01607

Denial or Rejection Code

2015-07-13
Definition: This field determines the OCE status of the line item. Refer to User-defined table 0460 - Denial or Rejection Code in Chapter 2C, Code Tables, for suggested values. This field is defined by CMS or other regulatory agencies.
LengthNot specified
3 values
0Line item not denied or rejected
1Line item denied or rejected
2Line item is on a multiple-day claim. The line item is not denied or rejected, but occurs on a day that has been denied or rejected.
22 components
1O-Identifier
2O-Text
3CName of Coding System
4O-Alternate Identifier
5O-Alternate Text
6CName of Alternate Coding System
7C-Coding System Version ID
8O-Alternate Coding System Version ID
9O-Original Text
10O-Second Alternate Identifier
11O-Second Alternate Text
12CName of Second Alternate Coding System
13O-Second Alternate Coding System Version ID
14C-Coding System OID
15O-Value Set OID
16C-Value Set Version ID
17C-Alternate Coding System OID
18O-Alternate Value Set OID
19C-Alternate Value Set Version ID
20C-Second Alternate Coding System OID
21O-Second Alternate Value Set OID
22C-Second Alternate Value Set Version ID