Wiki 62290

[dbonar]

What are the maximum units that can be charged for this code?

 

[RebeccaWoodward*]

CMS has a max of 5. Anything beyond that would need very specific medical necessity documented (as with any procedure(s))

 

[dbonar]

Do you know where I can find this information on CMS website? I tried to locate the document, but couldn't find anything.

 

[RebeccaWoodward*]

http://www.cms.gov/NationalCorrectCodInitEd/08_MUE.asp#TopOfPage

1st link under downloads

 

[dbonar]

Should that be billed to Medicare as 62290 on five separate lines with a 59 modifier or 62290 once with 5 units?

 

[RebeccaWoodward*]

I think this could really become carrier specific however, I tend to break it out by separate lines.