Rejuv Medical - Billing, Coding & Payer Guidelines

Check CPT and ICD-10-CM combinations against loaded medical necessity policies.

Primary Insurance

Select the payer to prepare for payer-specific guideline and authorization checks.

CPT Codes

Search by CPT/HCPCS code or procedure name, then add each code you want to check.

ICD-10-CM or Diagnosis Text

Paste ICD-10-CM codes, CPT codes, or diagnosis text. If the text has no CPT code, the checker uses the selected CPTs.

Results

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No diagnosis checked yet.

Run a check to see whether any ICD-10-CM code supports medical necessity.

Selected Articles

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Frequency Limits

These utilization rules come from the selected CMS article or related LCD. They do not replace payer review of the medical record.

Select a CPT code to view frequency limits.

MUE Limits

MUE means Medically Unlikely Edit: the maximum units Medicare usually allows for one CPT/HCPCS code on the same date of service. These outpatient hospital limits are effective 07/01/2025 R1 and are separate from diagnosis coverage and frequency limits.

Select a CPT code to view MUE limits.