Code J1096
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
$90.02 (ASP Limit)
Effective Dates
04/01/2026 - 06/30/2026
Modifiers
Base
Estimated Pricing
$92.55 (ASP Limit)
Effective Dates
01/01/2026 - 03/31/2026
Modifiers
Base
Estimated Pricing
$98.66 (ASP Limit)
Medically Unlikely Edits (MUE)
Maximum units of service typically allowed for code J1096.
| MUE Type | MUE Value | Effective Date | End Date |
|---|---|---|---|
| Facility | 4 | 04/01/2020 | 03/31/2021 |
| Facility | 8 | 04/01/2021 | 09/30/2023 |
| Facility | 8 | 10/01/2023 | 12/31/2023 |
| Facility | 8 | 01/01/2024 | 09/30/2026 |
| Practitioner | 4 | 04/01/2020 | 03/31/2021 |
| Practitioner | 8 | 04/01/2021 | 09/30/2026 |
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