CLAIMS: How do I know if a HCPCS/CPT code is subject to MUE (medically unlikely edit)?
View CMS’ Medically Unlikely Edits web page for details on MUE. Access the MUE tables as appropriate to your provider’s line of business.
Medicare Part B providers may view a full list of published HCPCS/CPT codes subject to MUE and their maximum allowed units in the Practitioner Services MUE Table.
- Always use the current version.
- Some MUE values are confidential, therefore, certain CPT/HCPCS codes will not be published in the posted files. The confidential status of an MUE is subject to change.