D9 (275)    ADJUSTMENT REASON (161.91)

Name Value
CODE D9
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 invoice or statement certifying the 
actual cost of the lens, less discounts or the type of intraocular lens 
used.
  • DESCRIPTION:   
    Claim/service denied. Claim lacks invoice or statement certifying the actual cost of the lens, less discounts or the type of intraocular lens used.
SUSPENSION DESCRIPTION 
Claim/service denied. Claim lacks invoice or statement certifying the actual cost of the lens, less discounts or the type of intraocular lens used.