Code J1559
Medicare Fee Schedule & MUE Reference Data
Last updated: June 17, 2026
Pricing & Policy Data
Select a fee schedule type to view estimated pricing and details.
Effective Dates
07/01/2026 - 09/30/2026
Modifiers
Base
Estimated Pricing
$14.88 (ASP Limit)
Effective Dates
04/01/2026 - 06/30/2026
Modifiers
Base
Estimated Pricing
$14.52 (ASP Limit)
Effective Dates
01/01/2026 - 03/31/2026
Modifiers
Base
Estimated Pricing
$14.54 (ASP Limit)
Medically Unlikely Edits (MUE)
Maximum units of service typically allowed for code J1559.
| MUE Type | MUE Value | Effective Date | End Date |
|---|---|---|---|
| DME | 1500 | 01/01/2020 | 09/30/2022 |
| DME | 1600 | 10/01/2022 | 12/31/2022 |
| DME | 2400 | 01/01/2023 | 06/30/2025 |
| DME | 2400 | 07/01/2025 | 09/30/2026 |
| Facility | 300 | 01/01/2020 | 09/30/2022 |
| Facility | 1600 | 10/01/2022 | 12/31/2022 |
| Facility | 2400 | 01/01/2023 | 06/30/2025 |
| Facility | 2400 | 07/01/2025 | 09/30/2026 |
| Practitioner | 300 | 01/01/2020 | 09/30/2022 |
| Practitioner | 1600 | 10/01/2022 | 12/31/2022 |
| Practitioner | 2400 | 01/01/2023 | 06/30/2025 |
| Practitioner | 2400 | 07/01/2025 | 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