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Medical Necessity CPT/HCPCS to ICD-9 Crosswalk 2012

Medical Necessity CPT/HCPCS to ICD-9 Crosswalk

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The MN-F file is a general medical necessity crosswalk file comprised of CPT or HCPCS/ICD-9-CM codes pairs derived from Medicare local coverage decisions, national coverage decisions, and commercial insurer medical necessity policies. The file was developed to cover the largest number of medical services possible, currently about 3000 procedures, services, pharmaceuticals, and equipment. Overall, the use of the file should be a first pass check to determine whether there are payers who have determined that a particular service should have a particular diagnostic requirement. There are inherent limitations with the file, and you should be aware of the best way to utilize the file. If you are interested in purchasing for multiple computers, please complete, sign, and return a Data File Customer Form to determine your licensing requirements and pricing breaks.

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