114 (46)    ADJUSTMENT REASON (161.91)

Name Value
CODE 114
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Procedure/product not approved by the Food and Drug Administration.
  • DESCRIPTION:   
    Procedure/product not approved by the Food and Drug Administration.
ASSOCIATED SUSPEND CODE File: 161.27, IEN: 4
SUSPENSION DESCRIPTION 
Procedure/product not approved by the Food and Drug Administration.
REMITTANCE REMARK
CORE SCENARIO Billed Service Not Covered
ADJUSTMENT GROUP