C058 Adjustment Reason
To provide a reason and related explanation for a Health Care Claim or Service change in payment versus the original submitted charges
Position
Element
Name
Type
Requirement
Min
Max
Repeat
Code identifying the detailed reason the adjustment was made
Code identifying a specific industry code list
P0203: If either C058-02 or C058-03 is present, then the other is required
C05802 qualifies C05803, C05804, C05805, C05806 and C05807.
Code indicating a code from a specific industry code list
Code indicating a code from a specific industry code list
C0403: If C058-04 is present, then C058-03 is required
Code indicating a code from a specific industry code list
C0504: If C058-05 is present, then C058-04 is required
Code indicating a code from a specific industry code list
C0605: If C058-06 is present, then C058-05 is required
Code indicating a code from a specific industry code list
C0706: If C058-07 is present, then C058-06 is required