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POST
Generate billing guidelines

Authorizations

X-API-Key
string
header
required

Body

application/json

Request billing guidelines for a specific facility and service.

ccn
string
required

6-digit Medicare Provider Number

Pattern: ^\d{6}$
Example:

"170001"

cpt
string
required

CPT procedure code

Pattern: ^[A-Za-z0-9]{5}$
Example:

"99213"

dx_codes
string[]

ICD-10 diagnosis codes

modifier
string | null

CPT modifier

Example:

"25"

payer
string | null

Payer name

Example:

"Medicare"

Response

Billing form, TOB codes, and warnings

Billing guidelines including form type, TOB codes, and warnings.

ccn
string
required

Queried CCN

cpt
string
required

Queried CPT code

guidelines
BillingGuideline · object[]
required

Applicable billing guidelines

warnings
string[]

Billing warnings or exceptions