W3 (311)    ADJUSTMENT REASON (161.91)

Name Value
CODE W3
STATUS EFFECTIVE DATE
  • 2012-09-30 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
  • 2014-07-01 00:00:00
    STATUS:   INACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    The Benefit for this Service is included in the payment/allowance for another service/procedure that has been performed on the same day. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. For use by Property and Casualty only.
SUSPENSION DESCRIPTION 
The Benefit for this Service is included in the payment/allowance for another service/procedure that has been performed on the same day. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present. For use by Property and Casualty only.