Claim Scrub · Pro
Pre-submission validation, with denial reasons.
This is what Claim Scrub produces. Upgrade to run it on your own claims.
Sample claim
99214 ×1 11042 ×1 11721 ×1 DX: E11.621, L97.411, B35.1 67M · DOS 2026-05-15 · Northern NJ
Verdicts · 6 lines · 4 flagged
WEAK · $340.2499214Established patient office visit, moderate complexity
$145.90WEAK
- NCCI WEAK · 99214 ↔ 11042 (mi=1) · 65%
- NCCI WEAK · 99214 ↔ 11721 (mi=1) · 65%
11042Wound debridement into subcutaneous tissue
$145.50WEAK
- NCCI WEAK · 11042 ↔ 11721 (mi=1) · 65%
11721Nail debridement, six or more nails
$48.84WEAK
- Q-modifier missing · routine foot care requires Q7/Q8/Q9 to assert Class A/B/C finding (CMS NCD 70.2.1) · 70%
Diagnoses
- E11.621T2DM with foot ulcerPASS
- L97.411Non-prs chr ulcer of right heelPASS
- B35.1Tinea unguiumPASS
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