Look up any CPT code in one click.
Get the RVU breakdown, 2026 Medicare payment, global period, status, and NCCI bundling count for any of 11,000-plus CPT codes.
From code to payment in one card
Type the CPT
Five-digit CPT code, Category II (1 letter suffix), or Category III (T suffix). Format checked automatically.
Get the breakdown
Work RVU, total RVU, conversion factor, and 2026 Medicare payment for both facility and non-facility settings.
Drill in
Jump to the full code page for fee-by-state, NCCI partners, applicable modifiers, and supporting ICD-10 diagnoses.
The basics
What is a CPT code?
A CPT code is a five-character identifier that tells a payer exactly what service or procedure was performed at a visit. The American Medical Association maintains the CPT code set and updates it every January. Every claim a physician submits leans on at least one CPT code; without an accurate code on the claim, the payer has no way to process the charge.
CPT codes split into three categories. Category I covers the everyday procedures and visits, with five-digit numeric codes from 00100 through 99499. Category II codes track quality measurement and end in the letter F (for example, 4040F). Category III codes mark emerging technology and end in the letter T (for example, 0594T). Most billing volume sits in Category I.
When you look up a CPT code, you are checking three things at once: whether the code describes the work that was done, whether the payer reimburses for it, and how much. This tool answers all three for the 2026 fee schedule year.
Fields explained
What every field on the result card means
The tool surfaces eight data points for each code. Here is what each one tells you and why it matters when you bill the code.
Work RVU
The physician work component of the Relative Value Unit. Reflects time, skill, and intensity of the service. The largest contributor to most code payments.
Total RVU
Sum of Work RVU plus Practice Expense RVU plus Malpractice RVU. Multiply by the conversion factor to get the unadjusted Medicare allowable.
Conversion factor
The dollar multiplier CMS publishes each year. For 2026 the national factor is $32.35. Apply geographic adjustments for state-level rates.
Non-facility payment
Estimated 2026 Medicare allowable when the service is performed in a physician office or non-facility setting. Used for outpatient billing.
Facility payment
Estimated allowable when performed in a hospital outpatient department, ambulatory surgery center, or inpatient setting. Always lower than non-facility.
Global period
The number of post-op days included in the surgical payment. Common values are 0, 10, and 90 days. E/M visits inside the global window are not separately payable.
Status indicator
CMS classification flag. A is active, R is restricted, N is non-covered, I is invalid, T is paid only if no other service paid same day. Skip non-A codes when checking billable services.
NCCI bundling partners
Count of codes that NCCI flags for edit pairs. If you bill this code with one of its partners on the same day, you need a modifier or one of them denies.
Quick picks
Most-looked-up CPT codes
These are the codes practices look up most often. Click any code to jump straight to the full guide with state-by-state fee data, applicable modifiers, NCCI partners, and supporting ICD-10 codes.
Office E/M
Procedures
Code system context
CPT vs HCPCS vs ICD-10
These three code systems show up on every claim and they describe different things. Mixing them up is one of the fastest paths to a denial.
CPT
Current Procedural Terminology
Maintained by
AMA
Covers
Physician services and procedures
Example
99213 (office visit), 27447 (knee replacement)
HCPCS
Healthcare Common Procedure Coding System
Maintained by
CMS
Covers
Supplies, drugs, DME, and non-physician services
Example
J3490 (unlisted drug), E0143 (walker)
ICD-10
International Classification of Diseases
Maintained by
WHO / CMS
Covers
Diagnoses (the why behind the procedure)
Example
M17.11 (knee osteoarthritis), I10 (hypertension)
On a claim: the CPT (or HCPCS) tells the payer what you did; the ICD-10 tells them why you did it. The match between the two is called medical necessity. If the diagnosis does not support the procedure, the claim denies with CO-50 or CO-167 regardless of how clean the documentation is.
Avoid these
Common CPT lookup mistakes
Treating non-facility and facility rates as the same+
Fix: An office visit billed from a hospital outpatient department pays the lower facility rate; the hospital captures the facility component separately. Always check Place of Service before quoting reimbursement.
Ignoring status indicator T codes+
Fix: Status T means CMS pays the code only when nothing else paid that day. Bill an injection with an E/M without modifier 25 and the T-status injection denies even though it is a covered service.
Using the same code with and without a global period in mind+
Fix: If the code has a 90-day global, every related E/M visit in the next 90 days is bundled into the surgical payment. Bill them separately and they get denied as CO-97. Use modifier 24 or 79 if the visit is unrelated.
Skipping the NCCI bundling check+
Fix: Two procedures performed on the same date may not both be payable. The NCCI manual lists which pairs are mutually exclusive (Column 1 / Column 2 edits). Use modifier 59 or an XS / XE / XU subset only when documentation supports it.
Assuming the published Medicare rate equals what payers actually allow+
Fix: Commercial payers contract at a multiple of the Medicare allowable. Some pay 100% of Medicare, some pay 140%, some pay 70%. Run the fee calculator for your top payers to see what you should actually be collecting on each code.
Beyond the lookup
Once you know a code, the next questions are usually: how much does my payer pay for it, what modifiers apply, can I bill it with another code, and what diagnosis supports it. The other free tools below answer each of those one at a time.
Looking up codes is the easy part. Catching the leaks is where revenue dies.
The average mid-size practice silently loses thousands every month to downcoded 99213 visits, missed modifier 25 attachments, and bundled procedures that should have been appealed. We audit your last 90 days of claims, hand-reviewed by an AAPC-certified coder, and show you exactly where the leaks are. No obligation.
30-min call · no CRM dump · keep your current biller · AAPC-certified review
Try the rest of the toolkit
Free 90-Day AR Recovery Audit
We audit your last 90 days of claims and surface the revenue leakage. AAPC-certified coders. 2.49 percent of collections. No setup fees.