NCCI (National Correct Coding Initiative) MUE …

1 NCCI (National Correct Coding Initiative) MUE ( medically unlikely editing ) UnitsAll Durable Medical Equipment CodesEffective 1/1/2020 TypeProcedure CodeProcedure DescriptionEffective DateEnd DateUnitsDME92551 SCREENING TEST, PURE TONE, AIR ONLY 10/1/201312/31/23821 DME92559 AUDIOMETRIC TESTING OF GROUPS 10/1/201312/31/23821 DME92560 BEKESY AUDIOMETRY; SCREENING 10/1/201312/31/23821 DME92590 HEARING AID EXAMINATION AND SELECTION; MONAURAL 10/1/201312/31/23821 DME92591 HEARING AID EXAMINATION AND SELECTION; BINAURAL 10/1/201312/31/23821 DME92592 HEARING AID CHECK.

2 MONAURAL 10/1/201312/31/23821 DME92593 HEARING AID CHECK; BINAURAL 10/1/201312/31/23821 DME92594 ELECTROACOUSTIC EVALUATION FOR HEARING AID; MONAURAL 10/1/201312/31/23821 DME92595 ELECTROACOUSTIC EVALUATION FOR HEARING AID; BINAURAL 10/1/201312/31/23821 DME94005 HOME VENTILATOR MANAGEMENT CARE PLAN OVERSIGHT OF A PATIENT IN HOME, DOMICILIARY OR REST HOME REQUIRING REVIEW 10/1/201312/31/23821 DMEA4210 NEEDLE-FREE INJECTION DEVICE, EACH 10/1/201312/31/23821 DMEA4221 SUPPLIES FOR MAINTENANCE OF DRUG INFUSION CATHETER, PER WEEK (LIST DRUG SEPARATELY)

3 10/1/201512/31/23824 DMEA4224 SUPPLIES FOR MAINTENANCE OF INSULIN INFUSION CATHETER, PER WEEK 7/1/201712/31/23825 DMEA4233 REPLACEMENT BATTERY, ALKALINE (OTHER THAN J CELL), FOR USE WITH medically NECESSARY HOME BLOOD GLUCOSE MONITOR 7/1/201512/31/23822 DMEA4234 REPLACEMENT BATTERY, ALKALINE, J CELL, FOR USE WITH medically NECESSARY HOME GLUCOSE MONITOR OWNED BY PATIENT 1/1/201812/31/23822 DMEA4235 REPLACEMENT BATTERY, LITHIUM, FOR USE WITH medically NECESSARY HOME GLUCOSE MONITOR OWNED BY PATIENT 10/1/201412/31/23822 DMEA4236 REPLACEMENT BATTERY, SILVER OXIDE.

4 FOR USE WITH medically NECESSARY HOME GLUCOSE MONITOR OWNED BY 1/1/201212/31/23822 DMEA4250 URINE TEST OR REAGENT STRIPS OR TABLETS (100 TABLETS OR STRIPS) 10/1/201312/31/23822 DMEA4253 BLOOD GLUCOSE TEST OR REAGENT STRIPS FOR HOME BLOOD GLUCOSE MONITOR, PER 50 STRIPS 1/1/201912/31/23824 DMEA4256 NORMAL, LOW AND HIGH CALIBRATOR SOLUTION / CHIPS - PER PINT 10/1/201512/31/23821 DMEA4258 SPRING-POWERED DEVICE FOR LANCET.

5 EACH 1/1/201112/31/23821 DMEA4259 LANCETS, PER BOX OF 100 1/1/201912/31/23822 DMEA4261 CERVICAL CAP FOR CONTRACEPTIVE USE 10/1/201312/31/23821 NCCI (National Correct Coding Initiative) MUE ( medically unlikely editing ) UnitsAll Durable Medical Equipment CodesEffective 1/1/2020 TypeProcedure CodeProcedure DescriptionEffective DateEnd DateUnitsDMEA4264 PERMANENT IMPLANTABLE CONTRACEPTIVE INTRATUBAL OCCLUSION DEVICE(S)

