D19 (285)    ADJUSTMENT REASON (161.91)

Name Value
CODE D19
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   NOT APPLICABLE
  • 2007-06-30 00:00:00
    STATUS:   INACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Claim/Service lacks Physician/Operative or other supporting documentation
  • DESCRIPTION:   
    Claim/Service lacks Physician/Operative or other supporting documentation
SUSPENSION DESCRIPTION 
Claim/Service lacks Physician/Operative or other supporting documentation