160 (167) ADJUSTMENT REASON (161.91)

Name	Value
CODE	160
STATUS EFFECTIVE DATE	2003-06-30 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE 2003-09-30 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Injury/illness was the result of an activity that is a benefit exclusion. DESCRIPTION: Injury/illness was the result of an activity that is a benefit exclusion.
SUSPENSION DESCRIPTION	Injury/illness was the result of an activity that is a benefit exclusion.
REMITTANCE REMARK
CORE SCENARIO	Billed Service Not Covered
ADJUSTMENT GROUP