CMS Quarterly PTP and MUE Version Update Changes
Guidance for changes to each of its National Correct Coding Initiative Procedure-to-Procedure (PTP) and Medically Unlikely Edit (MUE) published edit files on a quarterly basis.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: August 31, 2020
With the October 1, 2011 PTP and MUE quarterly version updates, CMS is now posting the changes to each of its National Correct Coding Initiative Procedure-to-Procedure (PTP) and Medically Unlikely Edit (MUE) published edit files on a quarterly basis. The additions, deletions, and revisions to published MUEs for Practitioner Services, Outpatient Hospital Services, and DME Supplier Services, the additions, deletions, and modifier indicator quarterly changes to PTP column 1/ column 2 correct coding edits and the PTP mutually exclusive code edits for Practitioners, and the additions, deletions, and modifier indicator quarterly changes to PTP column 1/ column 2 correct coding edits and the PTP mutually exclusive code edits for Hospital Outpatient PPS in the Outpatient Code Editor are on this page under downloads. These changes reflect the modifications in the PTP and MUE published edit files posted for the current quarter.
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