52 (30)    ADJUSTMENT REASON (161.91)

Name Value
CODE 52
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
  • 2011-01-01 00:00:00
    STATUS:   INACTIVE
    FEE USE:   NOT APPLICABLE
  • 2006-02-01 00:00:00
    STATUS:   INACTIVE
    FEE USE:   NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.
    
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION
The referring/prescribing/rendering provider is not eligible to refer/prescribe/order/perform the service billed.