medicare_lab_test_lookup

Pack: medicare-pricing · Connect: https://pipeworx.io/mcp (see Connect below for a single-pack URL)

No MCP client? Call it directly: GET https://gateway.pipeworx.io/v1/tools/medicare_lab_test_lookup for the schema, then POST the same URL with its arguments for the data.

Resolve a branded molecular or genomic lab test by its commercial name (e.g. Signatera, Guardant360 CDx, FoundationOne CDx, FoundationOne Liquid CDx, Tempus xT CDx, DecisionDx-Melanoma, Envisia, Shield) to its CPT PLA / HCPCS billing code, the lab that runs it, what Medicare pays for it now on the Clinical Laboratory Fee Schedule, and the MolDX local coverage determinations (LCDs) and billing-and-coding articles for its test category. Answers “what does Medicare pay for Signatera”, “what is the PLA code for Guardant360”, “which MolDX LCD covers this test”. Also accepts a lab name (e.g. “Natera”) or a code. Covers the tests on the CMS list of Advanced Diagnostic Laboratory Tests (ADLTs), the only public list that ties a test’s brand name to its code; a test not on it returns not_found with the reason. Sourced from CMS (ADLT list, Clinical Laboratory Fee Schedule, Medicare Coverage Database).

Parameters

NameTypeRequiredDescription
teststringyesThe test’s brand or commercial name (“Signatera”, “Guardant360 CDx”), the lab (“Natera”), or its code (“0340U”).
include_retiredbooleannoAlso list retired LCDs/articles for the test category (default false). Contractors re-issue MolDX policies under new numbers, so an older citation may be a retired document.

Example call

Arguments

{
  "test": "Signatera"
}

curl

curl -X POST https://gateway.pipeworx.io/medicare-pricing/mcp \
  -H 'Content-Type: application/json' \
  -d '{"jsonrpc":"2.0","id":1,"method":"tools/call","params":{"name":"medicare_lab_test_lookup","arguments":{"test":"Signatera"}}}'

TypeScript (@pipeworx/sdk)

import { Pipeworx } from '@pipeworx/sdk';
const pipeworx = new Pipeworx();

const result = await pipeworx.call('medicare_lab_test_lookup', {
  "test": "Signatera"
});

Connect

Add this to your MCP client config — every tool in the catalog, including this one — or use one-click install buttons:

{
  "mcpServers": {
    "pipeworx": {
      "url": "https://pipeworx.io/mcp"
    }
  }
}
Connect to just the medicare-pricing pack
{
  "mcpServers": {
    "medicare-pricing": {
      "url": "https://gateway.pipeworx.io/medicare-pricing/mcp"
    }
  }
}

See Getting Started for client-specific install steps.

Regenerated from source · build September 26, 2026