CodeMap® 




2016 Lab Fee Schedule Updated     


2016 Physican Fee Schedule Updated 2/1/2016     


2016 July OPPS Fee Schedule Updated     


2016-C 7/1/2016 DME/PEN Fee Schedules Updated     


2016 July ASC Fee Schedule Updated     


Q3 2016 ASP Drug Pricing Updated     


Q3 2016 CCI Edits Loaded     


Q3 2016 MUE Edits Loaded     


7/1/2016 NCD Edits Loaded     


LCD Database Current Through 07/18/2016     

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Laboratory Fee Schedule

2016
2015

Physician Fee Schedule

2016
2015

OPPS Fee Schedule

2016
2015

ASC Fee Schedule

2016
2015

APC Codes

2016
2015

ASP Drug Pricing Files




CodeMap® Coding and Reimbursement Web Sites

Coding And Reimbursement Web Sites

CodeMap Coding and reimbursement web sites can provide accurate and accessible coding, reimbursement and coverage information for all of your diagnostic products or services.  Each web site is designed to your specifications in terms of look, feel and compatibility with your corporate image, but is clearly identified as containing CodeMap information. We take full responsibility for the accuracy of all information on the web site.

The following information can be provided for each of your laboratory tests or diagnostic products, organized by analytical platform or product category for easy reference.

  1. Correct and current CPT® or HPCPS code(s)
  2. Coding advisories pertaining to specific products with reimbursement or coverage issues requiring explanation or interpretation - including downloadable compliance policy where needed.
  3. Current Medicare reimbursement specific to any state or locality in the country.
  4. Exact Medicare reimbursement for all possible test combinations or panels including appropriate compliance policy as needed.
  5. Flags identifying applicable national (NCDs) and local (LCDs) Medicare coverage policies specific to any chosen state or locality. 
  6. Downloadable files of covered diagnosis codes (ICD-9) for all products subject to national or local Medicare coverage policy - including frequency limits.
  7. Flags and pop-up menus for all tests or services subject to Correct Coding Initiative (CCI) edits including prohibited code pairs and identification of edits subject to over-ride by use of a -59 modifier.
  8. Flags and pop-up menus for all tests or services subject to Medically Unlikely Edits (MUE) limiting the number of times a given code can be submitted on the same day of service.

CodeMap assumes full responsibility for the accuracy of the information contained on the web site. Users can contact CodeMap directly via phone or e-mail with questions and problems.

Our Web site clients include major diagnostic suppliers such as Abbott Point of Care, Beckman Coulter, BioRad, and Genzyme as well a numerous specialty biotech companies.

 

 

 

 


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