2018 ICD-10 Diagnosis Code Set Loaded     

10/01/2017 NCD Edits Loaded     

2017-D October DME Fee Schedule     

2017-A PEN Fee Schedule-no changes for rest of 2017     

2017-D October ASC Fee Schedule Updated     

2018-A October APC Fee Schedule Updated     

October 2017 ASP Drug Pricing Updated     

Q1 2018 CCI Edits Loaded     

Q1 2018 MUE Edits Loaded     

LCD Database Current Through 01/16/2018     

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January 2018
October 2017

CodeMap® Medical Necessity Data Files for Labs and Pathologists

Medicare CPT® to Diagnosis linkage files for Laboratory Procedures. Pricing includes National Coverage Determinations (NCD’s) and Local Coverage Determinations (LCD’s) customized for your locality.  

Policies covering all CPT codes in the range of 80048 through 89356.

Example LCD policies (Policies will vary by Medicare Contractor):

  • Serum Magnesium
  • Ionized Calcium
  • Urinalysis
  • Vitamin B-12
  • H-pylori
  • Troponin
  • Sedimentation Rate
  • Cytogenetics

List of Medicare Contractors

List of Current National Coverage Determinations included for Laboratory Customers

"CodeMap was more accurate and we are saving over $7,000 a year in license fees. We are extremely satisfied with the product, the service, and the cost-savings we realized as a result of this change." Barbara K.

"I have been very pleased with the level of service offered by Codemap.  I feel that the ease of importing the updates, and the quick response to my many questions regarding specific CPT codes and limited coverage tests have been very timely and helpful." Brenda L.

"We delayed implementing our (HIS) medical necessity tools for years. Pricing from other vendors made it difficult to justify our ROI. CodeMap made the project feasible again." Curtis N.

"Speedy and efficient with every order.  They have always been accommodating and customer friendly."  -Jeanne K.

"CodeMap has supplied data files for our customers for many years.  The files are accurate and provided on time each quarter.  Customer support and communication has always been excellent especially when handling special needs or requirements.  And of course - the price is the best out there for this "must have" service in the world of medical billing." Susan B.

"Other vendors wanted to know how many beds we had or number of patient encounters just to give us a price. CodeMap was the only vendor we found with pricing online and references that were happy to talk to us."  Tom M.

CodeMap® is a Registered Trademark of Wheaton Partners, LLC.