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referenceWizard Pro - The ultimate source for medical coders, billers, and auditors

Medical coding professionals can finally have all information they need at one place.
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What is the purpose of this medical coding software product


  • referenceWizard Pro replaces your CPT, HCPCS, ICD-9 (Vol 1, 2 and 3), ICD-10-CM, ICD-10-PCS medical coding books.
  • Displays comprehensive information about CPT, HCPCS, ICD-9, ICD-10 Codes - short, full description, medical necessity, cross-reference.
  • Includes age, gender, service type, CCI, MUE and hundreds of other medical coding edits showing for each code.
  • Allows you to search by code or medical term and see the results as you type. Easy to navigate, find codes, and additional coding information.
  • referenceWizard Pro software is a great visual aid and learning tool for Medical Coding Teachers and Students.
  • Automatically Calculates Medicare Fee Schedule.
  • Eliminates the need of stick-it notes attached or written on the books. Allows you to easily transfer notes independently from quarterly updates. You can share your notes with other professionals from the same office.

Who is this Medical Coding Reference Software for


  • referenceWizard Pro is for the working Medical Coders and Billers in Hospital or Ambulatory environment.
  • This software product is invaluable for the Medical Billing and Coding Certification Training Schools, Medical Coding Teachers and Students getting ready for their CPC, CPC-H, CPC-P, CIRCC, CPMA, or Specialty certification exams.
  • Helps Physicians, Physician Assistants or other Health Care Professionals to prepare and submit medical claims.
  • Well suited for Medical Coding Auditors and Medical Compliance Professionals.
  • Medical staff from Physician's practices or Hospitals converting to HIPAA 5010 ICD-10 codes.
  • Third party software vendors and re-sellers.

Gather all medical coding information you need at a glance


Autocomplete search. Autocomplete feature throughout all our products helps you find codes and keywords in a snap. Autocomplete guides you and saves you valuable time as you type codes, keywords, and relevant modifiers. Search within CPT, HCPCS, ICD-9-CM (Vol 1, 2 and 3), ICD-10-CM and ICD-10-PCS coding books, keywords, and modifiers.

Write notes. Write and save meaningful notes for your medical codes. You will never have to transfer your medical notes from the old book to the new one ever again. Share your notes with other users in your office.

Favorite Codes. Bookmark your most-used codes so you can find them quickly and easily.

Hundreds of medical edits. Find the relevant NCCI, LCD, age, gender, and hundreds of other edits for your codes with just one click.

Medicare Fee Schedule. Reference Wizard automatically calculates the Medicare Fee Schedule and shows you additional RVU flags and indexes.

CPT Crosswalks. Find if your CPT/HCPCS procedure is medically reasonable for a certain diagnosis or retrieve a list of diagnoses suitable for the procedure you are performing. Learn if this procedure can be used with another procedural code on the same claim.

Modifier Crosswalks. Find if your CPT/HCPCS procedure is medically reasonable for a certain diagnosis or can be used with another procedural code. Or look up relevant modifiers.

ICD-9 Crosswalks. Cross-reference your ICD-9 diagnosis code for allowed CPT/HCPCS procedures.

ICD-10 Crosswalks. Bi-directional translation dictionary maps your ICD-9 diagnosis/inpatient procedure codes to corresponding ICD-10 diagnosis/procedure codes.

Timely Updates. Future data updates and software upgrades are included with the membership of the products.

See the whole picture with one click

CPT / HCPCS code reference and lookup tools feature

  • Short and Long code description
  • A list of diagnoses allowed / not allowed
  • Medicare Fee Schedule and RVU
  • Pre-, Intra-, and Post- operative days
  • Assistant at surgery, Co-surgeon, or Team Surgery allowed indicator
  • Personal or shared user notes

CPT/HCPCS Modifiers

  • View full description of CPT/HCPCS modifiers and a list of procedures they can be used with.

CPT/HCPCS Crosswalks

  • Medical Necessity
  • LCD
  • NCCI
  • Modifiers
  • Hundreds of medical edits

referenceWizard Pro is your best source for transitioning from ICD-9 to ICD-10.


Replace all your books with our user-friendly referenceWizard Pro.

ICD-10 is coming.
On October 23, 2013, the Centers for Medicare & Medicaid Services (CMS) will implement the ICD-10-CM (diagnoses) and ICD-10-PCS (inpatient procedures), replacing the ICD-9-CM diagnosis and procedure code sets. No extensions, no delays. No grace period for implementation.

Is your practice ready?

Use referenceWizard Pro to ease your transition
Easily translate between ICD-9 codeset and ICD-10, with a bi-directional mapping included in referenceWizard Pro. The General Equivalency Mappings (GEM) allows you to find alternatives in one codeset based on the meaning of the codes from the other.

You can reference ICD-9 diagnoses (Vol 1) to their ICD-10-CM equivalents, as well as ICD-9 procedures (Vol 3) to the corresponding ICD-10-PCS codes.

ICD-10 and HIPAA 5010 Transition Timelines.


Everyone affected by the HIPAA 5010 and ICD-10 transitions – health care providers, payers, software vendors, and clearinghouses/third-party billers – needs to prepare to meet the following timetable to ensure compliance.

Date Compliance Step


January 1, 2010
  • Payers and providers should begin internal testing of HIPAA 5010 standards for electronic claims


December 31, 2010
  • Internal testing of HIPAA 5010 must be complete to achieve Level I HIPAA 5010 compliance


January 1, 2011
  • Payers and providers should begin external testing of HIPAA 5010 for electronic claims
  • CMS begins accepting HIPAA 5010 claims
  • HIPAA 4010 claims continue to be accepted


December 31, 2011
  • External testing of HIPAA 5010 for electronic claims must be complete to achieve Level II HIPAA 5010 compliance


January 1, 2012
  • All electronic claims must use HIPAA 5010
  • HIPAA 4010 claims are no longer accepted


October 1, 2013
  • Claims for services provided on or after this date must use ICD-10 codes for medical diagnosis and inpatient procedures
  • CPT/HCPCS codes will continue to be used for outpatient services

Medical Necessity crosswalk matches your diagnosis codes to the procedures they justify


Steer clear of the single most common reason for denial or delay of payment – missing medical necessity. When your claim is denied due to medical necessity, you cannot correct and re-bill the claim, you instead must appeal the rejection. Avoid this costly process with referenceWizard Pro.

Easily find CPT/HCPCS procedure codes that may be justified as reasonable, necessary and/or appropriate based on a diagnosis code with the Bi-directional Medical Necessity crosswalk in reference Wizard Pro. Just as easily, you can identify diagnosis codes that are allowed and not allowed for each procedure.

See Reference Guide For Medicare Physician & Supplier Billers for more information.

referenceWizard Pro Medical Necessity is based on Local and National Medicare policies.

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No part of this site may be reproduced, reprinted, stored, or transmitted, in any form or by any means without the prior written permission.
CPT codes, descriptions and other data only are copyright of American Medical Association (AMA). All Rights Reserved
ICD-9 and HCPCS Level II codes, descriptions and other data only are copyright of Centers for Medicare Services (CMS). All Rights Reserved