4 (1)    ADJUSTMENT REASON (161.91)

Name Value
CODE 4
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    The procedure code is inconsistent with the modifier used or a required
modifier is missing.
  • DESCRIPTION:   
    The procedure code is inconsistent with the modifier used or a required 
modifier is missing. Note: Refer to the 835 Healthcare Policy 
Identification Segment (loop 2110 Service Payment Information REF), if 
present.
  • DESCRIPTION:   
    The procedure code is inconsistent with the modifier used or a required modifier is missing. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION 
The procedure code is inconsistent with the modifier used or a required modifier is missing. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
REMITTANCE REMARK
CORE SCENARIO Incorrect Claim Data
ADJUSTMENT GROUP