Medical Coding Tools & Reimbursement Calculators | Medical Coding Data

💰 CY 2026 PFS

Medicare RVU & Reimbursement Calculator

Calculate exact Medicare allowable reimbursement rates for CPT and HCPCS codes. Includes work RVU, practice expense RVU, malpractice RVU, and geographic GPCI locality adjustments.

Facility vs non-facility fee comparison
CMS conversion factor ($32.74)
Geographic Practice Cost Index (GPCI) formulas

Launch RVU Calculator →

🛡 Q4 2026 NCCI

NCCI / CCI Edit & Bundling Checker

Verify procedure code pairs against official National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits and Medically Unlikely Edits (MUE).

Modifier indicator check (0, 1, or 9)
Modifier 59, 25, and X{EPSU} guidance
MUE daily unit limit lookup

Launch NCCI Checker →

🦴 FY 2027 ICD-10

ICD-10-CM 7th Character Builder

Interactive wizard for Chapter 19 injury, fracture, and trauma codes. Select the base diagnosis and clinical episode to generate compliant 7-character billable codes.

Initial (A/B/C), subsequent (D/G/K/P), and sequela (S)
Automatic placeholder 'X' padding logic
Instant copy button with validation feedback

Launch 7th Character Builder →

🔄 GEM Crosswalk

GEM ICD-9 to ICD-10 Crosswalk Tool

Convert legacy ICD-9 diagnostic codes into compliant ICD-10-CM codes using official CMS General Equivalence Mappings (GEM), with bidirectional lookup support.

Bidirectional conversion (ICD-9 ↔ ICD-10)
Approximate, no-map, and combination flags
Historical research and medical record translation

Launch GEM Crosswalk →

Direct CMS Data Feeds

All tools pull formulas and parameters directly from official CMS, CDC, and NCHS source files without intermediaries.

Strict HIPAA Compliance

Calculations run locally in your browser. No protected health information (PHI) is ever transmitted, logged, or stored.

Quarterly Verification

Updated every quarter alongside CMS Physician Fee Schedule and NCCI quarterly edit releases.