Medicare reimbursement rates (CMS PFS + OPPS)
code_reimbursementRead-only
Look up Medicare reimbursement rates for a medical code and get RVU values plus estimated payment amounts using the PFS conversion factor.
Instructions
Look up Medicare reimbursement rates for a medical code. Returns RVU values and estimated payment amounts using the PFS conversion factor. Source: the current Medicare PFS (CMS RVU files).
Tool call template
Replace each placeholder with a value matching the input schema. Only required parameters are included; add optional parameters as needed.
{
"id": 1,
"jsonrpc": "2.0",
"method": "tools/call",
"params": {
"arguments": {
"code": "<code>"
},
"name": "code_reimbursement"
}
}Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| code | Yes | Medical code (e.g., "99213", "M79.3") | |
| codeType | No | Code system (auto-detected if omitted) |