158 (165)    ADJUSTMENT REASON (161.91)

Name Value
CODE 158
STATUS EFFECTIVE DATE
  • 2003-09-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Service/procedure was provided outside of the United States.
  • DESCRIPTION:   
    Service/procedure was provided outside of the United States.
SUSPENSION DESCRIPTION 
Service/procedure was provided outside of the United States.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP