Function reference • northstar

Search Codesets

Medical Coding & Billing Codesets.

assign_adjustments(): Assign Adjustment Codes

search_adjustments(): Search Adjustment Codes

search_anesthesia(): Anesthesia Conversion Factors

search_aocs(): NCCI Add-On Code Edits

search_denials(): Search Denial Types

search_descriptions(): Describe HCPCS Codes

search_gpcis(): Geographic Practice Cost Indices (GPCIs)

search_hcpcs(): Level II HCPCS Codes

search_modifiers(): Level I and II HCPCS Modifiers

search_mues(): NCCI Medically Unlikely Edits (MUEs)

search_opps(): Outpatient Prospective Payment System (OPPS) Capitations

search_payment(): Physician Fee Schedule Payment Amount File

search_plas(): Proprietary Laboratory Analyses (PLA) Codes (U codes) https://www.ama-assn.org/practice-management/cpt/cpt-pla-codes

search_pos(): Place of Service (POS) Codes

search_ptps(): NCCI Procedure to Procedure (PTP) Edits

search_rbcs(): Restructured BETOS Classifications

search_rvus(): HCPCS Relative Value Units (RVUs)

Calculations

Functions to calculate various metrics.

limiting_charge(): Calculate Limiting Charge

non_participating_fee(): Calculate Non-Participating Fee

calculate_amounts(): Calculate Physician Fee Schedule Payment Amounts

Recoding Helpers

Utilities to label Codeset outputs.

switch_action_code(): HCPCS Action Descriptions

switch_addon_edits(): NCCI Add-On Code Edit Type Descriptions

switch_asc_group(): HCPCS ASC Group Descriptions

switch_assistant_surgery(): PFS Assistant Surgery Descriptions

switch_betos(): HCPCS BETOS Descriptions

switch_bilateral_surgery(): PFS Bilateral Surgery Descriptions

switch_co_surgeon(): PFS Co-Surgeon Descriptions

switch_coverage(): HCPCS Coverage Descriptions

switch_diagnostic_imaging(): PFS Diagnostic Imaging Descriptions

switch_global_days(): PFS Global Days Descriptions

switch_lab_certification(): HCPCS Lab Certification Descriptions

switch_mue_mai(): NCCI MUE Adjudication Indicator Descriptions

switch_multiple_pricing(): HCPCS Multiple Pricing Descriptions

switch_multiple_procedure(): PFS Multiple Procedure Descriptions

switch_opps_indicator(): PFS OPPS Indicator Descriptions

switch_pctc_indicator(): PFS PC/TC Indicator Descriptions

switch_pricing(): HCPCS Pricing Descriptions

switch_ptp_mod(): NCCI PTP CCMI Descriptions

switch_status_description(): PFS Status Code Descriptions

switch_status_name(): PFS Status Code Names

switch_supervision(): PFS Physician Supervision Descriptions

switch_team_surgery(): PFS Team Surgery Descriptions

switch_type_of_service(): HCPCS Type of Service Descriptions

Validation Checks

Functions to validate inputs.

is_carc_code(): Validate CARC Codes

is_carc_full(): Validate CARC Codes

is_carc_group(): Validate CARC Group Codes

is_category_I(): Check if code is HCPCS Level 1 Category I (CPT)

is_category_II(): Check if code is CPT Category II Performance Measurement Codes (F codes)

is_category_III(): Check if code is CPT Category III Temporary Codes (T codes)

is_level_I(): Check if code is HCPCS Level I

is_level_II(): Check if code is HCPCS Level II

is_valid_length(): Check if string is valid length of a HCPCS code