1526 Policy Compliance Code
Code specifying policy compliance
- Type
- Identifier (ID)
- Length
- Min 1 / Max 2
- Codes
| Code | Description |
|---|
| 1 | Procedure Followed (Compliance) |
| 2 | Not Followed - Call Not Made (Non-Compliance Call Not Made) |
| 3 | Not Medically Necessary (Non-Compliance Non-Medically Necessary) |
| 4 | Not Followed Other (Non-Compliance Other) |
| 5 | Emergency Admit to Non-Network Hospital |
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