Codes that coincide
I12.9 + I15.0Two codes that can’t be billed together on one claim.
Rule: ICD-10-CM Excludes1. UnitedHealthcare Medicare Advantage enforces it on professional claims since March 1, 2026.
Cortex Lens catches the coding problems that get claims denied or underpaid. Every flag shows the fix and why, straight from your chart and the coding rules.
Works inside Practice Fusion. Read-only, so Lens never changes your chart.
“It’s catching real things, very helpful.”
“I’d do my own research and then check what Cortex says, and it was usually pretty spot-on.”
“My billers will love this as-is. It’s very useful.”
2,500+charts checked in Practice Fusion
400+code pairs caught that payers deny together
180+codes caught missing a left or right
Flags go both ways. If your note doesn’t support a code or a level, Lens says so.
Two codes that can’t be billed together on one claim.
Rule: ICD-10-CM Excludes1. UnitedHealthcare Medicare Advantage enforces it on professional claims since March 1, 2026.
The note says right knee. The code doesn’t.
Rule: Payers including Anthem deny unspecified laterality when a more specific code exists.
Diabetes and kidney disease coded apart when one code covers both.
Rule: ICD-10-CM “with” convention, Official Guidelines I.A.15.
Whether the note supports the level you picked, up or down.
Rule: AMA office visit guidelines, medical decision making table.
Lens reads the chart already open in Practice Fusion. It never edits it. Your team makes every change.
Every flag names the code, the fix, and the reason, from your chart and the coding rules.
Nothing is added or removed for you. Diagnosis questions go to the provider who saw the patient.
When the chart matches, the flag turns green. The claim goes out right the first time.
Lens never edits your chart or submits a claim.
Your patient’s name and record number are removed in your browser before a chart is checked.
Your biller or provider makes every change. Lens suggests. It never acts.
Each one shows why, from your chart and the coding rules.
$199per clinician / month
Custom
You pay for prescribing clinicians: MD, DO, NP, or PA. Full pricing
A 20-minute walkthrough with our team.