Receipt r395
{
"forbids": null,
"inputs": {
"code": "G0422"
},
"payload": {
"articles_naming_this_code": 1,
"articles_stating_a_requirement": 0,
"code": "G0422",
"coverage_frontier": {
"codes_searched": [
"0002M",
"0003M",
"81517",
"0014M",
"91200",
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"80076",
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],
"commercial_payer_policy_held": false,
"contractors_publishing_a_matrix": [
"First Coast Service Options, Inc.",
"Novitas Solutions, Inc."
],
"corpus": "Medicare Local Coverage Articles",
"scope": "Medicare Local Coverage Articles only. Commercial payer medical policy is NOT in this extract, so a code with no row here is not a code no payer restricts.",
"source": "CMS Medicare Coverage Database Articles export, vintage 2026-08-20",
"source_terms": "CMS cleared this use on 2026-08-22 on condition the source is linked back and the service is not paid. Every record carries source_url for that reason.",
"this_code_was_searched": true,
"vintage": "2026-08-20"
},
"how_to_read_this": "Each record is one contractor's article. A requirement binds that contractor and no other, and the IDTF matrix governs Independent Diagnostic Testing Facilities rather than physician offices in general. A record with no `credentialing` names the code without stating who may furnish it.",
"requirements": [
{
"article_id": "53775",
"binds": "This article's own contractor only. It is not a national rule.",
"contractors": [
"Palmetto GBA"
],
"effective_date": "2025-01-01",
"enrolment_type": "not stated in this article's title, so this world does not know which enrolment type it governs",
"source_url": "https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleid=53775",
"status": "A",
"title": "Billing and Coding: Frequency and Duration for Cardiac Rehabilitation and Intensive Cardiac Rehabilitation"
}
],
"world_version": "hammer-coverage-intelligence:2026-10-01+2"
},
"redeemed": false,
"refused": false,
"tool": "interpretation_requirement"
}