Check coverage before you code

Look up whether a CPT or HCPCS code is covered by a specific payer. See LCD/NCD references and bundling considerations.

The Challenge

Coding accuracy requires coverage context

Assigning the right code is one thing. Knowing whether that code is covered, and what documentation supports it, requires separate research.

Common pain points

Coverage lookup is separate from coding workflow

LCD/NCD searches are slow and often return too many results

Bundling rules vary by payer and aren't always obvious

Coders wait on billing clarification for coverage questions

The Solution

Code-level coverage lookup

Enter a CPT or HCPCS code in Verity. See coverage status by payer, relevant LCD/NCD references, and known bundling considerations.

Coverage by code

Enter a code, select a payer. See whether it's covered and under what conditions.

LCD/NCD references

Verity surfaces relevant Local and National Coverage Determinations for searched codes.

Bundling flags

See codes that are commonly bundled or may require modifiers. Based on published payer guidelines.

Documentation pointers

View what clinical documentation supports the code, per payer coverage policies.

What to expect

Verity provides coverage context during coding, not after. It doesn't replace coding judgment or guarantee claim acceptance. Coverage policies are one input among many.

Answer coverage questions during coding instead of after submission

Surface LCD/NCD references without separate Medicare searches

Flag potential bundling issues before claims go out

Ready to see it in action?

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