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Carrier MTUS Count

CLM_LINE_PRFNL_MTUS_CNT

(1) THE COUNT OF THE TOTAL UNITS ASSOCIATED WITH SERVICES NEEDING UNIT REPORTING SUCH AS TRANSPORTATION, MILES, ANESTHESIA TIME UNITS, NUMBER OF SERVICES, VOLUME OF OXYGEN OR BLOOD UNITS. THIS IS A LINE ITEM FIELD ON THE CARRIER CLAIM (NON-DMERC) AND IS USED FOR BOTH ALLOWED AND DENIED SERVICES. NOTE: FOR ANESTHESIA (MTUS INDICATOR = 2) THIS FIELD SHOULD BE REPORTED IN TIME UNIT INTERVALS, I.E. 15 MINUTE INTERALS OR FRACTION THEREOF. IT APPEARS THAT SOME CARRIERS ARE REPORTING MINUTES INSTEAD OF TIME UNITS.[NCH] (2) EFFECTIVE WITH NCH VERSION G, THE COUNT OF THE TOTAL UNITS ASSOCIATED WITH THE DMERC LINE ITEM SERVICE NEEDING UNIT REPORTING, INCLUDING NUMBER OF SERVICES, VOLUME OF OXYGEN AND DRUG DOSE. [NCH]

Field Metadata

FHIR Resource
ExplanationOfBenefit
FHIRPath 
ExplanationOfBenefit.item.extension.where(
  url = 'https://bluebutton.cms.gov/fhir/StructureDefinition/CLM-LINE-PRFNL-MTUS-CNT'
).value
Coverage / Claim Type
  • Carrier
  • DME
Source View
V2_MDCR_CLM_LINE_PRFNL
Source Column
CLM_LINE_PRFNL_MTUS_CNT
Sources
  • NCH
Profiles
  • CMS

Example 

3.1

Notes

For processing claims, this is not populated. Refer to CLM_LINE.CLM_LINE_SRVC_UNIT_QTY for the line item service unit quantity.

Mappings

CCW
  • CARR_LINE_MTUS_CNT
  • DMERC_LINE_MTUS_CNT

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