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ICD Sherpa	*Search ICD-10-CM and ICD-10-PCS codes and referential information using Vitalware's* proprietary Sherpa engine. Autocomplete Code Lookup and Search Suggestions ICD Sherpa API for Code Search and Concept Drill-down ICD-10-CM and ICD-10-PCS** Coding Guidelines Concept Information
LCD/NCD, NCCI and MUE Validation	Checks code pairs for possible Medicare medical necessity or bundling issues with verification of NCD, LCD and NCCI edits: CodeValidate API Populate your own validation engine with edits available via API calls or data files Policy and Article PDFs Medically Unlikely Edits (MUE)
CPT/HCPCS and Referential Information	Search procedure codes and associated referential information: CPT Autocomplete Code Search Code Detail* CPT Guidelines* Medically Unlikely Edits (MUE) Modifiers Modifier Guidelines Medicare Physician Fee Schedule (MPFS) Revenue Codes Ambulatory Payment Classifications (APC) Ambulatory Surgery Center (ASC) Add-on Codes CPT Medicare Crosswalk Standard Analytics File (SAF) HCPCS** Autocomplete Code Search Code Detail Medically Unlikely Edits (MUE) Modifiers Modifier Guidelines Medicare Physician Fee Schedule (MPFS) Revenue Codes Add-on Codes ^* Requires a license agreement with the American Medical Association (AMA) ^** Requires a license agreement with the American Hospital Association (AHA)
ICD-10 Codes and Referential Information	Search ICD-10 Codes and associated referential information: ICD-10-CM Autocomplete Code Search Code Detail Coding Guidelines Tabular List of Diseases and Injuries Alphabetic Index of Diseases and Injuries Neoplasm Table Table of Drugs and Chemicals The Alphabetic Index to External Causes ICD-10-PCS Autocomplete Code Search Code Detail Coding Guidelines PCS Tables Alphabetic Index
Code Mappings and Crosswalks	GEMS Forward and Reverse Mapping CPT to HCPCS Crosswalk CPT to ICD-10-PCS
Grouping	Group and price encounters for: MS-DRG APR-DRG APC
Fee Schedules & Calculators	Relative Value Units (RVUs) Ambulance Fee Schedule Durable Medical Equipment (DME) Fee Schedule Medicare Physician Fee Schedule (MPFS) Outpatient PPS (OPPS) Calculator Clinical Lab Fee Schedule

VitalWare provides access to raw data files on a scheduled cycle. Files are delivered in JSON and can be customized to your specifications:

LCD, NCD, NCCI and MUE Edits	LCD Edits NCD Edits Policy and Article PDFs NCCI Edits Medically Unlikely Edits (MUE)
CPT/HCPCS Codes and Referential Information	Procedure codes and referential information linked to these codes. Codes in the files can be linked either by CodeID or Code + CodeType. CPT Code Detail* CPT Guidelines* Medically Unlikely Edits (MUE) Modifiers Modifier Guidelines Medicare Physician Fee Schedule (MPFS) Revenue Codes Ambulatory Payment Classifications (APC) Ambulatory Surgery Center (ASC) Add-on Codes CPT Medicare Crosswalk Standard Analytics File (SAF) HCPCS** Code Detail Medically Unlikely Edits (MUE) Modifiers Modifier Guidelines Medicare Physician Fee Schedule (MPFS) Revenue Codes Add-on Codes ^* Requires a license agreement with the American Medical Association (AMA) ^** Requires a license agreement with the American Hospital Association (AHA)
ICD-10 Codes and Referential Information	ICD-10-CM Code Detail Coding Guidelines Tabular List of Diseases and Injuries Alphabetic Index of Diseases and Injuries Neoplasm Table Table of Drugs and Chemicals The Alphabetic Index to External Causes ICD-10-PCS Code Detail Coding Guidelines PCS Tables Alphabetic Index
Code Mappings and Crosswalks	GEMS Forward and Reverse Mapping Sherpa Primary Lookup ICD-9 to ICD-10 concept-based mappings SNOMED CT Concepts to ICD-10-CM codes CPT to HCPCS Crosswalk
Fee Schedules	Relative Value Units (RVU) Ambulance Fee Schedule Durable Medical Equipment (DME) Fee Schedule Medicare Physician Fee Schedule (MPFS)