"The edits in this MUE change report are effective beginning on October 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
A4288	1
E0150	1
E0658	1
E0659	1
J0162	0
J0654	100
J1736	30
J1737	30
J1837	600
J2516	600
J2596	160
J2598	160
J2599	160
J2711	60
J3291	1600
J3376	600
J3379	2000
J3387	1
J7528	900
J9184	19
J9256	1500
L1007	1
L5657	2
L6034	2
L6035	1
L6036	2
L6038	1
L6039	1
Q5160	230
