Compliance Resources

Coding & Documentation

Primary references for code assignment, edits, coverage, medical necessity, and documentation defensibility.

Reference standard: Confirm the current effective date and applicability of each source before relying on it for an audit finding, coding decision, provider education, or compliance determination.

CDC ICD-10-CM

Official ICD-10-CM files, updates, browser tools, and coding resources.

  • Code files and updates
  • Official guidelines
  • Diagnosis classification resources
Visit official resource ↗

CMS ICD-10

CMS resources for ICD-10-CM and ICD-10-PCS implementation and updates.

  • ICD-10 files
  • Implementation guidance
  • Annual updates
Visit official resource ↗

AMA CPT Coding Resources

Official AMA information and educational resources for the CPT code set.

  • CPT updates
  • Coding education
  • CPT resources
Visit official resource ↗

CMS HCPCS

CMS information for HCPCS Level II codes, updates, and related files.

  • Quarterly updates
  • Code files
  • HCPCS background
Visit official resource ↗

Medicare NCCI

CMS correct-coding edits, manuals, files, and FAQs.

  • Procedure-to-Procedure edits
  • Medically Unlikely Edits
  • NCCI Policy Manual
Visit official resource ↗

Medicare Coverage Database

Search National Coverage Determinations, Local Coverage Determinations, and related articles.

  • NCDs
  • LCDs
  • Billing and coding articles
Visit official resource ↗