165 (172)    ADJUSTMENT REASON (161.91)

Name Value
CODE 165
STATUS EFFECTIVE DATE
  • 2004-10-31 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Referral absent or exceeded.
  • DESCRIPTION:   
    Referral absent or exceeded
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION 
Referral absent or exceeded
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP