reimbursement_lookup
Trace the clearance-to-payment pathway for AI/ML devices using an FDA clearance number or CPT code. Returns payment mechanisms, amounts, effective dates, and source links.
Instructions
Trace the clearance-to-payment pathway for an AI/ML device by FDA clearance number (K/DEN, e.g. DEN170073) OR bare CPT code (e.g. 75580). Returns every payment mechanism (NTAP add-on, Category I/III CPT + CMS rate, HCPCS, MAC LCD) with amounts, effective dates, and source links, plus any commercial/MAC payer coverage policies that reference the clearance or its codes. Answers 'who got paid, how much, through which mechanism, on what basis.' CPT codes are bare factual identifiers only — no procedure descriptors; follow the CMS source link for the official descriptor.
Input Schema
| Name | Required | Description | Default |
|---|---|---|---|
| cpt_code | No | Bare CPT code, e.g. 75580 or 0932T | |
| k_number | No | FDA clearance number, e.g. DEN170073 or K252148 |