D11 (277) ADJUSTMENT REASON (161.91)

Name	Value
CODE	D11
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 completed pacemaker registration form. DESCRIPTION: Claim lacks completed pacemaker registration form.
SUSPENSION DESCRIPTION	Claim lacks completed pacemaker registration form.