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Medicare 
Medical Necessity Libraries
By Individual State

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Product Number: MNE02

Description

This data file contains the Medicare Carrier specific acceptable CPT© code and ICD-9-CM code combinations used to define "medical necessity". This data file contains  single state.

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)


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Last modified: April 11, 2007