5 (5)    ADJUSTMENT REASON (161.91)

Name Value
CODE 5
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    The procedure code/bill type is inconsistent with the place of service.
    
  • DESCRIPTION:   
    The procedure code/bill type is inconsistent with the place of service. 
    Note: Refer to the 835 Healthcare Policy Identification Segment (loop 
    2110 Service Payment Information REF), if present.
    
  • DESCRIPTION:   
    The procedure code/bill type is inconsistent with the place of service. Note: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
    
SUSPENSION DESCRIPTION
The procedure code/bill type is inconsistent with the 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