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
