- 1. ADJ
- [Agents given to augment or stimulate a primary therapy or alleviate adverse effects caused by the primary therapy. ( NCI )] (UMLS (NCI) C0001552) =Chemical Viewed Functionally ;
| - 39. adjudicated as refused
- [The invoice element has passed through the adjudication process but payment is refused due to one or more reasons. Includes items such as patient not covered, or invoice element is not constructed according to payer rules (e.g. 'invoice submitted too late'). If one invoice element line item in the invoice element structure is rejected, the remaining line items may not be adjudicated and the complete group is treated as rejected. A refused invoice element can be forwarded to the next payer (for Coordination of Benefits) or modified and resubmitted to refusing payer. Invoice element cannot be reversed (nullified) as there is nothing to reverse. Recommend that the invoice element is not saved for DUR (Drug Utilization Reporting). ( HL7V3.0 )] (UMLS (HL7) C1555528) =Intellectual Product =ActAdjudicationCode;
|
- 2. ADJ CEREBRAL VENT SHUNT
- [ ] (UMLS (ICD9CM) C0490028) =Finding
| - 40. adjudicated as submitted
- [The invoice element was/will be paid exactly as submitted, without financial adjustment(s). If the dollar amount stays the same, but the billing codes have been amended or financial adjustments have been applied through the adjudication process, the invoice element is treated as "Adjudicated with Adjustment". If information items are included in the adjudication results that do not affect the monetary amounts paid, then this is still Adjudicated as Submitted (e.g. 'reached Plan Maximum on this Claim'). Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). ( HL7V3.0 )] (UMLS (HL7) C1555527) =Intellectual Product =ActAdjudicationCode;
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- 3. ADJ DIS-EMOTION/CONDUCT
- (UMLS (ICD9CM) C0001541) =Mental or Behavioral Dysfunction ;
| - 41. adjudicated with adjustments
- [The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges). Also includes the concept 'Adjudicate as zero' and items not covered under a particular Policy. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). ( HL7V3.0 )] (UMLS (HL7) C1552099) =Idea or Concept =ActAdjudicationCode;
=adjudicated with adjustments and no financial impact |
- 4. ADJ NERV SYST DEVICE NEC
- [ ] (UMLS (ICD9CM) C0478576) =Finding
| - 42. adjudicated with adjustments and no financial impact
- [The invoice element has been accepted for payment but one or more adjustment(s) have been made to one or more invoice element line items (component charges) without changing the amount. Invoice element can be reversed (nullified). Recommend that the invoice element is saved for DUR (Drug Utilization Reporting). ( HL7V3.0 )] (UMLS (HL7) C1553677) =Intellectual Product =adjudicated with adjustments;
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- 5. ADJ REACT-EMOTION NEC
- [ ] (UMLS (ICD9CM) C0154589) =Mental or Behavioral Dysfunction
| - 43. Adjunct codes for external fixator devices
- [ ] (UMLS (ICD9CM) C1561943) =Therapeutic or Preventive Procedure
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- 6. Adjacent
- [Next to or adjoining. ( NCI )] (UMLS (NCI) C0205117) =Spatial Concept
| - 44. adjunct health personnel
- [health care workers specially trained and licensed to assist and support the work of health professionals; often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional; these occupations include, but are not limited to, medical technology, physical therapy, paramedic, physician assistant, etc. ( CSP )] (UMLS (CSP) C0002122) =Professional or Occupational Group
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- 7. adjud. non-payee payable prior-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555492) =Intellectual Product =InvoiceElementAdjudicated;
| - 45. Adjunct vascular system procedure on four or more vessels
- [ ] (UMLS (ICD9CM) C1561743) PROCEDURE-FOUR+ VESSELS;
=Therapeutic or Preventive Procedure |
- 8. adjud. non-payee payable prior-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555491) =Intellectual Product =InvoiceElementAdjudicated;
| - 46. Adjunct vascular system procedure on single vessel
- [ ] (UMLS (ICD9CM) C1561739) PROCEDURE-ONE VESSEL;
=Therapeutic or Preventive Procedure |
- 9. adjud. non-payee payable prior-period manual amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555494) =Intellectual Product =InvoiceElementAdjudicated;
| - 47. Adjunct vascular system procedure on three vessels
- [ ] (UMLS (ICD9CM) C1561742) PROCEDURE-THREE VESSELS;
=Therapeutic or Preventive Procedure |
- 10. adjud. non-payee payable prior-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555493) =Intellectual Product =InvoiceElementAdjudicated;
| - 48. Adjunct vascular system procedure on two vessels
- [ ] (UMLS (ICD9CM) C1561741) PROCEDURE-TWO VESSELS;
=Therapeutic or Preventive Procedure |
