MedSynthea
Specialty Directory

AI Medical Billing Solutions by Specialty

Purpose-built RCM automation for 35 healthcare specialties, trained on specialty-specific ICD-10 hierarchies, CPT codes, and denial reasons.

Cardiology

CPT 93000-93461 (ECG/Echo/Cath)

Top Denial: Lack of medical necessity for stress tests
View Cardiology AI Billing →

Mental Health

CPT 90791-90838 (Psych/Therapy)

Top Denial: Parity violations
View Mental Health AI Billing →

Orthopedics

CPT 27130-29881 (Joint/Arthroscopy)

Top Denial: Modifier errors (51/59/XU)
View Orthopedics AI Billing →

Oncology

CPT 96400-96549 (Chemo infusion)

Top Denial: Drug not on payer formulary
View Oncology AI Billing →

Radiology

CPT 70010-79999 (Imaging)

Top Denial: Missing clinical indication
View Radiology AI Billing →

Neurology

CPT 95800-95957 (EEG/EMG/Sleep)

Top Denial: Medical necessity for EMG
View Neurology AI Billing →

Pediatrics

CPT 99381-99395 (Preventive) + 90700s (Vaccines)

Top Denial: Vaccine administration bundling
View Pediatrics AI Billing →

Dermatology

CPT 11000-11047 (Debridement) + 17000s (Lesion)

Top Denial: Wrong lesion count/size
View Dermatology AI Billing →

Ophthalmology

CPT 66821-66984 (Surgery) + 92000s (Eye exams)

Top Denial: Bilateral procedure errors
View Ophthalmology AI Billing →

Nephrology

CPT 90935-90999 (Dialysis)

Top Denial: Dialysis frequency denials
View Nephrology AI Billing →

Endocrinology

CPT 82947-83036 (Lab) + 99202-99215 (E&M)

Top Denial: CGM coverage criteria
View Endocrinology AI Billing →

Chiropractic

CPT 98940-98943 (Manipulation)

Top Denial: Visit limit exceeded
View Chiropractic AI Billing →

Physical Therapy

CPT 97001-97799 (PT services)

Top Denial: Therapy cap exceeded
View Physical Therapy AI Billing →

Pain Management

CPT 62310-62319 (Injections) + 64400s

Top Denial: Prior auth for injections
View Pain Management AI Billing →

Urgent Care

CPT 99201-99215 (E&M) + EM codes

Top Denial: Upcoding E&M level alerts
View Urgent Care AI Billing →

Primary Care

CPT 99202-99215 (E&M) + 99381-99395 (Preventive)

Top Denial: Preventive vs sick visit same day
View Primary Care AI Billing →

Internal Medicine

CPT 99202-99215 + 99291-99292 (Critical care)

Top Denial: Hospital vs outpatient level confusion
View Internal Medicine AI Billing →

Psychiatry

CPT 90791-90899 + E&M codes

Top Denial: Parity law denials
View Psychiatry AI Billing →

Gastroenterology

CPT 43239-45398 (GI procedures)

Top Denial: Polyp removal bundling
View Gastroenterology AI Billing →

Pulmonology

CPT 94002-94799 (Respiratory)

Top Denial: Sleep study prior auth
View Pulmonology AI Billing →

Urology

CPT 51700-55899 (GU procedures)

Top Denial: Cystoscopy prior auth
View Urology AI Billing →

Hematology

CPT 85000-85999 (CBC/Coag) + 96400s

Top Denial: Blood product billing
View Hematology AI Billing →

Infectious Disease

CPT 86000-86999 (Serology) + E&M

Top Denial: HIV treatment prior auth
View Infectious Disease AI Billing →

Plastic Surgery

CPT 13100-15999 (Repair/Reconstruction)

Top Denial: Cosmetic vs reconstructive determination
View Plastic Surgery AI Billing →

General Surgery

CPT 10021-49999 (General procedures)

Top Denial: Global period violations
View General Surgery AI Billing →

Wound Care

CPT 97597-97606 (Debridement/Wound mgmt)

Top Denial: Wound size documentation
View Wound Care AI Billing →

DME (Durable Medical Equipment)

HCPCS E0100-E9999 (Equipment codes)

Top Denial: Certificate of Medical Necessity missing
View DME (Durable Medical Equipment) AI Billing →

Clinical Laboratory

CPT 80047-89356 (Lab panels)

Top Denial: Medical necessity for panel
View Clinical Laboratory AI Billing →

FQHC (Federally Qualified Health Centers)

CPT 99202-99215 + FQHC specific codes

Top Denial: FQHC PPS rate billing
View FQHC (Federally Qualified Health Centers) AI Billing →

Nursing Home / SNF

CPT 99304-99318 (SNF E&M) + G codes

Top Denial: ADL documentation for skilled level
View Nursing Home / SNF AI Billing →

Dental

CDT D0100-D9999 (ADA codes)

Top Denial: Missing x-rays for procedure justification
View Dental AI Billing →

Family Medicine

CPT 99202-99215 (E&M) + 99381-99395 (Preventive)

Top Denial: Chronic disease management bundling
View Family Medicine AI Billing →

Workers' Compensation

CPT 99202-99215 + injury-specific codes

Top Denial: Causation not established
View Workers' Compensation AI Billing →

Hospice

G0299-G0300 (Nursing visits) + G0154

Top Denial: Six-month prognosis documentation
View Hospice AI Billing →

Speech Therapy

CPT 92507-92508 + 97129 (Therapy)

Top Denial: Medical necessity not established
View Speech Therapy AI Billing →