8 (13)    ADJUSTMENT REASON (161.91)

Name Value
CODE 8
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 provider type/specialty 
    (taxonomy).
    
  • DESCRIPTION:   
    The procedure code is inconsistent with the provider type/specialty 
    (taxonomy). 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 provider type/specialty (taxonomy). 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 provider type/specialty (taxonomy). Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP