Customized LMRP assists the user in determining if an ICD-9-CM diagnosis is payable by a certain Medicare carrier, based on LMRP data. Customized LMRP is created on demand from a data storehouse of LMRP information. Organized numerically by the (CPT®) code sets, the resource will link CPT® codes to associated LMRPs, to determine medical necessity.
- One-stop LMRP Resource. Our unique, custom-compiled LMRP reference manual gives users only the LMRP information they need for their local Medicare carrier.
- Determine Medical Necessity - Easily and Quickly. Immediately determine if a diagnostic code provides the medical necessity for a procedure. With Customized LMRP, you receive a comprehensive listing of procedures with associated diagnostic codes for any carrier selected, so you no longer need to dig through the detailed coverage polices to find whether or not a diagnosis code is acceptable for the procedure.
- Eliminate Hours of Costly, Frustrating Searches on Supporting Documentation. Additional information - documentation and coding guidelines, code descriptions, and policy effective dates related to the specific CPT® code - included.
- Always Use the Most Up-to-date Information Available. FREE quarterly updates are included to help ensure the most current LMRP information available throughout the year.
Available for the following entities:
00510 - Blue Cross/Blue Shield of Arkansas
00511 - Blue Cross/Blue Shield of Georgia
00512 - Cahaba GBA - Mississippi
00520 - Blue Cross/Blue Shield of Arkansas
00521 - Blue Cross/Blue Shield of Arkansas
00522 - Blue Cross/Blue Shield of Arkansas
00523 - Blue Cross/Blue Shield of Arkansas
00528 - Blue Cross/Blue Shield of Arkansas
00590 - First Coast Service Options - Florida
00591 - First Coast Service Options - Connecticut
00630 - AdminiStar Federal, Inc.
00650 - Blue Cross/Blue Shield of Kansas
00655 - Blue Cross/Blue Shield of Kansas
00660 - AdminiStar Federal, Inc.
00740 - Blue Cross/Blue Shield of Kansas
00751 - Blue Cross/Blue Shield of Montana
00801 - HealthNow NY, Inc.
00803 - Empire Medicare Services
00805 - Empire Medicare Services
00820 - Noridian Adminstrative Services, LLC
00820 - Noridian Adminstrative Services, LLC
00824 - Noridian Adminstrative Services, LLC
00825 - Noridian Adminstrative Services, LLC
00826 - Noridian Adminstrative Services, LLC
00831 - Noridian Adminstrative Services, LLC
00832 - Blue Cross/Blue Shield of Arizona
00833 - Noridian Adminstrative Services, LLC
00834 - Noridian Adminstrative Services, LLC
00835 - Noridian Adminstrative Services, LLC
00836 - Noridian Adminstrative Services, LLC
00865 - HSGAdministrators
00870 - Blue Cross/Blue Shield of Rhode Island
00880 - Palmetto GBA
00883 - Palmetto GBA
00884 - Palmetto GBA
00900 - TrailBlazer Health Enterprises, LLC
00901 - TrailBlazer Health Enterprises, LLC
00902 - TrailBlazer Health Enterprises, LLC
00903 - TrailBlazer Health Enterprises, LLC
00904 - TrailBlazer Health Enterprises, LLC
00910 - Regence Blue Cross/Blue Shield of Utah
00951 - Wisconsin Physicians Service Ins. Co
00952 - Wisconsin Physicians Service Ins. Co
00953 - Wisconsin Physicians Service Ins. Co
00954 - Wisconsin Physicians Service Ins. Co
05130 - CIGNA Medicare
05535 - CIGNA Medicare
05540 - CIGNA Medicare
14330 - Group Health Incorporated (NY)
31140 - National Heritage Insurance Company
31142 - National Heritage Insurance Company
31143 - National Heritage Insurance Company
31144 - National Heritage Insurance Company
31145 - National Heritage Insurance Company
31146 - National Heritage Insurance Company