53 (90) ADJUSTMENT REASON (161.91)
Name
Value
CODE
53
STATUS EFFECTIVE DATE
2003-06-01 00:00:00
STATUS: ACTIVE
FEE USE: APPLICABLE
DESCRIPTION EFFECTIVE DATE
DESCRIPTION:
Services by an immediate relative or a member of the same household are not covered.
SUSPENSION DESCRIPTION
Services by an immediate relative or a member of the same household are not covered.
CORE SCENARIO
Billed Service Not Covered
ADJUSTMENT GROUP
