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First Coast Service Options Inc.
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Last Modified: 4/9/2014 Location: FL, PR, USVI Business: Part A, Part B

Locating medically unlikely edit values

Q. Why can't I find a listing of all MUE values?
A. The Centers for Medicare & Medicaid Services (CMS) publishes most medically unlikely edit (MUE) values external link on its website. However, CMS does not publish MUE values for some codes. Some MUE values are confidential and may not be published by third parties.
Note: MUE values are not utilization guidelines. Providers may be subject to a review of their claims even if they report units of service less than or equal to the MUE value for a procedure code.
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First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.