269 (360)    ADJUSTMENT REASON (161.91)

Name Value
CODE 269
STATUS EFFECTIVE DATE
  • 2015-03-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Anesthesia not covered for this service/procedure. 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 
Information REF), if present.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP