How to Set CPT Unit Limitations?
This video is for setting units.
Purpose:
To enable providers to configure unit-based authorization limits for specific CPT codes, ensuring compliance with insurance requirements and preventing overutilization.
Scope:
This article covers:
- Setting per-code unit restrictions
- Authorization-based CPT limitations
Excludes: - Visit-based authorizations
- Global billing rules
- Insurance-specific claim requirements
Procedure:
- Access CPT Setup:
- Navigate to target case
- Click Actions → CPT Setup
- Add Restriction:
- Click green + button
- Enter:
- CPT code (e.g., "Therax")
- Unit limit (e.g., 24 visits)
- System Enforcement:
- HelloNote automatically:
- Tracks used units
- Blocks excess billing
- HelloNote automatically:
-
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