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  • Check out 4 MUE Facts That Will Help You Avoid Denials - AAPC
    The MUE table includes a column for “MUE Adjudication Indicator” (MAI), which provides guidance about what circumstances allow you to override an MUE limit for a given code If the code has an MAI of “1,” the code is adjudicated on a claim-line basis, meaning that you can’t exceed the number of MUE units on a claim line
  • Check MUEs to Avoid Unit Errors on Your Claim - AAPC
    Medically Unlikely Edits (MUEs) let you know the maximum units of service a payer expects to see for a code on a date of service You can expect issues for your claim if units exceed the MUE Checking MUEs isn’t always straightforward, though Medicare and Medicaid each create their own MUEs and update them quarterly Beyond that, there are
  • Don’t Chase Your Tail Over Medically Unlikely Edits
    MUE are not utilization edits Although the MUE value for some codes may represent commonly reported units of service (e g , MUE of 1 for appendectomy), the usual units of service for many HCPCS Level II CPT® codes is less than the MUE value Providers should continue to report services that are medically reasonable and necessary
  • Understand Meaning of MUE : Reader Questions - AAPC
    Specifically, CMS says: “An MUE is a unit of service edit for a Healthcare Common Procedure Coding System (HCPCS) Current Procedural Terminology (CPT ®) code for services rendered by a single provider supplier to a single beneficiary on the same date of service The ideal MUE is the maximum unit(s) of service that would be reported for a
  • Confused About MUEs? Consider These 4 Facts : Coding Edits - AAPC
    The MUE table includes a column for “MUE Adjudication Indicator” (MAI), which provides guidance about what circumstances allow you to override an MUE limit for a given code If the code has an MAI of “1,” the code is adjudicated on a claim-line basis, meaning that you can’t exceed the number of MUE units on a claim line
  • Maintain Your Understanding of MUEs : Reader Questions - AAPC
    Alert: The MUE table includes a column for “MUE Adjudication Indicator” (MAI), which provides guidance about what circumstances allow you to override an MUE limit for a given code If the code has an MAI of “1,” the code is adjudicated on a claim-line basis, meaning that you can’t exceed the number of MUE units on a claim line
  • Learn MUE Limits and Options : You Be the Coder - AAPC
    Alert: The MUE table includes a column for “MUE Adjudication Indicator” (MAI), which provides guidance about what circumstances allow you to override an MUE limit for a given code If the code has an MAI of “1,” the code is adjudicated on a claim-line basis, meaning that you can’t exceed the number of MUE units on a claim line
  • Refresh Your Understanding of MUEs : You Be the Coder - AAPC
    Alert: The MUE table includes a column for “MUE Adjudication Indicator” (MAI), which provides guidance about what circumstances allow you to override an MUE limit for a given code If the code has an MAI of “1,” the code is adjudicated on a claim-line basis, meaning that you can’t exceed the number of MUE units on a claim line
  • Wiki J1010 Depo-Medrol BILATERAL injections - MUE denial - AAPC
    On October 1, 2024 CMS assigned an MUE of 120 to CPT code J1010 Previous to this date, J1010 had no MUE assignment Our physicians do 80 mg injections in a large joint and frequently do bilateral injections So with the MUE assignment of 120 mg (and an MAI of 3 - date of service edit), we
  • Get to the Bottom of MUE Limitations - And Know When to Fight . . . - AAPC
    A CMS FAQ states that “since each line of a claim is adjudicated separately against the MUE value for the code on that line, the appropriate use of Current Procedural Terminology (CPT ®) modifiers to report the same code on separate lines of a claim will enable a provider supplier to report medically reasonable and necessary units of service





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