Why CPT Codes Might Not Match
Sometimes the payer sends a CPT code in a different format than what you billed.
For example, they return G0283 while your claim only has 97014.
Another possible reason is if the EOB is linked to the wrong claim, in which case none of the payer’s codes will line up with your charges. If you think this is the case, see How to Link or Unlink a Claim for guidance.
How to Match CPT Codes
1. Review the Posting Screen
Unrecognized codes appear in red on the claim details.
2. Click “Match Codes”
Opens the Match the Unrecognized Codes modal.
3. Select the Correct Code
For each unrecognized code, choose the correct replacement from the dropdown.
Compare dates of service, units, and modifiers to make the best match.
4. Confirm the Match
Once confirmed, the mapping is applied and cannot be edited later.
Payments and adjustments will then post to the selected charge.
Important Notes
You must match all unrecognized codes before continuing with posting.
If there’s no equivalent charge in your claim, leave the code unmatched and contact your billing team for next steps.
Once you confirm the replacement, it cannot be changed later.
Tips to Avoid CPT Code Mismatches
Verify CPT codes and modifiers match payer requirements before submitting claims.
Double-check the number of units billed vs. what the payer accepts.
If you often see mismatches with the same payer, review their coding rules.