Code 95857
Medicare Fee Schedule & MUE Reference Data
Last updated: April 02, 2026
Pricing & Policy Data
Select a fee schedule type to view estimated pricing and details.
Effective Dates
01/01/2026 - 12/31/2026
Modifiers
Base
Global Days
None
Estimated Pricing
Facility
--
Non-Facility
--
Effective Dates
01/01/2026 - 12/31/2026
Modifiers
Base
Global Days
None
Estimated Pricing
Facility
--
Non-Facility
--
Medically Unlikely Edits (MUE)
Maximum units of service typically allowed for code 95857.
| MUE Type | MUE Value | Effective Date | End Date |
|---|---|---|---|
| Facility | 1 | 01/01/2020 | 09/30/2021 |
| Facility | 1 | 10/01/2021 | 09/30/2023 |
| Facility | 1 | 10/01/2023 | 12/31/2023 |
| Facility | 1 | 01/01/2024 | 09/30/2026 |
| Practitioner | 1 | 01/01/2020 | 09/30/2021 |
| Practitioner | 1 | 10/01/2021 | 09/30/2026 |
Need to run claims with this code?
Bedrock Billing provides a comprehensive pricing API and dashboard for ASC, OPPS, and MPFS calculations.
Create a Free Account