CodeMap® 




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     


2017-D October APC Fee Schedule Updated     


October 2017 ASP Drug Pricing Updated     


Q4 2017 CCI Edits Loaded     


Q4 2017 MUE Edits Loaded     


LCD Database Current Through 11/13/2017     

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Laboratory Fee Schedule

2018 Preliminary PAMA
2017
2016

Physician Fee Schedule

2017
2016

OPPS Fee Schedule

2017
2016

ASC Fee Schedule

2017
2016

APC Codes

2017
2016

DRG Codes

2017

ASP Drug Pricing Files




Fall 2017 Webinar Series Announcement-Click here for details

ALERT: Preliminary 2018 PAMA Rates Posted by CMS-Click here for details


CodeMap® 2018 Medicare Reimbursement Manual for Lab and Pathology

2018 CodeMap® Reimbursement Manual for Lab and Pathology

Click here for sample page from printed manual.



The CodeMap® Reimbursement Manual for Lab and Pathology provides all the information required to submit Medicare claims and minimize errors along with the exact Medicare reimbursement for all clinical lab tests and pathology procedures for your state and locality.

The CodeMap® Reimbursement Manual consists of detailed tables of all lab and pathology procedures, listed in an easy-to-use, all-on-one-page format, which organizes similar codes in logical groups for easy comparison and selection of the appropriate codes. Each procedure is linked to the following:

CPT® Codes: All new, revised, and existing procedure codes for:

  • clinical laboratory procedures
  • pathology procedures
  • molecular pathology and genetic testing

Revenue Codes

ICD-10 Codes: Associated ICD-10 codes, based upon Medicare claims data and the 2015 General Equivalency Mapping (GEM) files.

Medicare Reimbursement: Accurate and up-to-date reimbursement amounts customized to your state, locality, and provider type.

Pricing Data: Average charge submitted to Medicare in your state and locality.

and more (see sample page)

In addition, the CodeMap® Reimbursement Manual describes how Medicare pays for lab and pathology services including explanations of coverage rules, coding requirements, medical necessity rules and how fees are determined.


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