> ## Documentation Index
> Fetch the complete documentation index at: https://docs.rcintell.com/llms.txt
> Use this file to discover all available pages before exploring further.

# 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.



## OpenAPI

````yaml /docs/openapi.client.json get /v1/ncci/medicaid/mue/{setting}/{code}
openapi: 3.1.0
info:
  description: >-
    Client API for RCIntel. Authenticate with X-API-Key. See Guides → Which API
    to use.
  summary: Multi-tenant knowledge API for healthcare revenue cycle management.
  title: Healthcare Knowledge Layer
  version: 0.1.0
servers: []
security: []
tags:
  - description: >-
      Cited payer policy lookup — GET /v1/policies and GET /v1/policies/changes.
      Medicare FFS returns NCDs/LCDs/MACs; commercial payers return that payer's
      documents only. Query payer, code, state, plan_type.
    name: policies
  - description: >-
      Payer-policy PDF parse and retrieve for Workspace / Payer Knowledge.
      Service-authenticated (X-Admin-Secret); chunks stored in Postgres.
    name: policy
  - description: >-
      Manufacturer 340B contract-pharmacy policy, fail-closed access, and the
      change feed. Different API from GET /v1/policies.
    name: 340B Policy
  - description: CRD-style prior authorization check, documentation, and vendors.
    name: prior-auth
  - description: Public payer directory (no API key on list/detail).
    name: payers-public
  - description: >-
      Payer network directory — search payers, check prior auth requirements,
      view filing rules, denial patterns, and appeal levels.
    name: payers
  - description: >-
      Resolve healthcare billing knowledge across the L1-L6 layer stack.
      Includes payment calculation, billing guidance, and per-layer queries.
    name: knowledge
  - description: >-
      CMS Fee Schedule lookups — OPPS (Addendum B / APC), DMEPOS (state-level
      pricing), and Clinical Lab Fee Schedule (CLFS).
    name: fee-schedules
  - description: >-
      NCCI (National Correct Coding Initiative) — dedicated MUE limits, PTP
      bundling edits, add-on code edits, and code pair validation. Medicare
      edits under /ncci/*, the separate CMS Medicaid edit set under
      /ncci/medicaid/*.
    name: ncci
  - description: >-
      Service code intelligence — CPT/HCPCS lookup, RVU data, NCCI edits,
      payment calculation, implant/GUDID search, and service group
      classification.
    name: codes
  - description: >-
      Submit asynchronous AI agent jobs for code research, medical necessity,
      and denial resolution. Poll for results and retrieve reasoning traces.
    name: agents
  - description: >-
      Register and manage healthcare facilities by CCN (Medicare Provider
      Number). Each facility is the root entity for knowledge resolution.
    name: facilities
  - description: >-
      NPI Registry — live search against CMS NPPES API for provider and
      organization National Provider Identifiers.
    name: npi
  - description: >-
      OpenFDA drug product lookup by NDC. Includes product-level fields with
      normalized ingredient and package detail.
    name: drugs
  - name: encounter
  - name: mcp
  - description: Health checks, service metadata, and Prometheus metrics.
    name: system
paths:
  /v1/ncci/medicaid/mue/{setting}/{code}:
    get:
      tags:
        - ncci
      summary: Medicaid MUE limit — by setting
      description: >-
        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.
      operationId: get_medicaid_mue_v1_ncci_medicaid_mue__setting___code__get
      parameters:
        - in: path
          name: setting
          required: true
          schema:
            enum:
              - practitioner
              - hosp-op
              - dme
            title: Setting
            type: string
        - description: >-
            Billing or terminology code value (CPT/HCPCS/NDC/etc depending on
            endpoint context).
          in: path
          name: code
          required: true
          schema:
            title: Code
            type: string
      responses:
        '200':
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/MedicaidMUEResponse'
          description: Successful Response
        '422':
          content:
            application/json:
              schema:
                $ref: '#/components/schemas/HTTPValidationError'
          description: Validation Error
      security:
        - APIKeyHeader: []
components:
  schemas:
    MedicaidMUEResponse:
      description: Medicaid MUE for one code + setting (current CMS quarter).
      properties:
        loaded_at:
          anyOf:
            - format: date-time
              type: string
            - type: 'null'
          description: When rcintel-data curated this row
          title: Loaded At
        medicare_mue_value:
          anyOf:
            - type: integer
            - type: 'null'
          description: >-
            Medicare MUE for the same code + setting (latest), for side-by-side
            review
          title: Medicare Mue Value
        mue_adj_ind:
          description: 'Always null: CMS publishes no MAI for Medicaid MUEs.'
          title: Mue Adj Ind
          type: 'null'
        mue_rationale:
          anyOf:
            - type: string
            - type: 'null'
          description: 'CMS rationale (e.g. Clinical: Data)'
          title: Mue Rationale
        mue_type:
          description: 'MUE table: practitioner, hosp-op, or dme'
          title: Mue Type
          type: string
        mue_value:
          anyOf:
            - type: integer
            - type: 'null'
          description: Maximum units of service per day
          title: Mue Value
        note:
          description: Why mue_adj_ind is null and how states apply the value
          title: Note
          type: string
        proc_cd:
          description: HCPCS/CPT procedure code
          title: Proc Cd
          type: string
        program:
          const: medicaid
          default: medicaid
          title: Program
          type: string
        source_file:
          anyOf:
            - type: string
            - type: 'null'
          description: CMS Medicaid MUE file the row came from
          title: Source File
      required:
        - proc_cd
        - mue_type
        - note
      title: MedicaidMUEResponse
      type: object
    HTTPValidationError:
      properties:
        detail:
          items:
            $ref: '#/components/schemas/ValidationError'
          title: Detail
          type: array
      title: HTTPValidationError
      type: object
    ValidationError:
      properties:
        ctx:
          title: Context
          type: object
        input:
          title: Input
        loc:
          items:
            anyOf:
              - type: string
              - type: integer
          title: Location
          type: array
        msg:
          title: Message
          type: string
        type:
          title: Error Type
          type: string
      required:
        - loc
        - msg
        - type
      title: ValidationError
      type: object
  securitySchemes:
    APIKeyHeader:
      in: header
      name: X-API-Key
      type: apiKey

````