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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 10/16/2017     

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Laboratory Fee Schedule

2018 Preliminary PAMA
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OPPS Fee Schedule

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APC Codes

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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


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Important Note: Some features are not available in the free trial.

Unparalleled online access to the following CodeMap® resources:

Medicare Reimbursement Information

  • Physician Fee Schedule Amounts
  • Laboratory Fee Schedule Amounts
  • OPPS and ASC Payments Adjusted by Zip Code
  • Revenue Codes
  • APC Codes
  • Status Indicators
  • Procedures Subject to Multiple Procedure Payment Reduction (MPPR)
  • All States/Localities

CodeMap Market Analysis

  • Identify which Providers / Physicians perform specific tests
  • Detailed NPI Practice Information - Medicare payments by procedure
    • Number of Services Performed by procedure code
    • Number of Beneficiaries per procedure code
    • Total payments by Medicare
  • Searchable by procedure, zip code, county 

Commonly Associated Diagnosis Codes (ICD-9 and ICD-10)

  • Commonly Associated Diagnosis Codes derived from actual Part B Medicare Claims
  • An analysis of over 43 Million Claims covering 1.7 Million Patients

ICD-9 to ICD-10 Conversions

CodeMap Online Medical Necessity Checker 

  • Procedure to Diagnosis Code Edit Check
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  • Linked to full text of LCD or NCD policy

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  • Full text of every policy
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    • Covered ICD-9/10 codes
  • Updated continuously by nationally recognized experts in Medicare coding and reimbursement.

Medicare Coding Edits

  • Correct Coding Initiative (CCI) edits 
  • Medically Unlikely Edits (MUE)
  • Updated Quarterly per CMS schedule

Medicare Historical Utilization Data

  • Annually updated database of Part B utilization data.
  • Actual utilization data of all Medicare covered tests and services by CPT® code.
    • Top 5 Ordering Specialties
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