CodeMap® provides Medical Necessity Data Files to over 1,000 Hospitals, Medical Centers, Laboratories and Imaging Facilities.
Each CodeMap® Medical Necessity Data File contains the exact National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) that apply to your Medicare contractor, primarily the procedure code to diagnosis code-pairs you need to ensure clean claims and compliance with Medicare's medical necessity requirements. These files are imported into your existing system and are used to know when an order requires an ABN.
Files can be ordered for monthly or quarterly delivery by email or ftp.
Laboratory and Radiology data subsets are also available.
Covered Medicare Contractors
Pricing and Ordering Information