curl --request GET \
--url https://sandbox.rcintell.com/v1/ncci/mue/practitioner/{code} \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/ncci/mue/practitioner/{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/mue/practitioner/{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/mue/practitioner/{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/mue/practitioner/{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/mue/practitioner/{code}")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/ncci/mue/practitioner/{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{
"proc_cd": "<string>",
"ai_summary": "<string>",
"date_of_service": "<string>",
"edit_scope": "cms_medicare_national",
"mue_adj_ind": "<string>",
"mue_rationale": "<string>",
"mue_type": "<string>",
"mue_value": 123,
"payer": "<string>",
"program": "medicare",
"sentinel": {
"audit": {
"composite_score": 123,
"findings": [
{}
],
"flags": [
"<string>"
],
"security_findings": [
{}
],
"security_score": 123,
"tier": "<string>"
},
"authority_level": "<string>",
"escalation_required": false,
"patterns_detected": [
{}
],
"trust_score": 123
},
"state": "<string>",
"state_overlay": "<string>",
"version_effective_dt": "<string>",
"version_posted_dt": "<string>"
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}MUE limits — Practitioner Services
Get MUE limits for a code in the Practitioner Services table.
curl --request GET \
--url https://sandbox.rcintell.com/v1/ncci/mue/practitioner/{code} \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/ncci/mue/practitioner/{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/mue/practitioner/{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/mue/practitioner/{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/mue/practitioner/{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/mue/practitioner/{code}")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/ncci/mue/practitioner/{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{
"proc_cd": "<string>",
"ai_summary": "<string>",
"date_of_service": "<string>",
"edit_scope": "cms_medicare_national",
"mue_adj_ind": "<string>",
"mue_rationale": "<string>",
"mue_type": "<string>",
"mue_value": 123,
"payer": "<string>",
"program": "medicare",
"sentinel": {
"audit": {
"composite_score": 123,
"findings": [
{}
],
"flags": [
"<string>"
],
"security_findings": [
{}
],
"security_score": 123,
"tier": "<string>"
},
"authority_level": "<string>",
"escalation_required": false,
"patterns_detected": [
{}
],
"trust_score": 123
},
"state": "<string>",
"state_overlay": "<string>",
"version_effective_dt": "<string>",
"version_posted_dt": "<string>"
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Authorizations
Path Parameters
Billing or terminology code value (CPT/HCPCS/NDC/etc depending on endpoint context).
Query Parameters
Date of service (YYYY-MM-DD); selects the NCCI version active on that date. Defaults to today.
Include AI-generated clinical summary
Two-letter US state (KS). Claim geography; Medicare NCCI itself is national.
Payer slug. medicaid / masshealth / medi_cal selects the CMS Medicaid NCCI file on /validate.
Response
Successful Response
MUE (Medically Unlikely Edit) for a single code + setting.
HCPCS/CPT procedure code
AI-generated plain-English summary
Service date used for lookup
CMS Medicare NCCI is not state-split
MAI label: '1 Line Edit', '2 Date of Service Edit: Policy', '3 Date of Service Edit: Clinical'
CMS rationale (e.g. Clinical: Data)
MUE table: practitioner, hosp-op, or dme
Maximum units of service per encounter
medicare (CMS national NCCI)
SENTINEL trust verdict for the AI summary. Present whenever include_summary=true. Use sentinel.escalation_required to decide whether to show the summary unattended or route it to a human reviewer.
Show child attributes
Show child attributes
Two-letter US state (claim geography; file is national)
Effective date of the CMS NCCI version
Date the CMS version was posted