Receipt r548

{
  "forbids": null,
  "inputs": {
    "code": "63047"
  },
  "payload": {
    "code": "63047",
    "coverage_frontier": {
      "codes_searched": [
        "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"
      ],
      "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"
    },
    "not_in_corpus": {
      "searched": true,
      "why_this_is_not_permission": "No policy in this corpus states a furnishing or interpretation requirement for this code. That is not the same as no requirement existing. This corpus holds Medicare Local Coverage Articles and no commercial payer policy at all, and only some Medicare contractors publish the credentialing matrix that would answer. An absence here is a statement about what was searched, never about what is permitted.",
      "would_be_settled_by": [
        {
          "note": "This is where the commercial answer lives. It is NOT medical policy: a coverage bulletin can name a code across hundreds of pages and state nothing about who may furnish it.",
          "register": "the payer's own reimbursement or payment policy",
          "settles": "who may bill and be paid for the service, commercially"
        },
        {
          "note": "Contractors differ. This corpus holds the ones it holds.",
          "register": "the Medicare Coverage Database article for another contractor",
          "settles": "whether a different jurisdiction states a requirement this one does not"
        },
        {
          "register": "the payer's provider manual",
          "settles": "the contract-level supervision rule the code-level policies sit under"
        }
      ]
    },
    "world_version": "hammer-coverage-intelligence:2026-10-01+2"
  },
  "redeemed": false,
  "refused": false,
  "tool": "interpretation_requirement"
}