AMA CPT® Assistant - 2007 Issue 11 (November)

Update: Medically Unlikely Edits (November 2007)

November 2007 pages 6-7 Update: Medically Unlikely Edits The December 2006 CPT Assistant included a Q&A with notification of a new set of edits from the Centers for Medicare and Medicaid (CMS) called the Medically Unlikely Edits (MUE). Now that these edits are in place, the following is intended to provide you with additional information on this particular set of CMS edits. Background The MUEs are units of service (UOS) edits for a HCPCS/ CPT code which reflect the maximum number of UOS that a provider might report for the same HCPCS/CPT code for the same beneficiary on...

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