"The edits in this MUE change report are effective beginning on January 1, 2025. This file should NOT be used by state Medicaid programs as their edit file.

Current Procedural Terminology (CPT) codes, descriptions and other data only are copyright 2024 American Medical Association. All rights reserved.

CPT® is a registered trademark of the American Medical Association.

Applicable FARS\DFARS Restrictions Apply to Government Use.

Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained or not contained herein."	
HCPCS/CPT Code	Practitioner Services MUE Values
0020M	1
0441U	1
0442U	1
0444U	1
0446U	1
0447U	1
0449U	1
0450U	1
0451U	1
0452U	1
0453U	1
0454U	1
0455U	3
0457U	1
0458U	1
0459U	1
0460U	1
0461U	1
0462U	1
0463U	1
0464U	1
0465U	1
0466U	1
0467U	1
0468U	1
0469U	2
0470U	1
0471U	1
0472U	1
0473U	1
0474U	1
0475U	1
90624	1
90684	1
A4271	1
A4438	10
A4593	1
A4594	1
A9293	1
A9506	1
C1600	4
C1601	1
C1602	1
C1603	1
C1604	1
C1605	1
C1606	1
C7556	1
C7557	1
C7558	1
C7560	1
C7903	1
C9793	1
C9794	1
C9795	1
C9796	1
C9797	1
C9901	1
E0152	1
E0468	2
E0736	1
E0738	1
E0739	1
E1803	2
E1804	2
E1807	2
E1808	2
E1813	2
E1814	2
E1822	2
E1823	2
E1826	3
E1827	3
E1828	2
E1829	2
E2001	1
E2104	1
E2298	1
G0017	1
G0018	3
G0019	1
G0022	3
G0023	1
G0024	1
G0136	1
G0137	1
G0140	1
G0146	1
J0211	200
J0391	770
J0687	16
J0872	1050
J0911	50
J1596	18
J1597	8
J1598	12
J1748	12
J2183	60
J2246	150
J2267	300
J2404	3600
J2468	10
J2470	6
J2471	6
J2782	40
J2801	100
J2919	5400
J3055	480
J3247	1000
J3263	480
J3425	20
J7355	150
J8611	30
J8612	36
J9072	1500
J9073	1500
J9074	1500
J9075	1500
J9361	40
K1027	1
K1037	1
L1320	1
L5783	2
L5841	2
M0224	1
Q0224	1
Q5133	1200
Q5137	90
Q5138	520
S4988	1
S9002	1
