Medical Billing for 36+ Specialties

Every specialty has its own CPT codes, payer rules, documentation thresholds, and denial patterns. General billers get it wrong. Our specialty-trained coders get it right.

36+ Specialties
AAPC Certified
Specialty-Trained Coders
2.49% Starting Rate
36+Specialties Covered
50+AAPC Certified Coders
98%+Clean Claim Rate
50States Served

Why Specialty Billing Expertise Matters

A cardiology coder who handles cath lab bundling every day catches errors that a general biller misses. A behavioral health specialist who tracks session limits won't let an expired authorization cost you revenue. That's the difference between general billing and specialty billing.

Specialty-Trained Coders

Each specialty gets a coder who lives in that code range. Cardiology claims go to a cardiology coder, not a generalist.

CPT Code Mastery

We know the bundling rules, modifier requirements, and documentation thresholds for every code in your specialty.

Payer-Specific Rules

Different payers have different rules for the same specialty. We track them all so you don't have to.

Find Your Specialty

Click any specialty to view our full billing guide with CPT codes, denial prevention, and more.

Cardiology

Cath lab, echo, EP studies, interventional coding

Key CPT Codes

93458, 93306, 92928

Complex bundling rules
Multi-vessel modifier stacking
Prior auth for procedures
SurgicalView Guide

Orthopedics

Joint replacement, arthroscopy, fracture care, spine

Key CPT Codes

27447, 29881, 20610

Global period management
Implant billing
Workers comp rules
SurgicalView Guide

Urgent Care

High-volume E/M, same-day procedures, walk-ins

Key CPT Codes

99202-99215, Mod 25

E/M level accuracy
Modifier 25 compliance
Walk-in eligibility
PrimaryView Guide

Behavioral Health

Therapy sessions, psych testing, telehealth, auth tracking

Key CPT Codes

90834, 90837, 90791

Session limit tracking
Telehealth modifier rules
Provider type restrictions
BehavioralView Guide

Internal Medicine

Complex E/M, chronic care management, wellness visits

Key CPT Codes

99214, 99490, G2211

E/M undercoding
CCM billing capture
G2211 add-on missed
PrimaryView Guide

Urology

Cystoscopy variants, lithotripsy, prostate procedures

Key CPT Codes

52000, 52353, 55700

Cystoscopy variation coding
Bilateral modifiers
Urodynamic complexity
SurgicalView Guide

Dermatology

Biopsy coding, lesion destruction, Mohs surgery

Key CPT Codes

11102, 17000, 17311

Biopsy code selection
Lesion count coding
Cosmetic vs medical
ProceduralView Guide

Pain Management

Injection coding, nerve blocks, RFA, stimulators

Key CPT Codes

64493, 62322, 64635

Frequency limitations
Fluoroscopic guidance docs
Payer audit scrutiny
ProceduralView Guide

OB/GYN

Obstetric global packages, gynecologic surgery

Key CPT Codes

59400, 59510, 58558

Global package unbundling
High-risk add-ons
Surgical approach codes
SurgicalView Guide

Family Practice

Full spectrum coding, preventive + problem visits

Key CPT Codes

99392, 90471, 99490

Preventive/problem split
Vaccine admin billing
Pediatric age codes
PrimaryView Guide

Laboratory

Panel codes, molecular diagnostics, CLIA, ABN

Key CPT Codes

80053, 85025, 81235

Panel bundling rules
ABN compliance
CLIA alignment
DiagnosticView Guide

Gastroenterology

Colonoscopy, EGD, screening-to-diagnostic conversion

Key CPT Codes

45378, 45385, 43239

Screening conversion coding
Multi-procedure endoscopy
Polyp technique codes
ProceduralView Guide

Radiology

X-ray, CT, MRI, interventional radiology

Key CPT Codes

71046, 74177, 70553

26/TC component billing
Contrast protocol rules
Prior auth for imaging
DiagnosticView Guide

Neurology

EEG, EMG/NCS, sleep studies, infusion therapy

Key CPT Codes

95816, 95907, 95886

EMG/NCS component coding
EEG variant selection
Infusion sequencing
DiagnosticView Guide

Oncology

Chemo administration, drug coding, radiation therapy

Key CPT Codes

96413, 77385, J-codes

J-code drug units
Buy and bill management
Infusion sequencing
SurgicalView Guide

Anesthesiology

Time-based coding, base units, CRNA supervision

Key CPT Codes

00100-01999, Time-based

Time documentation
CRNA direction rules
Physical status modifiers
SurgicalView Guide

Emergency Room

ED E/M, critical care, observation, No Surprises Act

Key CPT Codes

99281-99285, 99291

ED E/M level selection
Critical care time
NSA compliance
PrimaryView Guide

ASC

Facility fee coding, implant billing, multi-procedure

Key CPT Codes

UB-04, C-codes, Facility

Facility/professional split
Implant reimbursement
Multiple procedure discount
SurgicalView Guide

Ophthalmology

Cataract surgery, retina, glaucoma, OCT

Key CPT Codes

66984, 67028, 92134

Cataract global period
Intravitreal drug coding
Testing frequency limits
SurgicalView Guide

