Data source & legal notice: All bundling, payment, and MUE data displayed on this page is sourced exclusively from publicly available CMS government publications — specifically the NCCI Procedure-to-Procedure (PTP) Edit files, the Medicare Physician Fee Schedule (MPFS), and CMS Medically Unlikely Edit (MUE) tables — which constitute works of the U.S. federal government and are public domain under 17 U.S.C. § 105. CPT® is a registered trademark of the American Medical Association (AMA). Lynceus does not reproduce, store, or distribute any AMA-authored CPT code descriptions or other AMA-copyrighted content. Code numbers are supplied by the user. This tool is independently developed and is not affiliated with, sponsored by, or endorsed by the AMA. Payment figures reflect national Medicare non-facility rates and will vary by locality, payer contract, and individual policy. Not a substitute for compliance review or legal advice.
CPT Code Checker
Enter any CPT or HCPCS code to check Medicare bundling rules, payment benchmarks, MUE limits, and global periods — all from CMS public-domain data.
Data verification in progress: this tool covers a limited set of codes and its payment, MUE, and bundling figures have not yet been checked against the CMS files. Do not rely on them for billing decisions.
You supply the code number — Lynceus does not autocomplete or suggest CPT descriptions. Input is processed locally; your codes are not stored.
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Data from CMS public-domain datasets · CY2026
Medicare Payment Benchmark
National rates · CY2026 CF: $36.0227 · Actual payment varies by Medicare locality, payer contract, and policy. Source: CMS MPFS Final Rule CMS-1832-F.
Medically Unlikely Edit (MUE)
Source: CMS NCCI MUE Tables Q3 2026. Units above MUE trigger automatic MAC denial.
Global Surgery Period
Source: CMS MPFS CY2026. Pre/post-op services in the global period are bundled into the procedure payment.
NCCI Bundling
Source: CMS NCCI PTP Edits Q4 2026. Use the second-code checker above to test a specific pair.
Code Pair Bundle Check
Source: CMS NCCI PTP Edits Q4 2026.
ICD-10 Bridge
From your Lynceus DBCommon ICD-10 diagnoses frequently coded with E&M visits of this complexity. Verify medical necessity for your specific encounter.