55 Denial Code

55 Description :

Procedure/treatment/drug is deemed experimental/investigational by the payer. Usage: Refer to the 835 Healthcare Policy Identification Segment (loop 2110 Service Payment Information REF), if present.
Start: 01/01/1995 | Last Modified: 07/01/2017
Payment adjusted or denied. Only one unit of service payable per claim.
Incorrect value code Please resubmit with corrected Value Code on claim

55 ADJUSTMENT REASON CODE

Denial code 55.

55 REMARK CODE

55

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