Claim Adjustment Reason Codes

Claim Adjustment Reason Codes with Description and Group Code data files in TXT (Plain Text), CSV, and XLS (Excel) formats.
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What's included:

  • Single User Liscense to all official Claim Adjustment Reason Codes
  • Claim Adjustment Reason Codes data files in TXT, CSV, and XLS formats

Multiple Users

If you need to purchase more than one user license, adjust the quantity added to the cart. For example, if you need five user licenses, set the quantity to 5 and add the codes to the cart. Alternatively, you can adjust the number of licenses in your shopping cart under the "Licenses" column.

For licensing purposes, an individual is a "User" if he or she directly accesses the data either in the original data file or through an application that has imported the data.  In the case where CPT is embedded in an application and not directly accessible, if the individual relies on the embedded data to perform his or her intended function with the application or its output, then they are also considered a user.

 

This data file includes all official Claim Adjustment Reason Codes Codes with Descriptions and Group Codes.

Your BITSCodes subscription will include updates to the Claim Adjustment Reason Codes data if any, at no additional charge during the term of your subscription.

The Claim Adjustment Reason Codes Code data file is raw data and is designed to be loaded into another application like the Free Medical Code Viewer, Microsoft Excel or a Practice Management Software Application that can open or import txt, csv, or xls files.

To provide maximum flexibility and ease of installation, the data file is supplied in the three most common formats: tab delimited (.txt), comma delimited (.csv), and Microsoft Excel format (.xls). Each record includes the CPT code, Description, facility RVUs and non-facility RVUs.

Below is a sample of the data you will receive:

Claim Adjustment Reason Codes:

Code Description GroupCode
P16 Medical provider not authorized/certified to provide treatment to injured workers in this jurisdiction. To be used for Workers' Compensation only. CO, OA
124 Payer refund amount - not our patient. CR
10 The diagnosis is inconsistent with the patient's gender. OA
100 Payment made to patient/insured/responsible party/employer. OA
101 Predetermination: anticipated payment upon completion of services or claim adjudication. OA
102 Major Medical Adjustment. OA
103 Provider promotional discount (e.g., Senior citizen discount). OA

 

Claim Adjustment Reason Codes Plain Text (TXT) Version:

Claim Adjustment Reason Codes Plain Text (TXT) Version

 

Claim Adjustment Reason Codes CSV Version:

Claim Adjustment Reason Codes CSV Version

 

Claim Adjustment Reason Codes Excel (XLS) Version:

Claim Adjustment Reason Codes Excel (XLS) Version