fee_components

Submitted arguments

{
  "code": "0002M"
}

Native result and verdict

{
  "does_not_license": {
    "reading": "NO READING IS ATTACHED. These fields carry no interpretation, and this world does not supply one unasked. To obtain a reading, and to find out whether what you are about to write is supported, call judgement_check with receipt \"r443\" and the claims you intend to make. A claim written without checking it is a claim this world did not license.\n\nThis answer declared no figure, so claim_check has nothing to decide an expression against and judgement_check is the check to use. The two are alternatives and neither falls back to the other."
  },
  "kind": "served",
  "licence": {
    "coverage_database": "Contains information from the CMS Medicare Coverage Database.",
    "cpt": "CPT is copyright the American Medical Association. Served under a distribution licence.",
    "linkback": "https://hammer.ai/coverage-intelligence",
    "terms": "https://hammer.ai/terms"
  },
  "payload": {
    "basis": "measured",
    "basis_detail": {
      "inputs": [
        {
          "basis": "measured",
          "name": "physician_fee_schedule",
          "source": "Medicare Physician Fee Schedule, Relative Value File, read 2026-08-21, archive sha256 91b9bdd5459bc4c19d4f8203410b29a672db37def2e70f01ef627b8b18fc7482"
        }
      ],
      "rule": "A figure computed from inputs of more than one basis carries the weakest basis among them, strongest to weakest being measured, then cited, then assumption, so a figure is never stronger than the weakest input that produced it."
    },
    "code": "0002M",
    "not_a_price": "A relative value is not a payment. Turning relative values into dollars needs the annual conversion factor and a locality-specific geographic adjustment, and this world holds neither, so no dollar figure is served here and none is derivable from this answer.",
    "not_on_the_physician_schedule": {
      "anchor_class": "clfs_priced",
      "searched": true,
      "where_the_price_lives": {
        "note": "This file's own anchor classes put this code on the laboratory schedule. rate_position serves that anchor; this tool reads the physician schedule only and states no dollar figure of its own.",
        "register": "the Medicare Clinical Laboratory Fee Schedule",
        "settles": "the national dollar rate this code is actually priced at"
      },
      "why_this_is_not_a_price_of_zero": "This code was searched for in the Relative Value File this world read and no row was found for it. Absence from a schedule is a statement about which schedule prices a code, never a figure and never a zero. This answer carries no relative value for it because the file states none."
    },
    "receipt": "r443",
    "schedule_frontier": {
      "archive_sha256": "91b9bdd5459bc4c19d4f8203410b29a672db37def2e70f01ef627b8b18fc7482",
      "codes_read": [
        "0002M",
        "0003M",
        "81517",
        "0014M",
        "91200",
        "76981",
        "76982",
        "76983",
        "80076",
        "0689T",
        "0690T",
        "76705",
        "99473",
        "99474",
        "93784",
        "93786",
        "93788",
        "93790",
        "99091",
        "99453",
        "99454",
        "99457",
        "99458",
        "3074F",
        "3075F",
        "3077F",
        "3078F",
        "3079F",
        "3080F",
        "99213",
        "99214",
        "99215",
        "99495",
        "99496",
        "99490",
        "99491",
        "99487",
        "93306",
        "93307",
        "93308",
        "93000",
        "93010",
        "83880",
        "93797",
        "93798",
        "G0422",
        "G0423",
        "80061",
        "83718",
        "80048",
        "80053",
        "82043",
        "84443",
        "83036",
        "93880",
        "93975",
        "76770",
        "27235",
        "27236",
        "27244",
        "27245",
        "27125",
        "27130",
        "27447",
        "99283",
        "99284",
        "99285",
        "73502",
        "73521",
        "72131",
        "70450",
        "22633",
        "22612",
        "63047",
        "63030",
        "63005",
        "22551",
        "97110",
        "97112",
        "97116",
        "97140",
        "97530",
        "97535",
        "97750",
        "97161",
        "97162",
        "97163",
        "97164",
        "97012",
        "97014",
        "G0283",
        "97032",
        "97035",
        "98975",
        "98976",
        "98977",
        "98978",
        "98979",
        "98980",
        "98981",
        "98984",
        "98985",
        "0320U",
        "0319U",
        "0540U",
        "81479",
        "50200",
        "50370",
        "50360",
        "50365",
        "90935",
        "90937",
        "90945",
        "90960",
        "90961"
      ],
      "conversion_factor_held": false,
      "definitions_this_world_has_read": {
        "pctc_indicators": [
          "1"
        ],
        "status_codes": [
          "C"
        ]
      },
      "field_definitions": "RVU26AR.pdf inside the same archive is CMS's own documentation and is the citation for the status code and PC/TC indicator definitions",
      "programme": "Medicare. A commercial payer's own fee schedule is a different document and this world has not read one.",
      "schedule": "Medicare Physician Fee Schedule, Relative Value File",
      "source": "https://www.cms.gov/files/zip/rvu26a.zip",
      "this_code_was_read": true,
      "vintage": "2026-08-21",
      "vintage_is_its_own_clock": "This is the date this world read the Relative Value File. It is not the rate extract's month and it is not the NCCI quarter; three clocks run in this world and every answer names the one it used."
    },
    "world_version": "hammer-coverage-intelligence:2026-10-01+2"
  },
  "receipt": "r443",
  "session": "b14ff8a62ebff32d9a45f15c468c814e",
  "tool": "fee_components",
  "world": {
    "build": 2,
    "description": "What payers publish that they pay, code by code, and what may be said with it.",
    "name": "hammer-coverage-intelligence",
    "vintage": "2026-10-01"
  }
}

Permanent saved result

Read this evidence receipt

claim_check

judgement_check