Skip to main content
GET
Medicaid MUE limit — by setting

Authorizations

X-API-Key
string
header
required

Path Parameters

setting
enum<string>
required
Available options:
practitioner,
hosp-op,
dme
code
string
required

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_type
string
required

MUE table: practitioner, hosp-op, or dme

note
string
required

Why mue_adj_ind is null and how states apply the value

proc_cd
string
required

HCPCS/CPT procedure code

loaded_at
string<date-time> | null

When rcintel-data curated this row

medicare_mue_value
integer | null

Medicare MUE for the same code + setting (latest), for side-by-side review

mue_adj_ind
null

Always null: CMS publishes no MAI for Medicaid MUEs.

mue_rationale
string | null

CMS rationale (e.g. Clinical: Data)

mue_value
integer | null

Maximum units of service per day

program
string
default:medicaid
Allowed value: "medicaid"
source_file
string | null

CMS Medicaid MUE file the row came from