W9 (359) ADJUSTMENT REASON (161.91)
Name
Value
CODE
W9
STATUS EFFECTIVE DATE
2013-06-02 00:00:00
STATUS: ACTIVE
FEE USE: NOT APPLICABLE
2014-07-01 00:00:00
STATUS: INACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Service not paid under jurisdiction allowed outpatient facility fee schedule.
ASSOCIATED SUSPEND CODE
File: 161.27, IEN: 4
SUSPENSION DESCRIPTION
Service not paid under jurisdiction allowed outpatient facility fee schedule.