procedure-coverage

io.github.builtforai/procedure-coverageVersion 1.0.0

Medicare coverage and fee-schedule amounts for CPT/HCPCS codes against a diagnosis

Status

Responds169 msNov 14, 2026, 14:46 UTCAnswered our handshake without sign-in.

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Last checked: Nov 14, 2026, 14:46 UTC
Latency: 169 ms
Remotes responding: 1 of 1
Sign-in: No sign-in
Hosting: Hosted outside the EU (detected)
Registry data as of: Nov 14, 2026, 21:12 UTC

Data from the official MCP Registry, checked by run.zero. How we check

Connect

Streamable HTTP

https://medicalclaim.ai/mcpResponds169 msNov 14, 2026, 14:46 UTC

No sign-in

Claude Code

claude mcp add --transport http procedure-coverage https://medicalclaim.ai/mcp

Claude Desktop and claude.ai

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Settings > Connectors > Add custom connector
Name: procedure-coverage
Remote MCP server URL: https://medicalclaim.ai/mcp

Cursor

{
  "mcpServers": {
    "procedure-coverage": {
      "url": "https://medicalclaim.ai/mcp"
    }
  }
}

VS Code

code --add-mcp '{"name":"procedure-coverage","type":"http","url":"https://medicalclaim.ai/mcp"}'

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Tools

1 tools

Tools of procedure-coverage
	Description		Read-only	Idempotent	Open world
`medicare_procedure_coverage`For a diagnosis and one or more CPT/HCPCS codes, report what CMS Local Coverage Articles record for each code, which ICD-10 diagnoses those articles list as covered or non-covered, and the CMS Physician Fee Schedule PROFESSIONAL amount where a national rate exists. Setting matters and is stated: codes performed only in a facility return not_applicable_in_this_setting rather than an invented office price, and codes CMS does not pay under the PFS (status I, X, N, E, B, P) return not_payable_under_pfs rather than a figure computed from published RVUs. Coverage is contractor-specific. Does NOT compare clinical effectiveness or recommend treatment, and a missing national rate is never treated as non-coverage. The amount is the clinician fee only — not the facility fee, device or imaging.	For a diagnosis and one or more CPT/HCPCS codes, report what CMS Local Coverage Articles record for each code, which ICD-10 diagnoses those articles list as covered or non-covered, and the CMS Physician Fee Schedule PROFESSIONAL amount where a national rate exists. Setting matters and is stated: codes performed only in a facility return not_applicable_in_this_setting rather than an invented office price, and codes CMS does not pay under the PFS (status I, X, N, E, B, P) return not_payable_under_pfs rather than a figure computed from published RVUs. Coverage is contractor-specific. Does NOT compare clinical effectiveness or recommend treatment, and a missing national rate is never treated as non-coverage. The amount is the clinician fee only — not the facility fee, device or imaging.	Not declared	Not declared	Not declared	Not declared

Details

Registry status: Active
Published: Sep 18, 2026
Updated: Sep 18, 2026
Website: https://medicalclaim.ai/⁠ (opens in a new tab)
Repository: https://github.com/builtforai/builtforai-healthcare⁠ (opens in a new tab)
Categories: Uncategorized
GDPR: Not declared

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