CodeMap® 




2017 ICD-10 Diagnosis Code Set Loaded     


7/3/2017 NCD Edits Loaded     


2017 Lab Fee Schedule     


2017-C DME Fee Schedule     


2017-A PEN Fee Schedule-no changes for Q2/2017     


2017 July ASC Fee Schedule Updated     


2017 July APC Fee Schedule Updated     


July 2017 ASP Drug Pricing Updated     


Q3 2017 CCI Edits Loaded     


Q3 2017 MUE Edits Loaded     


LCD Database Current Through 09/18/2017     

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 Preliminary PAMA
2017
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Physician Fee Schedule

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OPPS Fee Schedule

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ASC Fee Schedule

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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® 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.