49 (28)    ADJUSTMENT REASON (161.91)

Name Value
CODE 49
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    This is a non-covered services because this is a routine exam or 
screening procedure done in conjunction with a routine exam.
  • DESCRIPTION:   
    These are non-covered services because this is a routine exam or 
screening procedure done in conjunction with a routine exam. Note: Refer 
to the 835 Healthcare Policy Identification Segment (loop 2110 Service 
Payment Information REF), if present.
  • DESCRIPTION:   
    This is a non-covered service because it is a routine/preventive exam or a diagnostic/screening procedure done in conjunction with a routine/preventive exam.
Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
  • DESCRIPTION:   
    This is a non-covered service because it is a routine/preventive exam or a diagnostic/screening procedure done in conjunction with a routine/preventive exam. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 
Service Payment Information REF), if present.
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION 
Service Payment Information REF), if present.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP