Respiratory Question for the Week of February 6, 2023

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.

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