59 (35)    ADJUSTMENT REASON (161.91)

Name Value
CODE 59
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
  • 2011-01-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Charges are adjusted based on multiple surgery rules or concurrent 
    anesthesia rules.
    
  • DESCRIPTION:   
    Processed based on multiple or concurrent procedure rules. (For example 
    multiple surgery or diagnostic imaging, concurrent anesthesia.) Note: 
    Refer to the 835 Healthcare Policy Identification Segment (loop 2110 
    Service Payment Information REF), if present.
    
  • DESCRIPTION:   
    Processed based on multiple or concurrent procedure rules. (For example multiple surgery or diagnostic imaging, concurrent anesthesia.) 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
REF), if present.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP