Code J1203
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
$96.30 (ASP Limit)
Effective Dates
04/01/2026 - 06/30/2026
Modifiers
Base
Estimated Pricing
$92.40 (ASP Limit)
Effective Dates
01/01/2026 - 03/31/2026
Modifiers
Base
Estimated Pricing
$91.20 (ASP Limit)
Medically Unlikely Edits (MUE)
Maximum units of service typically allowed for code J1203.
| MUE Type | MUE Value | Effective Date | End Date |
|---|---|---|---|
| DME | 630 | 10/01/2024 | 09/30/2026 |
| Facility | 630 | 10/01/2024 | 09/30/2026 |
| Practitioner | 630 | 10/01/2024 | 09/30/2026 |
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