| CODE |
167 |
| STATUS EFFECTIVE DATE |
-
- 2005-06-30 00:00:00
- STATUS: ACTIVE
- FEE USE: APPLICABLE
|
| DESCRIPTION EFFECTIVE DATE |
-
- DESCRIPTION:
This (these) diagnosis(es) is (are) not covered.
-
- DESCRIPTION:
This (these) diagnosis(es) is (are) not covered. Note: Refer to the 835
Healthcare Policy Identification Segment (loop 2110 Service Payment
Information REF), if present.
-
- DESCRIPTION:
This (these) diagnosis(es) is (are) not covered. 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 |
This (these) diagnosis(es) is (are) not covered. 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 |
|
