CMS to Publish Latest Version of MUEs

The Centers for Medicare & Medicaid Services (CMS) has edited about 9,700 HCPCS Level II/CPT® codes’ assigned unit values used in its Medically Unlikely Edit (MUE) program that is expected to publish on Oct. 1. CMS will publish additional edits Jan. 1, 2009.

Contractors use the published edits during the electronic claims process to reduce billing errors, such as reporting excessive services. CMS will not publish those edits designed to detect and deter questionable payments.

Once published, you’ll find the edits on the CMS Web site at www.cms.hhs.gov/NationalCorrectCodInitEd/08_MUE.asp#TopOfPage.