mue

  1. T

    Wiki MUEs

    Hello everyone, Can someone please help me understand MUEs? I understand for Medicare there are caps on units that you can bill... but I don't know how to find these for other private payers. Can someone point me in the right direction or enlighten me on MUEs? Thank you!
  2. A

    Wiki Mue

    My laboratory has developed a new panel in which there are 14 pathogens being tested that fall under the non-specific code 87798. The MUE for this code is 13. Can we only bill for 13 units of 87798 even though we are performing 14 units of 87798?
  3. S

    Wiki H2019 Duplicate Denial

    A client is billing for H2019 services done in two different settings for the two claims, different encounters, same patient, same date of service, same practitioner. Only difference is that the place of service code is different, the units, and the charge amount. I have suggested that they...
  4. nkrush12

    Wiki Ameluz J7345 - Medicare MUE

    We are looking into using Ameluz for a Medicare patient. Our concern is that the most recent MUE listing (eff 7/1/18) lists the max value for J7345 as 3. This is concerning since one tube is 200 units. Does anyone have any info about this...
  5. A

    Wiki MUE Rationale "Nature of Analyte"

    Hi all, Would anyone happen to know what this means? I've searched the CMS Website and have Googled, but there's not detail given, that I could find, about this particular rationale. Thanks in advance!
  6. S

    Wiki MUE Edits

    We have an internal discussion going on about who should be responsible for reviewing/correcting MUE edits. Should it be a coder or the A/R claims follow up staff. Would like to hear how others are handling the MUE edits. Thanks
  7. E

    Wiki 92998 MUE history

    Is there a resource where I can access the MUE limit for 92998 in 2014 and 2015?
  8. R

    Wiki MUE of 1 but a bililateral procedure

    If Medicare has a MUE of 1 but the CPT can be billed bilaterally, can you bill this with a 50 modifier and get paid for both sides?
  9. R

    Wiki Medicare and CPT 64561

    Medicare is denying the 2nd 64561 when billed like this? 64561-LT 64561-RT Do I need to add a modifier XS to the 2nd line item? Send reports? The MUE is 1 for this CPT. Any feedback would be appreciated. Thank you!
    • Robbin109
    • Thread
    • 2nd 64561 cpt medicare mue
    • Replies: 5
    • Forum: Urology
  10. J

    Wiki G0431 mues

    I work at a doctors office and we have an in house lab. We had been billing g0431 x9 and g0431 x3 with a 59. This had been paid up until july 1, 2010. The mues are updated each quarter, but the mue amount for this cpt code is still confidential. Dose anyone know what the new max is or a better...
  11. S

    Wiki 99070 in place of HCPCS

    Due to contractual limitations, we are having to bill some of our drugs under 99070 instead of the generic HCPC's code since the generic HCPC is not recognized by our contract. However, when billing for multiple drugs, only one drug is being paid as the remaining lines containing 99070 are being...
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