Daily Maximum Units per CPT Code

Last updated: February 11, 2026


Mission Control is configured to limit the daily maximum units per CPT code based on Medicaid Medically Unlikely Edits (MUE). This ensures appointments are scheduled within allowable limits for each client.


Daily Maximum Units by CPT Code

CPT Code

Max Daily Units

97151

32

97152

16

97153

32

97154

18

97155

24

97156

16

97157

16

97158

16

Any CPT code not listed above is limited to a daily maximum of 32 units.


Payer-Specific Exceptions

Some payers have different daily maximum units than the standard limits. Mission Control is configured to reflect these exceptions:

Payer

CPT Code

Max Daily Units

BCBS Commercial – TN, NY, NC, KY

97151

8

Aetna Commercial – TN

97151

8

Caresource – OH

97151

8

UHC Community Plan – all states except NJ, PA, VA

97151

8

Medicaid – AL

97151

16


Notes & Tips

  • These limits are applied per client, per CPT code, each day.

  • If you attempt to schedule more than the allowed daily units, Mission Control will prevent the appointment from being created.

For questions about payer-specific rules or exceptions, reach out to @rcm or your PSM for assistance.