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