List Medicare documentation requirements for a DME code
get_documentation_requirementsRead-onlyIdempotent
For one DME HCPCS code and date of service, list the governing LCD and policy article names, CMS links, section headings, and how many requirements are extracted. An anonymous caller also gets one sample requirement. The rest of the passage text, and the denial sentences, require a plan that includes receipts, which also adds source proof: the archived file, the quote's position, the SHA-256, and the capture date. Returns an explicit gap when nothing is extracted. Codes only, no patient data.
Input Schema
TableJSON Schema
| Name | Required | Description | Default |
|---|---|---|---|
| hcpcs | Yes | HCPCS Level II code, e.g. E0601 (CPAP), K0001 (wheelchair) | |
| state | No | Two-letter US state, e.g. CO. Optional. | |
| date_of_service | No | YYYY-MM-DD. Defaults to today. |
Output Schema
TableJSON Schema
| Name | Required | Description | Default |
|---|---|---|---|
| gap | No | ||
| hcpcs | Yes | ||
| state | No | ||
| served | Yes | ||
| denials | Yes | ||
| documents | Yes | ||
| requirements | Yes | ||
| date_of_service | Yes |