Medicare coverage and fee-schedule amounts for CPT/HCPCS codes against a diagnosis
| Endpoint | https://medicalclaim.ai/mcp (streamable-http) |
|---|---|
| Registry version | 1.0.0 |
| Now | 1 tools · grade A (100) · pin ts_524f855f9cbc1efc5c4a342daef7c266 · protocol 2024-11-05 |
| First / last listed | 2026-10-31 03:12 UTC / 2026-10-31 03:12 UTC |
| Grade over time | 2026-10-31: A (100), 1 tools |
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Tools: medicare_procedure_coverage
medicare_procedure_coverage | For a diagnosis and one or more CPT/HCPCS codes, report what CMS Local Coverage Articles record for each code, which ICD-10 diagnoses those articles list as covered or non-covered, and the CMS Physician Fee Schedule PROFESSIONAL amount where a national rate exists. Setting matters and is stated: codes performed only in a facility return not_applicable_in_this_setting rather than an invented office params: diagnosis, codes |
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