30+ Medical Specialties Supported
Specialty-Specific Billing — Built
for How Your Practice Actually
Works
Generic billing software loses money in the complexity. MedCod is engineered around the CPT codes, payer rules, modifier logic, and documentation requirements unique to your specialty — not retrofitted from a one-size-fits-all template.
30+
Medical specialties
fully supported
fully supported
98.5%
First-pass clean
claim rate
claim rate
500+
Practices across
the United States
the United States
$0
Setup fees or
long-term contracts
long-term contracts
All Specialties
Our specialty
Every MedCod specialty module is purpose-built — with pre-loaded CPT code sets, payer contract rules, and denial workflows mapped around how that specialty actually bills.
- All
- Primary Care
- Surgical
- Diagnostic
- Behavioral Health
- Therapy
Family Practice
Primary Care & Internal Medicine
Chronic care management, annual wellness visits, and high-volume E/M coding — automated and pre-audited before submission.
- CCM & TCM billing built in
- G-code wellness visit automation
- E/M level optimizer
98.7%
Cardiology
Cardiovascular & Interventional
Procedure-heavy billing for echo, stress tests, cardiac cath, and EP studies — with NCCI edits validated pre-submission.
- Echo & stress test coding
- Cardiac cath modifier rules
- NCCI edit validation
98.4%
Neurology
General & Interventional Neurology
EEG, EMG, sleep studies, and complex neurological E/M — with payer-specific medical necessity documentation automation.
- EEG & EMG billing
- Sleep study prior auth
- Medical necessity auto-documentation
97.9%
Global period tracking, implant billing, and multi-surgery same-day modifier management — handled automatically.
- Global period management
- Implant & hardware billing
- -51 modifier automation
98.1%
Mohs surgery staging, lesion destruction bundling rules, and biopsy pathology coordination — pre-mapped per payer.
- Mohs staging automation
- Lesion destruction bundling
- Cosmetic vs medical split billing
98.3%
Endoscopy bundling edits, tonsillectomy coding, allergy testing, and audiology billing — end-to-end.
- Endoscopy bundling rules
- Allergy testing & SCIT billing
- Audiology & hearing aid coding
97.8%
TC/26 component splitting, RBM prior auth via FHIR, NCCI edit validation, and teleradiology billing — all automated.
- TC/26 component billing
- RBM prior auth (eviCore, Carecore)
- Teleradiology claim routing
98.2%
High-volume specimen billing, global vs professional component splits, and real-time payer LCD/NCD validation.
- Specimen batch billing
- LCD/NCD validation pre-submission
- Global/professional component splits
98.5%
Chemotherapy infusion billing, drug administration hierarchies, radiation treatment planning codes, and OCM reporting.
- Infusion drug hierarchy billing
- Radiation treatment code sets
- OCM quality reporting
97.6%
Telehealth parity billing, session-based coding, MHPAEA compliance, and LCSW/LPC credentialing support built in.
- Telehealth parity enforcement
- MHPAEA compliance checks
- LCSW, LPC, LMFT billing
98.0%
Interactive complexity add-ons, E/M with psychotherapy split billing, and TMS/ECT procedure coding — pre-validated.
- Interactive complexity (99214+)
- TMS & ECT billing
- E/M + psychotherapy splits
97.8%
ASAM level-of-care billing, MAT medication coding, and residential vs outpatient claim routing — fully automated.
- ASAM level-of-care billing
- MAT (buprenorphine, naltrexone)
- Residential vs outpatient routing
97.5%
Therapy cap tracking, KX modifier automation, functional limitation G-codes, and Medicare 8-minute rule compliance.
- Therapy cap & KX modifier
- 8-minute rule enforcement
- Functional limitation G-codes
98.3%
CMT region counting, active vs maintenance care billing, Medicare AT modifier, and no-fault/PIP billing automation.
- CMT region coding
- AT modifier & maintenance care
- No-fault & PIP billing
97.7%
Global OB package billing, prenatal visit counting, VBAC documentation, and GYN procedure coding — built in.
- Global OB package management
- Prenatal visit counting
- GYN procedure coding
98.1%
Vision vs medical claim splitting, intravitreal injection billing, cataract surgical package rules — all pre-mapped per payer.
