Medicare Policiy Details

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Path Params
string
required

The Contractor number (max 5 chars)

string
required

The CMS Policy ID (Max 10 characters)

Query Params
string
Defaults to all

Comma seperated list of

  • all : All Categories below
  • tob : Type of Bill Codes for lcd policies
  • rev : Revenue Codes for lcd policies
  • proc : Procedure codes for ncd/lcd policies
  • diag : All Diagnostic codes for ncd/lcd policies
  • supp : Supported Diagnostic codes for lcd policies
  • cov : Covered Diagnostic Codes for ncd policies
  • deny : Denied Diagnostic Codes for ncd policies
  • nots : Not Supported Diagnostic codes for ncd/lcd policies

string
Defaults to all

Comma seperated list of

  • all : all icd types below
  • icd9 : exclude icd10cm and icd10pcs
  • icd10 : exclude icd9v1 and icd9v3

int32
Defaults to 200

The maximum number of procedure codes to be returned

int32
Defaults to 200

The maximum number of diagnostic codes to be returned under 'covered' for ncd policies

int32
Defaults to 200

The maximum number of diagnostic codes to be returned under 'not-supporting-medical-necessity' for ncd/lcd policies

int32
Defaults to 200

The maximum number of diagnostic codes to be returned under 'denied'

int32
Defaults to 200

The maximum number of codes to be returned under 'type-of-bill-codes' for lcd policies

int32
Defaults to 200

The maximum number of codes to be returned under 'revenue-codes for lcd policies'

int32
Defaults to 200

The maximum number of diagnostic codes to be returned under 'supporting-medical-necessity' for lcd policies

string
Defaults to ALL

Comma seperated list of

  • ALL : Contractors for all of the parts below
  • A : Contractor for Part A policies
  • B : Contractor for Part B policies
  • DME : Contractor for DME policies

string
Defaults to ALL

Comma seperated list of

  • ALL : All of the following types of contractors
  • CA : Carriers
  • DA : DME MAC
  • DP : DME PSC
  • FI : Fiscal Intermediary
  • MA : MAC Part A
  • MB : MAC Part B
  • NA : National Part A
  • NB : National Part B
  • ND : National DME

Responses

503

Service Unavailable

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