
| Name | Value | 
|---|---|
| SERVICE REASON CODE | AR | 
| BRIEF DESCRIPTION | Adverse Drug Reaction | 
| CODE TYPE ABBREVIATION | REA | 
| FULL DESCRIPTION | Code indicating an adverse reaction by a patient to a drug.  | 
| CHANGE REQUEST REASON TEXT | Patient has an adverse drug reaction to medication/component of medication prescribed. To fill as is, send denial to this request with note stating reason fill is acceptable. If med should not be filled- Cancel RX and send a replacement.  |