- Vision vs medical claim splitting
- Intravitreal injection billing
- Cataract surgical package
98.5%
High-volume ER E/M level coding, critical care time billing, and No Surprises Act compliance — automated and audited.
- ER E/M level coding
- Critical care time tracking
- No Surprises Act compliance
98.1%
PFT interpretation billing, bronchoscopy coding, CPAP/DMEPOS billing, and sleep study authorization handling.
- PFT & spirometry billing
- Bronchoscopy coding
- CPAP/DMEPOS billing
97.9%
CGM billing, insulin pump coding, diabetes education program claims, and chronic disease management bundling.
- CGM & insulin pump billing
- DSMES program billing
- Chronic care management
98.2%
Colonoscopy quality coding, polyp removal bundling rules, ERCP complexity billing, and GI procedure prior auth.
- Colonoscopy quality coding
- Polyp removal bundling rules
- ERCP complexity billing
98.4%
Cystoscopy, prostate procedure billing, lithotripsy coding, and urodynamics study claims — pre-mapped per payer contract.
- Cystoscopy & URS billing
- Prostate procedure coding
- Urodynamics study claims
98.1%
Why It Matters
Generic systems are missing critical billing code sets
Every specialty has rules that generic platforms don’t know — and every missed rule is a denial, a write-off, or a compliance risk.
98.5%
First-Pass Clean Claim Rate
Across all specialties
3M+
Payer Rules Validated
At charge entry, before submission
14 days
Average Days to First Payment
vs. 32-day industry average
$0
Setup Fees
Priced as % of collections only
How It Works
From patient visit to payment posted — in one platform
Every specialty runs through the same proven workflow — with specialty-specific rules applied at every step.
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02
03
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Specialty Testimonials
Heard from practices like yours
Real results from real practices — across specialties.
The TC/26 splitting used to be a manual nightmare. MedCod automated it completely — we went from a 19% denial rate on imaging claims to under 2% in 60 days.
We handle behavioral health billing for 18 therapists. The MHPAEA compliance checks alone have saved us from three payer audits. Our A/R under 30 days is at 91%.
Orthopedic billing is notoriously complex — global periods, implants, same-day surgeries. MedCod handles it all automatically. We recovered $240K in missed revenue in year one.
Security & Compliance
Built to meet every regulatory standard
Every specialty on MedCod runs under the same enterprise-grade compliance and security framework.
HIPAA Compliant
AAPC Certified
SOC 2 Type II
CMS Certified
AES-256 Encrypted
FAQ
Common questions about specialty billing
Still have questions? Our team of AAPC-certified billing specialists is available to walk through your specific specialty’s billing challenges.
Does MedCod work for my specific specialty?
MedCods currently supports 30+ specialties including radiology, oncology, cardiology, orthopedics, behavioral health, physical therapy, gastroenterology, urology, endocrinology, neurology, OB/GYN, dermatology, ophthalmology, pulmonology, ENT, emergency medicine, family practice, psychiatry, and more. If your specialty isn’t listed, contact us — we onboard new specialty modules regularly.
Can MedCod handle multiple specialties in one practice?
Yes. Multi-specialty groups are a core use case for MedCods. Each provider’s claims are processed through their specialty-specific module — even within the same tax ID. Billing rules, CPT sets, and payer contracts are applied per provider, per specialty, automatically.
How long does it take to get set up?
Most practices are fully onboarded and submitting claims within 7–14 business days. Your dedicated AAPC-certified account manager handles EHR integration, payer enrollment confirmation, and specialty module configuration. There are no setup fees and no long-term contracts required.
Does MedCod integrate with my existing EHR?
MedCods integrates with 40+ EHR and PM systems including Epic, Athenahealth, Kareo, eClinicalWorks, Modernizing Medicine, NextGen, and more via HL7 FHIR and proprietary APIs. If your EHR isn’t on the list, our engineering team evaluates custom integrations on request.
How is MedCod priced?
MedCods is priced as a percentage of collections — no setup fees, no per-seat costs, no long-term contracts. Because our revenue scales only when your collected revenue scales, we are directly incentivized to maximize performance for your practice.
Ready to see MedCod built for your specialty?
Book a 20-minute demo tailored to your specialty’s billing workflows. No generic walkthroughs — only what matters for how you bill.