- 11. adjud. non-payee payable same-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555488) =Intellectual Product =InvoiceElementAdjudicated;
| - 49. Adjunct vascular system procedure, insertion of four or more vascular stents
- [ ] (UMLS (ICD9CM) C1561748) INSERT 4+ VASCULR STENTS;
=Therapeutic or Preventive Procedure |
- 12. adjud. non-payee payable same-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555487) =Intellectual Product =InvoiceElementAdjudicated;
| - 50. Adjunct vascular system procedure, insertion of one vascular stent
- [ ] (UMLS (ICD9CM) C1561744) INSERT 1 VASCULAR STENT;
=Therapeutic or Preventive Procedure |
- 13. adjud. non-payee payable same-period manual amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555490) =Intellectual Product =InvoiceElementAdjudicated;
| - 51. Adjunct vascular system procedure, insertion of three vascular stents
- [ ] (UMLS (ICD9CM) C1561747) INSERT 3 VASCULAR STENTS;
=Therapeutic or Preventive Procedure |
- 14. adjud. non-payee payable same-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that do not match a specified payee (e.g. pay patient) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555489) =Intellectual Product =InvoiceElementAdjudicated;
| - 52. Adjunct vascular system procedure, insertion of two vascular stents
- [ ] (UMLS (ICD9CM) C1561746) INSERT 2 VASCULAR STENTS;
=Therapeutic or Preventive Procedure |
- 15. adjud. nullified prior-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1553918) =Intellectual Product =InvoiceElementAdjudicated;
| - 53. Adjunct Vascular System Procedures
- [ ] (UMLS (ICD9CM) C1561749) =Therapeutic or Preventive Procedure
|
- 16. adjud. nullified prior-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1553917) =Intellectual Product =InvoiceElementAdjudicated;
| - 54. Adjunctive Analgesics
- [Drugs used in combination with other pain drugs to assist or enhance their action. ( NCI )] (UMLS (NCI) C1510809) Adjunctive Medication;
Adjuvant Analgesic;
Adjuvant Medication;
=Pharmacologic Substance |
- 17. adjud. nullified prior-period manual amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1553920) =Intellectual Product =InvoiceElementAdjudicated;
| - 55. ADJUST DIS W ANXIETY/DEP
- [ ] (UMLS (ICD9CM) C0154588) =Mental or Behavioral Dysfunction
|
- 18. adjud. nullified prior-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1553919) =Intellectual Product =InvoiceElementAdjudicated;
| - 56. ADJUST DISOR/DIS CONDUCT
- (UMLS (ICD9CM) C0001540) =Mental or Behavioral Dysfunction ;
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- 19. adjud. nullified same-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1553916) =Intellectual Product =InvoiceElementAdjudicated;
| - 57. ADJUST LID POSITION NEC
- [ ] (UMLS (ICD9CM) C0176155) =Therapeutic or Preventive Procedure
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- 20. adjud. nullified same-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently nullified in the specified period and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1553915) =Intellectual Product =InvoiceElementAdjudicated;
| - 58. ADJUST NEUROPACEMAKER
- [ ] (UMLS (ICD9CM) C0490029) =Finding
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- 21. adjud. nullified same-period manual amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1553922) =Intellectual Product =InvoiceElementAdjudicated;
| - 59. ADJUST REACT-PHYS SYMPT
- [ ] (UMLS (ICD9CM) C0154594) =Mental or Behavioral Dysfunction
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- 22. adjud. nullified same-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date), subsequently cancelled in the specified period and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1553921) =Intellectual Product =InvoiceElementAdjudicated;
| - 60. ADJUST REACT-WITHDRAWAL
- [ ] (UMLS (ICD9CM) C0154595) =Mental or Behavioral Dysfunction
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- 23. adjud. payee payable prior-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555484) =Intellectual Product =InvoiceElementAdjudicated;
| - 61. Adjusted
- [The act of making necessary corrections or modifications. ( NCI )] (UMLS (NCI) C0456081) =Functional Concept
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- 24. adjud. payee payable prior-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555483) =Intellectual Product =InvoiceElementAdjudicated;
| - 62. Adjustment
- (UMLS (HL7) C1546424) =Idea or Concept =Transaction Type;
|
- 25. adjud. payee payable prior-period manual amout
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555486) =Intellectual Product =InvoiceElementAdjudicated;
| - 63. ADJUSTMENT DIS W ANXIETY
- [ ] (UMLS (ICD9CM) C0154587) =Mental or Behavioral Dysfunction
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- 26. adjud. payee payable prior-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable prior to the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555485) =Intellectual Product =InvoiceElementAdjudicated;
