50 (29)    ADJUSTMENT REASON (161.91)

Name Value
CODE 50
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    These are non-covered services because this is not deemed a `medical 
    necessity' by the payer.
    
  • DESCRIPTION:   
    These are non-covered services because this is not deemed a 'medical 
    necessity' by the payer. Note: Refer to the 835 Healthcare Policy 
    Identification Segment (loop 2110 Service Payment Information REF), if 
    present.
    
  • DESCRIPTION:   
    These are non-covered services because this is not deemed a 'medical necessity' by the payer. 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
These are non-covered services because this is not deemed a 'medical necessity' by the payer. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP