Mastering Injection and Infusion Coding - American Health ...
Mastering Injection and Infusion Coding - American Health ...
Mastering Injection and Infusion Coding - American Health ...
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
<strong>Mastering</strong> <strong>Injection</strong> <strong>and</strong> <strong>Infusion</strong> <strong>Coding</strong><br />
Notes/Comments/Questions<br />
Medically Unlikely Edits (MUEs) (cont.)<br />
• An MUE for a HCPCS/CPT code is set at what is<br />
expected to be the maximum reported units of<br />
service under most circumstances All HCPCS/CPT<br />
codes do not have an MUE.<br />
• The majority of MUE’s were made public on the CMS<br />
website on October 1, 2008 <strong>and</strong> are expected to be<br />
updated quarterly.<br />
• Published MUEs consist of most of the codes with MUE<br />
values of 1-3.<br />
• CMS is not publishing MUE values that are 4 or higher<br />
because of CMS concerns of fraud <strong>and</strong> abuse.<br />
• More information on MUEs can be found on CMS’<br />
website at:<br />
http://www.cms.hhs.gov/NationalCorrectCodInitEd/08_MUE.asp<br />
21<br />
Published Hospital Outpatient MUE<br />
Limits for Drug Admin<br />
Hospital<br />
HCPCS\CPT Code Outpatient<br />
Services MUE<br />
96360 2<br />
96369 1<br />
96371 1<br />
96373 3<br />
96374 2<br />
96402 2<br />
96405 1<br />
96406 1<br />
96409 2<br />
96413 2<br />
96416 1<br />
96420 2<br />
96422 2<br />
96425 1<br />
96440 1<br />
96445 1<br />
96450 1<br />
96521 2<br />
96522 1<br />
96523 1<br />
96542 1<br />
22<br />
AHIMA 2009 Audio Seminar Series 11
Change language