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General Surgery Coding Alert

You Be the Coder:

Distinguish MUE and PTP CCI Edits

Published on Tue Sep 18, 2018

Question: What is the difference between Medically Unlikely Edits and Mutually Exclusive Edits under the National Correct Coding Initiative? They sound the same to me. Codify Subscriber Answer: Although the terms may sound alike, CMS has established Medically Unlikely Edits (MUEs) as a claims-editing parameter distinct from mutually-exclusive edits under the Correct Coding Initiative (CCI). In fact, CMS has abandoned [...]
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