Medical Necessity Data

Eliminate the task of gathering LMRP, LCD, and NCD data yourself.

Medical Necessity Data Tables for your HIS are comprehensive tables containing thousands of CPT™/HCPCS procedure codes with corresponding ICD diagnostic codes. These tables can integrate with many existing Hospital Information Systems (HIS) that already have basic medical necessity checking capabilities, simply requiring the necessary Local Coverage Determinations and Laboratory National Coverage Decisions rules to become fully functional.

Our Medical Necessity Data Tables feature:

Examples of companies whose systems incorporate some form of Medicare medical necessity checking include:

Most Laboratory Systems

We can format Medical Necessity Data so that these and other systems can utilize them effectively.