173 (180)    ADJUSTMENT REASON (161.91)

Name Value
CODE 173
STATUS EFFECTIVE DATE
  • 2005-06-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Service was not prescribed by a physician.
  • DESCRIPTION:   
    Service/equipment was not prescribed by a physician.
SUSPENSION DESCRIPTION 
Service/equipment was not prescribed by a physician.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP