Codes that coincide
I12.9 + I15.0Excludes1 pairs that can’t be billed together.
UnitedHealthcare Medicare Advantage enforces Excludes1 on professional claims since March 1, 2026.
Cortex Lens flags codes that coincide, missing sides, and unspecified codes on the chart you're billing in Practice Fusion, with the reason behind each one.
Works inside Practice Fusion. Read-only, so Lens never changes your chart.
Flags go both ways. If the note doesn't support a code or a level, Lens says so.
Excludes1 pairs that can’t be billed together.
UnitedHealthcare Medicare Advantage enforces Excludes1 on professional claims since March 1, 2026.
The note says right knee. The code doesn’t.
Payers including Anthem deny unspecified laterality when a more specific code exists.
Diabetes and kidney disease coded apart when one combination code covers both.
ICD-10-CM “with” convention, Official Guidelines I.A.15.
Hypertensive kidney disease listed with no stage, or two different stages listed at once.
Duplicate, outdated, or overlapping entries, like E11.9 still listed next to E11.22.
Whether the note supports the level on the claim, up or down. Your practice can turn this check on.
“I’d do my own research and then check what Cortex says, and it was usually pretty spot-on.”
2,500+charts checked in Practice Fusion
400+code pairs caught that payers deny together
180+codes caught missing a left or right
A 20-minute walkthrough with our team.