CCI Edits and MUEs for Outpatient/ASC Fee Schedule

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 mistakenly 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.

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

Was this article helpful?

Search results for: