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Q. Will CMS implement Medically Unlikely Edits (MUEs) for additional Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes?

Patient Financial Services Weekly Advisor, November 30, 2007

Q. Will CMS implement Medically Unlikely Edits (MUEs) for additional Healthcare Common Procedure Coding System (HCPCS)/Current Procedural Terminology (CPT) codes?

A. CMS began implementation of MUEs for HCPCS/CPT codes on January 1, 2007. There are quarterly updates to the MUE files which include MUEs for additional codes. Although most HCPCS/CPT codes will have MUEs, some groups of codes have been temporarily excluded for future consideration. Source: Centers for Medicare & Medicaid Services

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