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Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

What is Health Care Services Decision Reason Codes?

Health Care Services Decision Reason Codes are used to indicate the primary reason for the certification action code assigned as part of a health care services review.

Code Examples:

01: Price Authorization Expired

0B: Request Forwarded To and Decision Response Forthcoming From an External Review Organization

Please visit http://www.wpc-edi.com/reference/codelists/healthcare/health-care-services-decision-reason-codes/ for complete list of Health Care Services Decision Reason Codes

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