Official Medical Fee Schedule (OMFS)
View Other Articles

CCI Edits and MUEs for Outpatient/ASC Fee Schedule

Last update
May 4, 2021

CCI Edits and MUEs DO NOT APPLY to the Outpatient/ASC Fee Schedule.

DaisyBill reached out to the Department of Industrial Relations (DIR) specifically to clarify this. A DIR representative confirmed that the DIR “ha[s] not adopted CCI Edits for Outpatient / ASC fee schedule facility billing.”

Some bill review companies cite CCI edits or MUE’s to reduce payments for outpatient or ASC bills. This is a mistake and providers should seek proper reimbursement via Second Review.

For more information on CCI Edits and MUEs or on Appeals please refer to DaisyBill’s Correct Coding Initiative and Reasons to File a Request for Second Review articles.

DaisyBill Solution

For the easiest way to keep up with California fee schedules and rule changes, sign up for the DaisyBill Work Comp Wizard. Click below for a FREE three day trial and start easy calculations today.

Try the DaisyBill
OMFS Calculator

How did you like the article ?
Hands down the best way to quickly determine up-to-date reimbursements and past dates of service.
Start Free Trial