procedure-coverage
Medicare coverage and fee-schedule amounts for CPT/HCPCS codes against a diagnosis
Sollte ich dies verwenden
Qualität und Sicherheit
Basierend auf einer automatisierten Analyse der Tool-Definitionen und der Einhaltung des Protokolls.
Kontextkosten
Dies ist die ungefähre Anzahl der Tokens, die jedes Mal verbraucht werden, wenn die Tools des Servers in den Kontext eines Modells geladen werden. Höhere Werte verringern die Aufmerksamkeit, die für andere Aufgaben verfügbar ist.
Installieren
Installation mit einem Klick
Fügen Sie dies Ihrer Datei `claude_desktop_config.json` hinzu:
{
"mcpServers": {
"procedure-coverage": {
"url": "https://medicalclaim.ai/mcp"
}
}
}Remote-Endpunkte
https://medicalclaim.ai/mcpstreamable-httpWas es kann
Tool-Inventar
Tools (1)
🟢medicare_procedure_coverage(diagnosis, codes)
For a diagnosis and one or more CPT/HCPCS codes, report what CMS Local Coverage Articles record for each code, which ICD-10 diagnoses those articles list as covered or non-covered, and the CMS Physician Fee Schedule PROFESSIONAL amount where a national rate exists. Setting matters and is stated: codes performed only in a facility return not_applicable_in_this_setting rather than an invented office price, and codes CMS does not pay under the PFS (status I, X, N, E, B, P) return not_payable_under_pfs rather than a figure computed from published RVUs. Coverage is contractor-specific. Does NOT compare clinical effectiveness or recommend treatment, and a missing national rate is never treated as non-coverage. The amount is the clinician fee only — not the facility fee, device or imaging.
Eingabe-Schema
{
"type": "object",
"properties": {
"diagnosis": {
"type": "string",
"description": "ICD-10 code or prefix, e.g. \"M17\" (knee osteoarthritis)"
},
"codes": {
"type": "string",
"description": "Comma-separated CPT/HCPCS codes, e.g. \"27447,20610\""
}
},
"required": []
}Community
Nachweis