D2 (268)    ADJUSTMENT REASON (161.91)

Name Value
CODE D2
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   NOT APPLICABLE
  • 2003-10-16 00:00:00
    STATUS:   INACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Claim lacks the name, strength, or dosage of the drug furnished.
  • DESCRIPTION:   
    Claim lacks the name, strength, or dosage of the drug furnished.
SUSPENSION DESCRIPTION 
Claim lacks the name, strength, or dosage of the drug furnished.