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Medicare NCCI Medically Unlikely Edits | CMS

    https://www.cms.gov/medicare-medicaid-coordination/national-correct-coding-initiative-ncci/ncci-medicare/medicare-ncci-medically-unlikely-edits
    Medicare NCCI Medically Unlikely Edits (MUEs) National Correct Coding Initiative (NCCI) Medically Unlikely Edits (MUEs) are used by the Medicare Administrative Contractors (MACs), to reduce improper payments for Part B claims. An MUE for a …

Medically Unlikely Edits - JE Part B - Noridian

    https://med.noridianmedicare.com/web/jeb/topics/claim-submission/medically-unlikely-edits
    The CMS developed Medically Unlikely Edits (MUEs) to reduce the paid claims error rate for Part B claims. An MUE for a HCPCS / CPT code is the maximum …

Chemodenervation Injections: Do Modifiers Apply

    https://www.aapc.com/blog/23314-chemodenervation-injections-do-modifiers-apply/
    As of April 1, Medicare considers CPT® codes 64613 Chemodenervation of muscle (s); neck muscle (s) (e.g., for spasmodic torticollis, spasmodic dysphonia) and …

CORRECT CODING INITIATIVE’S - Centers for …

    https://www.cms.gov/Medicare/Coding/NationalCorrectCodInitEd/Downloads/ncci-correspondence-language-manual.pdf
    Medically Unlikely Edits (MUEs) prevent payment for an inappropriate number/quantity of the same service on a single day. The MUE for a HCPCS/CPT code is the maximum …

Billing and Coding Guidelines - Centers for Medicare …

    https://downloads.cms.gov/medicare-coverage-database/lcd_attachments/28555_40/L28555_INJ018_CBG_100111.pdf
    For injection of Botulinum into laryngeal muscles use CPT code 64999 (Unlisted procedure, nervous system). The following guidelines should be used when billing for injections of …

Article - Billing and Coding: Botulinum Toxins (A52848)

    https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=52848&LCDId=33646&DocID=L33646
    For CPT code 64615 Coverage will only be allowed for those patients with chronic daily headaches (headache disorders occurring greater than 15 days a month …

Medically Unlikely Edits Policy, Professional

    https://www.uhcprovider.com/content/dam/provider/docs/public/policies/medadv-reimbursement/MEDADV-Medically-Unlikely-Edits-Policy.pdf
    The Centers f or Medicare and Medicaid Services (CMS) developed the Medically Unlikely Edits (MUE) program to reduce the paid claims error rate for Part B claims. An MUE for a …

64614 billed more than once? | Medical Billing and …

    https://www.aapc.com/discuss/threads/64614-billed-more-than-once.8897/
    He recently injected a quad patient in both upper extremities and both lower extremities. He has used code 64614 twice with a 50 modifier and 64614 twice with no …

Don’t Chase Your Tail Over Medically Unlikely Edits

    https://www.aapc.com/blog/44087-dont-chase-your-tail-over-medically-unlikely-edits/
    Because CPT® codes 17000, 17003, and 17004 do not stipulate an anatomical location, it’s inappropriate to report modifier 59 with any of these CPT® codes. Table 3 …

CPT® Code 64614 - Codify by AAPC

    https://www.aapc.com/codes/cpt_code/deleted_cpt_code/64614
    64614 64614 CPT ® Deleted Code 64614 Deleted code, effective Jan. 1, 2014 Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day …



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