6 AND DELIVERY SYSTEM 1/1/201412/31/23821 DMEA4266 DIAPHRAGM FOR CONTRACEPTIVE USE 10/1/201312/31/23821 DMEA4281 TUBING FOR BREAST PUMP, REPLACEMENT 10/1/201312/31/23821 DMEA4282 ADAPTER FOR BREAST PUMP, REPLACEMENT 1/1/201412/31/23821 DMEA4284 BREAST SHIELD AND SPLASH PROTECTOR FOR USE WITH BREAST PUMP, REPLACEMENT 10/1/201312/31/23821 DMEA4286 LOCKING RING FOR BREAST PUMP, REPLACEMENT 1/1/201412/31/23821 DMEA4310 INSERTION TRAY WITHOUT DRAINAGE BAG AND WITHOUT CATHETER (ACCESSORIES ONLY)

7 10/1/201512/31/23822 DMEA4311 INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COATING (TEFLON, 10/1/201512/31/23822 DMEA4312 INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONE 10/1/201512/31/23822 DMEA4313 INSERTION TRAY WITHOUT DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, THREE-WAY, FOR CONTINUOUS IRRIGATION 10/1/201512/31/23822 DMEA4314 INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY LATEX WITH COATING (TEFLON, SIL 10/1/201512/31/23822 DMEA4315 INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONE 10/1/201512/31/23822 DMEA4316 INSERTION TRAY WITH DRAINAGE BAG WITH INDWELLING CATHETER, FOLEY TYPE, THREE-WAY.))

8 FOR CONTINUOUS IRRIGATION 10/1/201512/31/23822 DMEA4331 EXTENSION DRAINAGE TUBING, ANY TYPE, ANY LENGTH, WITH CONNECTOR/ADAPTOR, FOR USE WITH URINARY LEG BAG OR OSTOM 10/1/201512/31/23822 DMEA4332 LUBRICANT, INDIVIDUAL STERILE PACKET, FOR INSERTION OF URINARY CATHETER, EACH 7/1/201812/31/2382200 DMEA4334 URINARY CATHETER ANCHORING DEVICE, LEG STRAP, EACH 1/1/201812/31/23821 DMEA4338 INDWELLING CATHETER; FOLEY TYPE, TWO-WAY LATEX WITH COATING (TEFLON, SILICONE, SILICONE ELASTOMER, OR HYDROPHI 10/1/201512/31/23822 DMEA4340 INDWELLING CATHETER; SPECIALTY TYPE (EG; COUDE, MUSHROOM, WING, ETC.))

9 , EACH 10/1/201512/31/23822 DMEA4344 INDWELLING CATHETER, FOLEY TYPE, TWO-WAY, ALL SILICONE,EACH 10/1/201512/31/23822 DMEA4346 INDWELLING CATHETER; FOLEY TYPE, THREE WAY FOR CONTINUOUS IRRIGATION, EACH 10/1/201512/31/23822 DMEA4354 INSERTION TRAY WITH DRAINAGE BAG BUT WITHOUT CATHETER 10/1/201512/31/23822 DMEA4355 IRRIGATION TUBING SET FOR CONTINUOUS BLADDER IRRIGATION THROUGH A THREE-WAY INDWELLING FOLEY 1/1/201812/31/23822 DMEA4356 EXTERNAL URETHRAL CLAMP OR COMPRESSION DEVICE (NOT TO BE USED FOR CATHETER CLAMP)

10 , EACH 1/1/201212/31/23821 NCCI (National Correct Coding Initiative) MUE ( medically unlikely editing ) UnitsAll Durable Medical Equipment CodesEffective 1/1/2020 TypeProcedure CodeProcedure DescriptionEffective DateEnd DateUnitsDMEA4357 BEDSIDE DRAINAGE BAG, DAY OR NIGHT, WITH OR WITHOUT ANTI REFLUX DEVICE, WITH OR WITHOUT TUBE, EACH 10/1/201512/31/23822 DMEA4358 URINARY LEG BAG; VINYL, WITH OR WITHOUT TUBE, EACH 10/1/201512/31/23822 DMEA4361 OSTOMY FACEPLATE, EACH 10/1/201512/31/23821 DMEA4363 OSTOMY CLAMP, ANY TYPE, REPLACEMENT ONLY, EACH 10/1/201512/31/23822 DMEA4367 OSTOMY BELT.