ENT

Sinus surgery, audiology, sleep procedures

Key CPT Codes

31231, 31256, 92557

Sinus approach coding
Audiology bundling
In-office procedure capture
ProceduralView Guide

Nephrology

ESRD monthly codes, dialysis, transplant management

Key CPT Codes

90960, 90935, 50360

Monthly capitation model
Dialysis coordination
CKD staging
ProceduralView Guide

Physical Therapy

Time-based coding, 8-minute rule, authorization

Key CPT Codes

97110, 97140, 8-min rule

8-minute rule calculation
Auth limit tracking
Timed vs untimed codes
BehavioralView Guide

Chiropractic

CMT coding, AT modifier, maintenance vs active care

Key CPT Codes

98940, 98941, AT mod

AT modifier requirements
Maintenance exclusion
Medicare limitations
BehavioralView Guide

ABA Therapy

Applied behavior analysis, session tracking, auth

Key CPT Codes

97151-97158

Unit count accuracy
Auth hour limits
Supervision modifiers
BehavioralView Guide

DME

HCPCS Level II, CMN forms, rental vs purchase

Key CPT Codes

HCPCS E/K/L, CMN

CMN documentation
Rental/purchase rules
Proof of delivery
DiagnosticView Guide

Mental Health

Psychiatric evaluations, therapy coding, collaborative care

Key CPT Codes

90832-90838, 99492

Time-based code selection
Collaborative care billing
Payer auth requirements
BehavioralView Guide

Telehealth

Virtual visit coding, place of service rules, platform compliance

Key CPT Codes

99441-99443, POS 02/10

POS code accuracy
State licensing rules
Audio-only restrictions
PrimaryView Guide

Home Health

OASIS assessments, PDGM grouping, episode management

Key CPT Codes

OASIS, PDGM, 30-day

OASIS accuracy
PDGM payment grouping
30-day period tracking
PrimaryView Guide

Skilled Nursing

PDPM classification, MDS coding, Part A/B split billing

Key CPT Codes

PDPM, MDS, Part A/B

MDS accuracy impact
Part A vs B routing
Therapy minute thresholds
SurgicalView Guide

Wound Care

Debridement coding, negative pressure therapy, wound supplies

Key CPT Codes

97597, 97605, Q-codes

Debridement depth coding
NPWT supply billing
Wound measurement docs
ProceduralView Guide

Substance Abuse

MAT billing, SBIRT screening, residential treatment coding

Key CPT Codes

99408, MAT J-codes

MAT drug J-codes
Level-of-care transitions
Concurrent review tracking
BehavioralView Guide

Pediatric

Well-child visits, developmental screening, vaccine admin

Key CPT Codes

99381-99395, 96110

Age-specific E/M codes
VFC vaccine billing
Developmental screening capture
PrimaryView Guide

Podiatry

Routine foot care, orthotics, diabetic shoe programs

Key CPT Codes

11720, L-codes, A5500

Routine care exclusions
Medicare shoe program rules
L-code documentation
ProceduralView Guide

Pharmacy

Drug billing, 340B compliance, waste modifier reporting

Key CPT Codes

J-codes, 340B, JW mod

J-code unit calculation
340B duplicate discount
JW modifier compliance
DiagnosticView Guide

Sleep Medicine

Sleep studies, CPAP compliance, home testing interpretation

Key CPT Codes

95810, 95800, CPAP

In-lab vs home test coding
CPAP compliance tracking
Split-night study rules
DiagnosticView Guide

Allergy/Immunology

Allergy testing, immunotherapy administration, biologics

Key CPT Codes

95004, 95115-95134

Skin test count coding
Immunotherapy dose billing
Biologic J-code accuracy
ProceduralView Guide

Don't See Your Specialty?

We cover 40+ specialties. Tell us yours and we'll show you how we handle it.

98%+ clean claim rate
2.49% starting rate
Results in 30 days

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Or call directly:888-701-6090

What Every Specialty Page Includes

Each specialty billing guide is built by coders who work in that specialty daily.

CPT Code Reference Table

Key codes with descriptions your practice uses most

Common Denial Reasons

Specialty-specific denials and how we prevent each one

Billing Challenges

The complexities that trip up general billers

Our Process

Exactly how we handle your specialty's billing workflow

FAQ Section

Answers to questions specific to your specialty

Services Checklist

Every billing function we provide for your specialty

Specialty Billing Questions

Each specialty is assigned to coders who hold AAPC certifications and specialize in that code range. Cardiology claims go to cardiology coders. Behavioral health claims go to behavioral health coders. No generalists.
Multi-specialty groups get specialty-specific coders for each area. Each claim routes to the coder with the right expertise.
Yes. CMS-1500 for professional fees and UB-04 for facility/institutional billing, with correct code separation.
Yes. We cover 40+ specialties. If yours isn't listed, call 888-701-6090 and we'll discuss your specific coding needs.
Our coders complete specialty-specific continuing education annually. We track ICD-10 and CPT updates months before effective dates and update workflows proactively.

Get Specialty Billing Expertise for Your Practice

Call 888-701-6090 for a free billing assessment specific to your specialty. We'll show you where general billing is costing you revenue.