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LCDs and LCAs
by Contractor

PLA Codes

Laboratory Fee Schedule

2020 (April)

Physician Fee Schedule


OPPS Fee Schedule


ASC Fee Schedule


APC Codes


DRG Codes


ASP Drug Pricing Files

April 2020
January 2020

CMS Transmittals

Webinar: 2020 Regulatory Update: Hospital Outreach Programs Wednesday, June 17, 2020

CodeMap® CodeMap® Online Access-1 Year Subscription
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
  • 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

  • Commonly Associated Diagnosis Codes derived from CMS Q3 2016 Limited Data Set (LDS) claims data.
  • This data represents an analysis of 11,119,991 claims processed for 1,414,138 beneficiaries in the third quarter of 2016.

CodeMap Online Medical Necessity Checker 

  • Procedure to Diagnosis Code Edit Check
  • National and Local Policies and Contractor Articles for every Medicare Contractor
  • Linked to full text of LCD or NCD policy

Medicare Coverage Policy Information

  • National Coverage Decisions (NCDs)
  • Local Coverage Decisions (LCDs)
  • Local Coverage Articles (LCAs)
  • Every Medicare Contractor
    • Part A and Part B
  • Full text of every policy
    • Indications/Limitations of Coverage
    • Frequency Limits
    • Covered ICD-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
    • Top 5 Places of Service
    • Top 5 Modifiers Submitted
    • Includes average dollar amount submitted and percentage of claims denied.

Includes 1 year subscription and access to archived library of CodeMap Compliance Briefings

This product does not include a printed manual.  

Online access begins upon receipt of payment and lasts for one year.  

Price each: $795.00
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