CPT Code
95004
95012
95017
95018
95024
95027
95028
95044
95052
95056
95060
95065
95070
95071
95076
95079
95115
95117
95144
95145
95146
95147
95148
95149
95165
95170
CMS MUE Edits for allergy services
Effective July 1, 2016* as indicated by CMS
MUE adjudication
MUE Value
indicator
80
1 Line Edit
3 Date of Service Edit:
2
Clinical
27
1 Line Edit
3 Date of Service Edit:
19
Clinical
40
1 Line Edit
90
1 Line Edit
30
1 Line Edit
80
1 Line Edit
20
1 Line Edit
2 Date of Service Edit:
1
Policy
2 Date of Service Edit:
1
Policy
3 Date of Service Edit:
1
Clinical
3 Date of Service Edit:
1
Clinical
2 Date of Service Edit:
1
Policy
2 Date of Service Edit:
1
Policy
3 Date of Service Edit:
2
Clinical
2 Date of Service Edit:
1
Policy
2 Date of Service Edit:
1
Policy
3 Date of Service Edit:
30
Clinical
3 Date of Service Edit:
10
Clinical
3 Date of Service Edit:
10
Clinical
3 Date of Service Edit:
10
Clinical
3 Date of Service Edit:
10
Clinical
3 Date of Service Edit:
10
Clinical
3 Date of Service Edit:
30
Clinical
3 Date of Service Edit:
10
Clinical
Click here for to review CMS site*
License Agreement
MUE Rationale
Clinical: Data
Clinical: Data
Clinical: Society
Comment
Clinical: CMS
Workgroup
Clinical: Data
Clinical: Data
Clinical: Data
Clinical: Data
Clinical: Data
Code Descriptor / CPT
Instruction
Code Descriptor / CPT
Instruction
Clinical: Data
Clinical: Data
Clinical: Data
Code Descriptor / CPT
Instruction
Clinical: Society
Comment
Code Descriptor / CPT
Instruction
Code Descriptor / CPT
Instruction
Clinical: Data
Clinical: Data
Clinical: Data
Clinical: Data
Clinical: Data
Clinical: Data
Clinical: Data
Clinical: Data