Question:
What are the MUE and MAI for code 94375 in 2023?
Answer:
CMS has published an MUE (Medically Unlikely Edit) for code 94375 of 1, with an MUE adjudication indicator (MAI) of 3, indicating that it would be clinically inappropriate to bill for more than one episode of care (or encounter) per date of service.
CPT® copyright 2024 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.
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