| - 64. Adjustment disorder with depressed mood
- (UMLS (ICD9CM) C0001539) =Mental or Behavioral Dysfunction ;
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- 27. adjud. payee payable same-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555480) =Intellectual Product =InvoiceElementAdjudicated;
| - 65. ADJUSTMENT HEARING AID
- [ ] (UMLS (ICD9CM) C0260748) =Finding
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- 28. adjud. payee payable same-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555479) =Intellectual Product =InvoiceElementAdjudicated;
| - 66. ADJUSTMENT OF WHEELCHAIR
- [ ] (UMLS (ICD9CM) C0481768) =Finding
|
- 29. adjud. payee payable same-period manual amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555482) =Intellectual Product =InvoiceElementAdjudicated;
| - 67. Adjustment reaction
- (UMLS (ICD9CM) C0040701) =Mental or Behavioral Dysfunction ;
|
- 30. adjud. payee payable same-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as payable during the specified time period (based on adjudication date) that match a specified payee (e.g. pay provider) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555481) =Intellectual Product =InvoiceElementAdjudicated;
| - 68. ADJUSTMENT REACTION NEC
- [ ] (UMLS (ICD9CM) C0154592) =Mental or Behavioral Dysfunction
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- 31. adjud. refused prior-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555500) =Intellectual Product =InvoiceElementAdjudicated;
| - 69. Adjustment Reaction with Brief Depressive Reaction
- (UMLS (NCI) C0001548) =Mental or Behavioral Dysfunction ;
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- 32. adjud. refused prior-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555499) =Intellectual Product =InvoiceElementAdjudicated;
| - 70. Adjustment reaction with predominant disturbance of other emotions
- [ ] (UMLS (ICD9CM) C0154584) =Mental or Behavioral Dysfunction
|
- 33. adjud. refused prior-period manual amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555502) =Intellectual Product =InvoiceElementAdjudicated;
| - 71. Adjustment reaction with prolonged depressive reaction
- [ ] (UMLS (ICD9CM) C0154583) =Mental or Behavioral Dysfunction
|
- 34. adjud. refused prior-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as refused prior to the specified time period (based on adjudication date) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555501) =Intellectual Product =InvoiceElementAdjudicated;
| - 72. Adjuvant Chemotherapy
- [Drug therapy given to augment or stimulate some other form of treatment such as surgery or radiation therapy. Adjuvant chemotherapy is commonly used in the therapy of cancer and can be administered before or after the primary treatment. ( MSH )] (UMLS (NCI) C0085533) =Therapeutic or Preventive Procedure ;
|
- 35. adjud. refused same-period electronic amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555496) =Intellectual Product =InvoiceElementAdjudicated;
| - 73. Adjuvant P40
- [An insoluble fraction isolated from the bacterium Corynebacterium granulosum with potential cancer immunotherapeutic activity. As a non-specific immunostimulant, Corynebacterium granulosum P40 activates the reticulo-endothelial system, induces the production of certain cytokines, enhances macrophage activity, and potentiates a delayed-type hypersensitivity response when co-administered with an antigen. (NCI04) ( NCI )] (UMLS (NCI) C0050854) =Organic Chemical; Pharmacologic Substance
|
- 36. adjud. refused same-period electronic count
- [Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted electronically. ( HL7V3.0 )] (UMLS (HL7) C1555495) =Intellectual Product =InvoiceElementAdjudicated;
| - 74. Adjuvant Protocol
- (UMLS (NCI) C1510810) Adjuvant Study;
Adjuvant Trial;
Adjuvant Trials;
=Research Activity |
- 37. adjud. refused same-period manual amount
- [Identifies the total net amount of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555498) =Intellectual Product =InvoiceElementAdjudicated;
| - 75. Adjuvant Therapy
- [(AD-joo-vant) Treatment given after the primary treatment to increase the chances of a cure. Adjuvant therapy may include chemotherapy, radiation therapy, hormone therapy, or biological therapy. ( NCI )] (UMLS (NCI) C0677850) =Therapeutic or Preventive Procedure ;
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- 38. adjud. refused same-period manual count
- [Identifies the total number of all Invoice Groupings that were adjudicated as refused during the specified time period (based on adjudication date) and submitted manually. ( HL7V3.0 )] (UMLS (HL7) C1555497) =Intellectual Product =InvoiceElementAdjudicated;
| - 76. Adjuvanticity
- [the ability to nonspecifically stimulate the immune response. ( NCI )] (UMLS (NCI) C1510811) =Molecular Function
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