Section 20-2-IV - FUNCTIONAL CAPACITY EVALUATIONSA. The functional capacity evaluation (FCE) is utilized for the following purposes: 1. To determine the highest level of safe functionality and of maximal medical improvement;2. To provide a pre-vocational baseline of functional capabilities to assist in the vocational rehabilitation process;3. To objectively set restrictions and guidelines for return to work;4. To determine whether specific job tasks can be safely performed by modification of technique, equipment, or by further training;5. To determine whether additional treatment or referral to a work hardening program is indicated; and6. To assess outcome at the conclusion of a work hardening program.B.General Requirements1. The FCE may be prescribed only by a licensed physician, or may be required by the payer when indicated.2. The FCE requires prior authorization by the payer.C. The FCE should be billed using code 97750 - Physical performance test or measurement (e.g., musculoskeletal, functional capacity), with written report, each fifteen (15) minutes. Reimbursement of an FCE is limited to a maximum of twenty (20) units. Documentation must include start and stop times for testing. The report is included in the reimbursement for code 97750.