167 Denial Code

This (these) diagnosis(es) is (are) not covered. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Start: 06/30/2005 | Last Modified: 07/01/2017

Denied. Patient status code is missing or invalid for state fund injured workers.

No Mod The procedure is identified as part of another procedure on the claim coded on the same day, where the use of a modifier is not appropriate.