1364 Review Code

Code identifying extenuating circumstances or justifications which might assist any review of the medical necessity for this service

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Type
Identifier (ID)
Length
Min 1 / Max 2
Codes
CodeDescription
ACase Turned Over to a Consultant
BPre-Admission Testing
CXray or Lab Procedure Related to a Covered Surgery
DProvider/Supplier determined the service is not covered, but the patient is requesting a formal review by the payor
LReserved for Local Assignment
NReserved for National Assignment
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