D4 (270)    ADJUSTMENT REASON (161.91)

Name Value
CODE D4
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/service does not indicate the period of time for which this will be 
needed.
  • DESCRIPTION:   
    Claim/service does not indicate the period of time for which this will be needed.
SUSPENSION DESCRIPTION 
Claim/service does not indicate the period of time for which this will be needed.