Saved result

Submitted arguments

{
  "code": "97153"
}

Native result and verdict

{
  "does_not_license": {
    "cannot_be_concluded": "a policy corpus this estimator did not read cannot support a statement that a code carries no furnishing or interpretation requirement. An unread corpus and an empty result are different answers, and only the second is evidence., by any method, including arithmetic done by hand.",
    "reading": "UNKNOWN (rule coverage/code-not-searched): 97153 is not one of the codes this corpus was built over, so this world has not looked for a policy about it and cannot report its absence. The codes searched are: 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. 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.. CANNOT BE CONCLUDED: a policy corpus this estimator did not read cannot support a statement that a code carries no furnishing or interpretation requirement. An unread corpus and an empty result are different answers, and only the second is evidence., by any method, including arithmetic done by hand.\n\nNO 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 \"r342\" 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": "refused",
  "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": {
    "cannot_be_concluded": "a policy corpus this estimator did not read cannot support a statement that a code carries no furnishing or interpretation requirement. An unread corpus and an empty result are different answers, and only the second is evidence., by any method, including arithmetic done by hand.",
    "detail": "UNKNOWN (rule coverage/code-not-searched): 97153 is not one of the codes this corpus was built over, so this world has not looked for a policy about it and cannot report its absence. The codes searched are: 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. 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.. CANNOT BE CONCLUDED: a policy corpus this estimator did not read cannot support a statement that a code carries no furnishing or interpretation requirement. An unread corpus and an empty result are different answers, and only the second is evidence., by any method, including arithmetic done by hand.",
    "kind": "refusal",
    "receipt": "r342"
  },
  "receipt": "r342",
  "session": "49ec6090f32b112cd7fc2d39a72e0974",
  "tool": "interpretation_requirement",
  "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