45 (26) ADJUSTMENT REASON (161.91)

Name	Value
CODE	45
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Charges exceed your contracted/ legislated fee arrangement. DESCRIPTION: Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use group Codes PR or CO depending upon liability). DESCRIPTION: Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. (Use only with Group Codes PR or CO depending upon liability). DESCRIPTION: Charge exceeds fee schedule/maximum allowable or contracted/legislated fee arrangement. Note: this must not duplicate provider adjustment amounts (payments and contractual reductions) that have resulted from prior payer(s) adjudication. (Use only with Group Codes PR or CO depending upon liability)
ASSOCIATED SUSPEND CODE	File: 161.27, IEN: 4
SUSPENSION DESCRIPTION	depending upon liability)