E2394 Medically Unlikely Edit

Effective July 1, 2023, HCPCS E2394 (Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each) will have an updated Medically Unlikely Edit (MUE) value of 2 and a revised MUE Adjudication Indicator (MAI) of 3 (date of service level), for dates of service on or after January 1, 2023. Claims submitted for more than one unit for dates of service on or after January 1 through June 30, 2023, will be held and processed once the July 1, 2023, MUE quarterly file is in production. Prior to the implementation of the MUE quarterly update file effective July 1, 2023, suppliers may choose to delay submission of claims for this code until after the implementation of the January 1, 2023, retroactive date.


Last Updated Mar 29 , 2023