"The edits in this MUE change report are effective beginning on January 1, 2026. 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 2025 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	DME Supplier Services MUE Values
A6515	6
A6516	6
A6517	6
A6518	6
A6611	6
C9804	1
C9807	1
E1022	2
E1023	2
E1032	6
E1033	1
E1034	4
E1832	2
J0165	0
J0166	0
J0167	0
J0168	0
J0169	0
J0281	30
J0616	15
J0618	2000
J1072	400
J1163	900
J1271	300
J1299	600
J1308	160
J1808	150
J1931	609
J1938	5360
J2312	1000
J2313	1000
J2351	920
J2428	351
J2804	1200
J2865	3000
J3373	600
J3374	600
J3375	600
J3391	1
J7514	900
J7521	300
J9024	375
J9038	360
J9054	70
J9161	1500
J9174	320
J9275	600
J9289	600
J9341	60
J9342	60
J9382	750
L0720	1
L1933	2
L1952	2
L5827	2
L6028	2
L6029	4
L6030	4
L6031	4
L6032	2
L6033	2
L6037	2
L6700	2
L7406	2
Q5098	520
Q5099	520
Q5100	520
Q5147	4
Q5148	1500
Q5149	4
Q5150	4
Q5151	600
Q5152	600
Q5153	4
Q9999	520
