N362 remark code
Remittance advice remark code N362. Remark codes add detail to the reason code on the same claim line.
Too many days or units
Unofficial reference. This is our own plain-English explanation, not the official code text. Payer rules differ. Verify with the payer and the official X12 code list. AlphaPrefix is not affiliated with X12, CMS or any payer. Data last updated .
What N362 means
The number of days or units billed is higher than the payer accepts for this service.
Payers set limits on how many units of a code they will pay per day or per claim, or how many days they will cover. N362 means the claim went over that ceiling, so some or all units were denied.
It usually supports a reason code such as 119 or 151. Often the fix is to check how the code defines a unit rather than to appeal.
Common causes
- Units were billed in the wrong measure, such as minutes instead of time blocks or milligrams instead of billing units.
- The service exceeded the payer's daily unit limit.
- Units for several days were added up on one line.
What to do next
- Check the code's unit definition and the payer's unit limit for it.
- Recalculate units from the documentation and correct the claim if needed.
- Split lines by date of service if several days were combined.
- Appeal with records if the higher units were medically necessary and allowed by policy.
Related codes
- N640 (remark code) Frequency limit exceeded
- N54 (remark code) Does not match the authorization
- 119 (reason code) Benefit maximum reached
Source
Official wording: X12 Remittance Advice Remark Codes list. The explanation on this page is our own plain-English wording, not the X12 text.
Last checked . Spotted a problem? Report a correction.