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Error code

MX — Maximum of 2 arthroscopy "R" codes with E595 reached

Arthroscopy add-on limit

The maximum of two arthroscopy R codes billed with the E595 add-on was reached, so further R codes aren't paid with E595.

What to do: Check the arthroscopy codes billed for the patient that date against the current Schedule's payment rules.

Code
MX
Description
Maximum of 2 arthroscopy "R" codes with E595 reached

Explanation

Updated October 26, 2026

MX means the maximum of two arthroscopy R codes with the E595 add-on was reached.

What it means

MX means the maximum of two arthroscopy "R" codes billed with the add-on E595 has been reached. Further R codes on that claim are not paid with E595.

How to fix it

  1. Check the arthroscopy codes billed for the patient on that date.
  2. Check the arthroscopy listings and payment rules in the current Schedule of Benefits.
  3. If you believe the decision is wrong, send a Remittance Advice Inquiry (RAI) through eSubmit, or on form 0918-84, within 7 months of the RA date, with supporting details.

Don't resubmit if

  • The limit was already reached.
  • The line is already on your RA. Question it with an RAI, not a new claim.

How APEX handles it

APEX reads your error reports and remittance advice from MCEDT and lists claims rejected with this code in its Correction Centre for you to correct and resubmit. See how APEX works · Pricing

Related codes: D7, S3

Sources