Question:

How do I request a change in the MUE value for a CPT® code?

Answer:

If a provider/supplier, healthcare organization, or other interested party believes that a medically unlikely edit (MUE) value should be modified, it may write or fax to the following address:

National Correct Coding Initiative
Correct Coding Solutions, LLC
P.O. Box 907
Carmel, IN 46082-0907
FAX: 317-571-1745

You should include an alternative MUE value, the rationale for the recommended value, and any supporting documentation.

However, the Centers for Medicare & Medicaid Services (CMS) recommend that the national healthcare organization whose members perform the procedure be contacted first. The organization may be able to clarify the reporting of the code in question. If it agrees that the MUE value should be modified, its support and assistance may be helpful in requesting the modification of an MUE value.


CPT® is a registered trademark of the American Medical Association.

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CPT® copyright 2021 American Medical Association (AMA). All rights reserved.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

CPT is a registered trademark of the American Medical Association.