58 (34)    ADJUSTMENT REASON (161.91)

Name Value
CODE 58
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Payment adjusted because treatment was deemed by the payer to have been 
    rendered in an inappropriate or invalid place of service.
    
  • DESCRIPTION:   
    Treatment was deemed by the payer to have been rendered in an 
    inappropriate or invalid place of service. Note: Refer to the 835 
    Healthcare Policy Identification Segment (loop 2110 Service Payment 
    Information REF), if present.
    
  • DESCRIPTION:   
    Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service. 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
Treatment was deemed by the payer to have been rendered in an inappropriate or invalid place of service. 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