D8 (274)    ADJUSTMENT REASON (161.91)

Name Value
CODE D8
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 denied. Claim lacks indicator that 'x-ray is available for 
review.'
  • DESCRIPTION:   
    Claim/service denied. Claim lacks indicator that `x-ray is available for review.'
SUSPENSION DESCRIPTION 
Claim/service denied. Claim lacks indicator that `x-ray is available for review.'