A4 (244) ADJUSTMENT REASON (161.91)

Name	Value
CODE	A4
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE 2008-04-01 00:00:00 STATUS: INACTIVE FEE USE: NOT APPLICABLE 2008-01-01 00:00:00 STATUS: INACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Medicare Claim PPS Capital Day Outlier Amount.
SUSPENSION DESCRIPTION	Medicare Claim PPS Capital Day Outlier Amount.