Forum - Questions & Answers

Mar 8th, 2022 - nia 4 

maximum limit on units claimed

Is there a maximum limit on units claimed? If a CCM follow-up for multiple issues took 4 hrs can I claim 12 units to the additional 180 minutes required?

Mar 14th, 2022 - ChrisW   256  1 

re: maximum limit on units claimed

Each CPT code is assigned an MUE - Medically unlikely edit, "The maximum units of service that a provider would report under most circumstances for a single beneficiary on a single date of service." Look up the MUE on the code in question. 
In addition, since you cannot code 2 units of certain CPT codes, you should consider using a modifier such as a 22 modifier indicating "Increased Procedure Services"  

Mar 15th, 2022 - nia 4 

re: maximum limit on units claimed


Home About Terms Privacy

innoviHealth® - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain)

Copyright © 2000-2024 innoviHealth Systems®, Inc. - CPT® copyright American Medical Association