DecisionHealth, DecisionHealth - 2026 Issue 3 (March)

CMS rolls out first MUEs for new CPT codes, effective April 1

Prepare your staff for the first batch of medically unlikely edits (MUE) for CPT codes that went into effect Jan. 1, 2026. The new edits go into effect April 1. The latest National Correct Coding Initiative (NCCI) update contains MUEs for many, but not all, of the new CPT codes. For example, edits for new remote physiologic and therapeutic monitoring codes are not included in the update.

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