Mar 7, 2025 · An MUE is the maximum units of service (UOS) reported for a HCPCS/CPT code on the vast majority of appropriately reported claims by the same provider/supplier for the …

A Medically Unlikely Edit (MUE) value assigned to a CPT/HCPCS code indicates the maximum units of service (UOS) for a single beneficiary on a single date of service (on most …

Jan 29, 2025 · The NCCI contains one table of edits for physicians or practitioners and one table of edits for outpatient hospital services. The purpose of the NCCI Medically Unlikely Edits …

Apr 1, 2021 · Below is an archive of previous versions of the NCCI Medicare MUE files. These previous versions are posted for historical reference only and should not be considered current …

An MUE for a HCPCS / CPT code is the maximum units of service that a provider would report under most circumstances for a single beneficiary on a single date of service. MUE values are …

Apr 25, 2023 · There are three types of MUE tables available on the CMS Medically Unlikely Edits webpage. Practitioner, Durable Medical Equipment (DME) and Facility Outpatient. Part B …

Oct 1, 2024 · An MUE for a HCPCS/CPT code is the maximum units of service a provider would order under most circumstances for a single beneficiary on a single date of service. Not all …

Jan 12, 2022 · Check your payer’s reporting preference. The MUE table includes a column for “MUE Adjudication Indicator” (MAI), which provides guidance about what circumstances allow …

May 15, 2024 · MUEs were created by CMS to establish edits based on units of service for specific codes to reduce inappropriate payments and the edits are updated on a quarterly …

UOS in excess of the MUE value would be considered impossible because of a statute, regulation or sub regulatory guidance. This includes correct coding policy that is binding for both …