M105 (52)    REMITTANCE REMARK (161.93)

Name Value
CODE M105
STATUS EFFECTIVE DATE
  • 2003-06-01 00:00:00
    STATUS:   ACTIVE
    FEE USE:   NOT APPLICABLE
DESCRIPTION EFFECTIVE DATE
  • DESCRIPTION:   
    Information supplied does not support a break in therapy. The medical 
information we have for this patient does not support the need for this 
item as billed. We have approved payment for this item at a reduced 
level, and a new capped rental period will not begin.