Medicare Reference Guide

Get all relevant information in a single handy guide.

CPT Codes – The universe of all codes.

Assistant Surgeon Coverage – Eligible procedures for an assistant surgeon

Bilateral Payment Indicators – Identifies codes defined by Medicare as unilateral or bilateral

National Correct Coding Initiative (NCCI) edits (bundles) that identify codes that are mutually exclusive and cannot be billed together

Diagnostic Test Supervision – Identifies Medicare’s supervision requirements for diagnostic tests

Global Periods for Surgery – Postoperative intervals (days) for all surgical procedures

Medically Unlikely Edit (MUE) – a unit of service (UOS) edit for services rendered by a single provider to a single beneficiary on the same date of service. The ideal MUE is the maximum UOS that would be reported for a CPT code.

Multiple Procedure Payment Indicators – Identifies codes subject to payment reductions under the multiple procedure rule

RVUs – Relative value units for each CPT code for non-facility and facility settings

Get all relevant information in a single handy guide.

CPT Codes – The universe of all codes.

Assistant Surgeon Coverage – Eligible procedures for an assistant surgeon

Bilateral Payment Indicators – Identifies codes defined by Medicare as unilateral or bilateral

National Correct Coding Initiative (NCCI) edits (bundles) that identify codes that are mutually exclusive and cannot be billed together

Diagnostic Test Supervision – Identifies Medicare’s supervision requirements for diagnostic tests

Global Periods for Surgery – Postoperative intervals (days) for all surgical procedures

Medically Unlikely Edit (MUE) – a unit of service (UOS) edit for services rendered by a single provider to a single beneficiary on the same date of service. The ideal MUE is the maximum UOS that would be reported for a CPT code.

Multiple Procedure Payment Indicators – Identifies codes subject to payment reductions under the multiple procedure rule

RVUs – Relative value units for each CPT code for non-facility and facility settings