Oct 1)
79,113
rows

ICD-10-PCS Procedures

Inpatient procedure coding for hospital UB-04 claims. Used in MS-DRG assignment.

Source
CMS
Cadence
Annual (Oct 1)
9,068
rows

HCPCS Level II

Drug J-codes, DME, supplies, ambulance origin/destination, dental D-codes (CDT), commercial S-codes, Medicaid T-codes. Includes NDC linkage on drug codes.

Source
CMS HCPCS Quarterly Update
Cadence
Quarterly
4.5M
rows

NCCI PTP Bundling Edits

Procedure-to-procedure bundling pairs with modifier indicator (0 = absolute, 1 = bypassable with documentation). Powers our auto-bundling-trap detection on every CPT page.

Source
CMS National Correct Coding Initiative
Cadence
Quarterly
860K
rows

Medicare Physician Fee Schedule

Locality-adjusted fee schedule across all 55 Medicare Administrative Contractor (MAC) jurisdictions. Facility and non-facility rates per CPT.

Source
CMS PFS Lookup Tool
Cadence
Quarterly
20K+
rows

NCCI Medically Unlikely Edits

Per-day maximum unit limits for each CPT/HCPCS, with MAI rationale (1=line, 2=date-of-service, 3=date-of-service appealable). Surfaces on every code detail page.

Source
CMS NCCI MUE
Cadence
Quarterly
1,506
rows

CARC + RARC Denial Codes

Standard EOB and 835 ERA adjustment reason codes with claim group classification (CO, PR, OA, PI, PM). Augmented with PayerReady curated root-cause analysis and appeal letter templates for top denials.

Source
X12 Claim Adjustment Reason Codes (WPC)
Cadence
Triannual (March, July, November)
9.5M
rows

NPPES Provider Registry

National Provider Identifier dataset with primary taxonomy, practice address, phone, and group affiliations. Powers the user-initiated NPI Lookup Tool only. We do not publish per-provider pages.

Source
CMS NPPES Downloadable File
Cadence
Weekly
111K
rows

NDC Drug Database

NDC linked to HCPCS J-codes for drug billing, with package sizes and dosage forms. Surfaces on J-code pages with NDC reporting requirements per payer.

Source
FDA National Drug Code Directory
Cadence
Monthly
770
rows

MS-DRG Inpatient Groupers

Medicare Severity Diagnosis Related Groups for inpatient hospital reimbursement. Includes CC and MCC mapping, geometric mean LOS, relative weights.

Source
CMS IPPS Final Rule
Cadence
Annual (Oct 1)
931
rows

APC Outpatient Groupers

Ambulatory Payment Classifications for hospital outpatient reimbursement under OPPS. Includes status indicators, payment rates, packaging flags.

Source
CMS OPPS Final Rule
Cadence
Quarterly addenda
Pipeline

From CMS source file to your screen

Every code, fee, and bundling pair on PayerReady passes through this 4-stage pipeline before it's published.

STEP 1

Ingest from source

Automated nightly pulls from CMS, AMA, CDC, X12, and FDA. SHA-256 checksums on every download. New release triggers full re-import, never partial overwrites.

STEP 2

Validate & cross-link

Rules engine (163/163 accuracy tests passing) cross-references CPT to NCCI, CPT to MUE, CPT to MPFS rates, ICD-10 to HCC, denial code to CPT pairings. Anomalies are flagged, not silently corrected.

STEP 3

Specialist review

PayerReady Medical Coding Team spot-checks a rolling sample of 500 pages per month. Specialist authors prose blocks (modifier guidance, bundling rationale, payer notes) for the top-traffic codes.

STEP 4

Indexability gate

Pages that fail the minimum-data check (no MPFS rate, no NCCI partners, no cross-references) are marked noindex and excluded from sitemaps. We refuse to publish thin pages just to pad URL counts.

Comparison

PayerReady vs typical free code references

Most free reference sites republish CMS files. We pair the raw codes with the bundling, fee, and denial context billers actually need.

Capability PayerReady Typical free reference
CPT short descriptors
ICD-10-CM full tabular hierarchy
Medicare fee schedule per MAC (55 jurisdictions)
NCCI bundling partners (4.5M edits)
MUE per-day quantity limits
HCC v28 risk-adjustment mapping
Specialty billing guides with revenue tips
CARC denial appeal templates
LCD coverage flags per code
Inline glossary linker for billing terms
Last-verified timestamp on every page
No paywall, no signup required
Boundaries

What we deliberately don't publish

We could pad our URL count by orders of magnitude. We don't, because the resulting pages would either violate copyright, harm individual privacy, or mislead billers with unverified data.

AMA CPT long descriptors

Copyright AMA. We publish code numbers + short descriptors + our own coding guidance instead.

Per-provider directory pages

Our 9.5M NPI dataset powers the user-initiated NPI Lookup Tool only. We do not publish 9.5M individual provider URLs.

Unverified commercial payer rates

Our fee figures are CMS Medicare and clearly labeled. We don't publish contracted commercial rates we cannot source publicly.

Accuracy Commitment

Find an error? We fix it within 10 days.

Every code page carries a "Last verified" timestamp. If you spot a mistake, wrong descriptor, outdated fee, missing modifier, email our coding team. We review every report within 5 business days and publish a correction within 10 if confirmed.

coding@payerready.com
Response SLA
5 days
Verified CMS 2026 code set
For credentialing customers

Built on the same data clearinghouses use.

PayerReady credentialing customers get the full coding toolkit, denial library, specialty playbooks, and NPI lookup powered by every dataset on this page.

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If you want a code reference page that doesn't exist yet, email coding@payerready.com.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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