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The Calculator allows you to search CCI edits, ICD9 or ICD10 codes, DRG codes, UB92codes, and other data for one or more HCPCS / CPT® codes.
Like all of the other PARA tools, the Calculator is available over the internet and does not require any installation or maintenance.
| Description | Contents | Update Frequency | Source | Provider Specific |
| HCPCS / CPT Codes |
2008 - 2011 HCPCS and CPT codes |
HCPCS quarterly, CPT annually |
CMS and AMA |
APC Reimbursement is adjusted to hospital wage index, mapping for code changes 2008 to 2009 |
| Professional Fee Reimbursement |
2008 - 2011 |
Annually and upon revision |
CMS |
Carrier specific based on provider zip code |
| Medicaid Reimbursement |
Current fee schedule |
Upon revision |
State Medicaid web sites |
State specific |
| ASC Reimbursement |
2008 - 2011 |
Annually and upon revision |
CMS |
Data table is not provider or geographic specific |
| DME Reimbursement |
2009 - 2011 |
Annually and upon revision |
CMS |
OPPS exempt billing items identified |
| Clinical Lab Reimbursement |
2009 - 2011 |
Annually and upon revision |
CMS |
CLAB locality specific fee schedule |
| ICD-9 Codes |
Current - Diagnosis and Procedure codes |
Annually |
CMS |
Data table is not provider or geographic specific |
| ICD-10 Codes |
Current - All codes |
Annually |
CMS |
Data table is not provider or geographic specific |
| DRG's |
2008 - 2011 |
Annually and upon revision |
CMS |
Codes are mapped between years, data table is not provider or geographic specific |
| APC device specific code edits |
Current |
Quarterly |
CMS |
Data table is not provider or geographic specific |
| Modifiers |
Current |
Annually |
AMA |
Data table is not provider or geographic specific |
| Revenue Codes |
Current |
Annually |
UB04 |
OPPS specific Rev Codes identified |
| OPPS / Hospital - CCI edits |
Current and previous quarters |
Quarterly |
CMS |
Provider type specific |
| Physician - CCI edits |
Current and previous quarters |
Quarterly |
CMS |
Provider type specific |
| Coverage Determination - Lab |
Current |
Quarterly |
CMS |
Carrier / FI specific |
| Medicare Part B Average Sale Price Limits |
Current |
Quarterly |
CMS |
Data table is not provider or geographic specific |
| National Drug Code to J code crosswalk |
Current |
Quarterly |
CMS |
Data table is not provider or geographic specific |
| Interventional Radiology - Surgical, Supervision and Management, Device code mapping |
Current |
Annually |
CMS, PARA |
Data table is not provider or geographic specific |
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