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Medicare Medical Necessity Libraries

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Description

This data file contains the Medicare Carrier specific acceptable CPT© code and ICD-9-CM code combinations used to define "medical necessity". Available by State or the entire U.S.

Record Layout  - Fixed Field

Field

Column

           Description
1 1 - 2   State
2   3 - 12   Effective Date
3 13 - 17   CPT© Code
4 18 - 23   ICD-9-CM Diagnosis Code Low-end Range
5 24 - 29   ICD-9-CM Diagnosis Code High-end Range

Formats Available

    * ASCII Diskette: 3.5" (Fixed Field or Comma-Delimited)
    * CD-ROM (Fixed Field or Comma-Delimited)


CPT Copyright 2010, American Medical Association (AMA). All Rights Reserved. Click here for AMA disclaimer.
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