W1 (290) ADJUSTMENT REASON (161.91)

Name	Value
CODE	W1
STATUS EFFECTIVE DATE	2003-06-01 00:00:00 STATUS: ACTIVE FEE USE: NOT APPLICABLE 2014-07-01 00:00:00 STATUS: INACTIVE FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE	DESCRIPTION: Workers Compensation State Fee Schedule Adjustment DESCRIPTION: Workers' compensation jurisdictional fee schedule adjustment. Note: If adjustment is at the Claim Level, the payer must send and the provider should refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment information REF).
SUSPENSION DESCRIPTION	2110 Service Payment information REF).