Medical necessity solutions for business partners

3M medical necessity solutions for business partners are designed for easy integration and provide medical necessity validation at one or more key points in the enterprise workflow.

Our skilled team of experts produce and deliver monthly medical necessity content. We can provide your customers with timely content for: 

  • ICD-9 and ICD-10 National and Local Coverage Decisions (NCDs and LCDs) for Medicare Part A and Part B claims
  • State-specific Medicaid and payer-specific data
  • Supporting ICD-9 diagnostic codes for given HCPCS level 1 and level 2 codes (HCPCS 1 & 2); modifiers; restrictions for frequency, age and gender; non-allowed diagnosis codes for given HCPCS 1 & 2 codes; and non covered HCPCS 1 & 2

Medical necessity solutions