procedure-coverage
Medicare coverage and fee-schedule amounts for CPT/HCPCS codes against a diagnosis
사용해야 할까요
품질 및 안전성
도구 정의와 프로토콜 준수에 대한 자동 분석을 기반으로 합니다.
컨텍스트 비용
이는 서버의 도구가 모델의 컨텍스트에 로드될 때마다 소비되는 대략적인 토큰 수입니다. 수치가 높을수록 다른 작업에 사용할 수 있는 주의가 줄어듭니다.
설치
원클릭 설치
`claude_desktop_config.json` 파일에 다음을 추가하세요:
{
"mcpServers": {
"procedure-coverage": {
"url": "https://medicalclaim.ai/mcp"
}
}
}원격 엔드포인트
https://medicalclaim.ai/mcpstreamable-http할 수 있는 일
도구 목록
도구 (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.
입력 스키마
{
"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": []
}커뮤니티
증거