Skip to main content
GET
Medicaid MUE limits — all settings

Authorizations

X-API-Key
string
header
required

Path Parameters

code
string
required

Billing or terminology code value (CPT/HCPCS/NDC/etc depending on endpoint context).

Query Parameters

state
string | null

Two-letter US state (KS). Stamps which Medicaid program is applying the CMS Medicaid NCCI floor.

payer
string | null

Payer slug (masshealth, medi_cal). Optional label; this path is always the Medicaid file.

Response

Successful Response

Medicaid MUE rows for a code across all settings.

proc_cd
string
required
edit_scope
string
default:cms_medicaid_national

cms_medicaid_national = CMS Medicaid NCCI floor the state must adopt

payer
string | null

Payer slug that selected this file

program
string
default:medicaid
Allowed value: "medicaid"
results
MedicaidMUEResponse · object[]
state
string | null

Two-letter US state (e.g. KS)

state_overlay
string | null

not_ingested when extra state SMA / Medi-Cal add-on files are not merged