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
