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Search Codesets

Medical Coding & Billing Codesets.

construct_regex()
Construct regex patterns
assign_adjustments()
Assign Adjustment Codes
search_adjustments()
Search Claim Adjustment Codes
search_anesthesia()
Anesthesia Conversion Factors
search_aocs()
NCCI Edits: Add-On Codes
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 Edits: 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
search_pos()
Place of Service (POS) Codes
search_ptps()
NCCI Edits: Procedure to Procedure (PTP)
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_cpt_category_I()
Validate HCPCS Level I (CPT) Category I Code
is_cpt_category_II()
Validate HCPCS Level I (CPT) Category II Code
is_cpt_category_III()
Validate HCPCS Level I Category III Code
is_hcpcs_level_I()
Validate HCPCS Level I (CPT) Code
is_hcpcs_level_II()
Validate HCPCS Level II Code
is_rarc_code()
Validate RARC Codes
is_valid_hcpcs()
Validate HCPCS Code