171 (178)    ADJUSTMENT REASON (161.91)

Name Value
CODE 171
STATUS EFFECTIVE DATE
  • 2005-06-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Payment is denied when performed/billed by this type of provider in this 
    type of facility.
    
  • DESCRIPTION:   
    Payment is denied when performed/billed by this type of provider in this 
    type of facility. Note: Refer to the 835 Healthcare Policy Identification 
    Segment (loop 2110 Service Payment Information REF), if present.
    
  • DESCRIPTION:   
    Payment is denied when performed/billed by this type of provider in this type of facility. 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
Payment is denied when performed/billed by this type of provider in this type of facility. 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