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     


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     

1901 North Roselle Road
Suite 640
Schaumburg, IL 60195
847-381-5465 Phone
847-381-4606 Fax
customerservice@codemap.com
      


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Laboratory Fee Schedule

2018
2017

Physician Fee Schedule

2018
2017

OPPS Fee Schedule

2018
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ASC Fee Schedule

2018
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APC Codes

2018
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DRG Codes

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ASP Drug Pricing Files

January 2018
October 2017




CodeMap® Securing Codes and Reimbursement for New Products

Securing Codes and Reimbursement for New Products

Let CodeMap assist in developing a strategy for achieving optimal coding and Medicare reimbursement for your new clinical laboratory and diagnostic products. Our approach to solving coding and reimbursement problems generally involves the following steps.

  • We analyze existing codes, reimbursement and coverage to determine if it is adequate to cover the anticipated costs associated with your new product. If a suitable combination of existing codes can be employed and billed according to Medicare rules, the engagement ends at this point.


  • If existing CPT® or HCPCS codes can not be used to accurately describe your product, or are inadequately reimbursed to make the product economically feasible, we will assist in obtaining a new code or modifying existing codes to accurately describe your new product. This process can take as long as 18 months, so be sure to plan ahead.


  • Once a new code is obtained, CodeMap will assist you developing a successful strategy for securing appropriate reimbursement for the code from the Centers for Medicare and Medicaid Services (CMS). 


  • After appropriate reimbursement is achieved, CodeMap can also assist in securing favorable Medicare coverage policies (either national or local) for the new product by working with Medicare contractors and CMS to inform and convince them of the clinical value of the test.

During the past ten years CodeMap has successfully assisted over 18 prominent diagnostic companies in obtaining new codes and reasonable reimbursement for numerous new clinical assays including hsCRP, urine electrophoresis, lactoferrin, lipoprotein-associated phospholipase, West Nile virus, methicillin resistant Staph. aureus, Aspergillus and Trichomonas vagnialis to name a few.

Please contact Dr. Charles Root at 847-381-5465 or charlesroot@codemap.com to discuss your specific needs.

 

 

 


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