Edit 713

Num of Billings for Serv Exceeds Limit

Check the number of units on the specified line to be sure the correct number of units has been entered for service being billed. If the number of units is correct, check the procedure code to be sure it is correct. For review and consideration for payment of additional units, submit a new claim and attach appropriate clinical documentation to substantiate the services being billed. Please refer to the applicable provider policy manual for the specific documentation requirements. Make corrections to the field(s) below. CMS-1500 CLAIM: Procedure code (field 24D unshaded), units (field 24G unshaded) UB CLAIM: Procedure code (field 44), units (field 46).