Global: ^FB(161.92

Information

FileMan FileNo	FileMan Filename	Package
161.92	ADJUSTMENT GROUP	Fee Basis

This file contains a list of claim adjustment group codes. The codes in this file are used to identify the general category of payment adjustment. The source of the codes is the National Electronic Data Interchange Transaction Set Implementation Guide for the Health Care Claim Payment Advice (ASC X12N 835). It is available from Washington Publishing Company. The applicability for use by VA on fee claims is provided by the Fee Replacement Project Management Office in Denver which represents the VA Chief Business Office. This file is exported with data and the contents should not be locally modified.

Package	Total	Routines
Fee Basis	9	FBAAUTL ^FB(161.92 ^FBAA(163.98 DESCRIPTION EFFECTIVE DATE FBAAIARC FBAAPP FBUTL2 FBX2P158 STATUS EFFECTIVE DATE

Package	Total	FileMan Files
Fee Basis	5	ADJUSTMENT REASON(#161.91)[#161.917(.01)] REMITTANCE REMARK(#161.93)[#161.933(.01)] FEE BASIS PHARMACY INVOICE(#162.1)[#162.14(1)] FEE BASIS PAYMENT(#162)[#162.07(1)] FEE BASIS INVOICE(#162.5)[#162.558(1)]

Field # Name Loc Type Details

Field #	Name	Loc	Type	Details
.01	CODE	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:$L(X)>2!($L(X)<1)!'(X'?1P.E) X` LAST EDITED: `JUN 17, 2003` HELP-PROMPT: `Answer must be 1-2 characters in length.` DESCRIPTION: `Code value.` CROSS-REFERENCE: `161.92^B` `1)= S ^FB(161.92,"B",$E(X,1,30),DA)=""` `2)= K ^FB(161.92,"B",$E(X,1,30),DA)`
1	STATUS EFFECTIVE DATE	1;0	DATE Multiple #161.921	161.921
2	DESCRIPTION EFFECTIVE DATE	2;0	DATE Multiple #161.922	161.922

CODE

0;1

FREE TEXT

************************REQUIRED FIELD************************

INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X'?1P.E) X
LAST EDITED: JUN 17, 2003
HELP-PROMPT: Answer must be 1-2 characters in length.
DESCRIPTION:
Code value.
CROSS-REFERENCE: 161.92^B
1)= S ^FB(161.92,"B",$E(X,1,30),DA)=""
2)= K ^FB(161.92,"B",$E(X,1,30),DA)

1 STATUS EFFECTIVE DATE 1;0 DATE Multiple #161.921 161.921

2 DESCRIPTION EFFECTIVE DATE 2;0 DATE Multiple #161.922 161.922

ICR LINK	Subscribing Package(s)	Fields Referenced	Description
ICR #5394	Fee Basis

Name	Field # of Occurrence
AGCDN^FBUTL3	IDCDN+1

Name	Line Occurrences (* Changed, ! Killed)
^FB(161.92 - [#161.92]	.01(XREF 1S), .01(XREF 1K)

Name	Field # of Occurrence
>> DA	.01(XREF 1S), .01(XREF 1K)
X	.01+1!, .01(XREF 1S), .01(XREF 1K)