Medicaid MUE limit — by setting
curl --request GET \
--url https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code} \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}"
headers = {"X-API-Key": "<api-key>"}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {'X-API-Key': '<api-key>'}};
fetch('https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("X-API-Key", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["X-API-Key"] = '<api-key>'
response = http.request(request)
puts response.read_body{
"mue_type": "<string>",
"note": "<string>",
"proc_cd": "<string>",
"loaded_at": "2023-11-07T05:31:56Z",
"medicare_mue_value": 123,
"mue_adj_ind": null,
"mue_rationale": "<string>",
"mue_value": 123,
"program": "medicaid",
"source_file": "<string>"
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}ncci
Medicaid MUE limit — by setting
Current-quarter Medicaid MUE for a code in one setting.
Medicaid MUE files carry no adjudication indicator, so mue_adj_ind is
always null; medicare_mue_value is the Medicare limit for comparison.
GET
/
v1
/
ncci
/
medicaid
/
mue
/
{setting}
/
{code}
Medicaid MUE limit — by setting
curl --request GET \
--url https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code} \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}"
headers = {"X-API-Key": "<api-key>"}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {'X-API-Key': '<api-key>'}};
fetch('https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("X-API-Key", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/ncci/medicaid/mue/{setting}/{code}")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["X-API-Key"] = '<api-key>'
response = http.request(request)
puts response.read_body{
"mue_type": "<string>",
"note": "<string>",
"proc_cd": "<string>",
"loaded_at": "2023-11-07T05:31:56Z",
"medicare_mue_value": 123,
"mue_adj_ind": null,
"mue_rationale": "<string>",
"mue_value": 123,
"program": "medicaid",
"source_file": "<string>"
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Authorizations
Path Parameters
Available options:
practitioner, hosp-op, dme Billing or terminology code value (CPT/HCPCS/NDC/etc depending on endpoint context).
Response
Successful Response
Medicaid MUE for one code + setting (current CMS quarter).
MUE table: practitioner, hosp-op, or dme
Why mue_adj_ind is null and how states apply the value
HCPCS/CPT procedure code
When rcintel-data curated this row
Medicare MUE for the same code + setting (latest), for side-by-side review
Always null: CMS publishes no MAI for Medicaid MUEs.
CMS rationale (e.g. Clinical: Data)
Maximum units of service per day
Allowed value:
"medicaid"CMS Medicaid MUE file the row came from