STANDARD DATA DICTIONARY #161.92 -- ADJUSTMENT GROUP FILE 3/24/25 PAGE 1
STORED IN ^FB(161.92, (5 ENTRIES) SITE: WWW.BMIRWIN.COM UCI: VISTA,VISTA (VERSION 3.5)
DATA NAME GLOBAL DATA
ELEMENT TITLE LOCATION TYPE
-----------------------------------------------------------------------------------------------------------------------------------
This file contains a list of claim adjustment group codes. The codes in this file are used to identify the general category of
payment adjustment. The source of the codes is the National Electronic Data Interchange Transaction Set Implementation Guide for
the Health Care Claim Payment Advice (ASC X12N 835). It is available from Washington Publishing Company. The applicability for
use by VA on fee claims is provided by the Fee Replacement Project Management Office in Denver which represents the VA Chief
Business Office.
This file is exported with data and the contents should not be locally modified.
DD ACCESS: @
RD ACCESS:
WR ACCESS: @
DEL ACCESS: @
LAYGO ACCESS: @
AUDIT ACCESS: @
IDENTIFIED BY:
"CDN": D AGCDN^FBUTL3
POINTED TO BY: ADJUSTMENT GROUP field (#.01) of the ADJUSTMENT GROUP sub-field (#161.917) of the ADJUSTMENT REASON File (#161.91)
ADJUSTMENT GROUP field (#.01) of the ADJUSTMENT GROUP sub-field (#161.933) of the REMITTANCE REMARK File (#161.93)
ADJUSTMENT GROUP field (#1) of the ADJUSTMENT sub-field (#162.07) of the SERVICE PROVIDED sub-field (#162.03) of the
INITIAL TREATMENT DATE sub-field (#162.02) of the VENDOR sub-field (#162.01) of the FEE BASIS PAYMENT File
(#162)
ADJUSTMENT GROUP field (#1) of the ADJUSTMENT sub-field (#162.14) of the PRESCRIPTION NUMBER sub-field (#162.11) of
the FEE BASIS PHARMACY INVOICE File (#162.1)
ADJUSTMENT GROUP field (#1) of the ADJUSTMENT sub-field (#162.558) of the FEE BASIS INVOICE File (#162.5)
CROSS
REFERENCED BY: CODE(B)
161.92,.01 CODE 0;1 FREE TEXT (Required)
INPUT TRANSFORM: K:$L(X)>2!($L(X)<1)!'(X'?1P.E) X
LAST EDITED: JUN 17, 2003
HELP-PROMPT: Answer must be 1-2 characters in length.
DESCRIPTION:
Code value.
CROSS-REFERENCE: 161.92^B
1)= S ^FB(161.92,"B",$E(X,1,30),DA)=""
2)= K ^FB(161.92,"B",$E(X,1,30),DA)
161.92,1 STATUS EFFECTIVE DATE 1;0 DATE Multiple #161.921
161.921,.01 STATUS EFFECTIVE DATE 0;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:3991231X) X
LAST EDITED: JUN 17, 2003
HELP-PROMPT: TYPE A DATE BETWEEN 6/1/2003 AND 12/31/2099
DESCRIPTION:
Effective date of status.
CROSS-REFERENCE: 161.921^B
1)= S ^FB(161.92,DA(1),1,"B",$E(X,1,30),DA)=""
2)= K ^FB(161.92,DA(1),1,"B",$E(X,1,30),DA)
161.921,1 STATUS 0;2 SET
'0' FOR INACTIVE;
'1' FOR ACTIVE;
LAST EDITED: JUN 17, 2003
HELP-PROMPT: Specify the status of the code as of the effective date.
DESCRIPTION: The status of the claim adjustment group code as of the effective date. It will be used to
prevent inactive codes from being specified during adjudication of a claim.
161.921,2 FEE USE 0;3 SET
'0' FOR NOT APPLICABLE;
'1' FOR APPLICABLE;
LAST EDITED: JUN 17, 2003
HELP-PROMPT: Specify applicability of use with fee claims as of effective date.
DESCRIPTION: Indicates if code is applicable for use on fee claims as of effective date. (1 applicable or 0
not applicable) It will be used to prevent inappropriate codes from being specified during
adjudication of a claim.
161.92,2 DESCRIPTION EFFECTIVE DATE 2;0 DATE Multiple #161.922
161.922,.01 DESCRIPTION EFFECTIVE DATE 0;1 DATE
INPUT TRANSFORM: S %DT="EX" D ^%DT S X=Y K:3991231X) X
LAST EDITED: JUN 17, 2003
HELP-PROMPT: TYPE A DATE BETWEEN 6/1/2003 AND 12/31/2099
DESCRIPTION:
Effective date of description.
CROSS-REFERENCE: 161.922^B
1)= S ^FB(161.92,DA(1),2,"B",$E(X,1,30),DA)=""
2)= K ^FB(161.92,DA(1),2,"B",$E(X,1,30),DA)
161.922,.02 SHORT DESCRIPTION 0;2 FREE TEXT
INPUT TRANSFORM: K:$L(X)>30!($L(X)<1) X
LAST EDITED: JUN 18, 2003
HELP-PROMPT: Answer must be 1-30 characters in length.
DESCRIPTION:
Short description of adjustment group.
161.922,1 DESCRIPTION D;0 WORD-PROCESSING #161.9221
LAST EDITED: JUN 17, 2003
HELP-PROMPT: Description of code as of effective date.
DESCRIPTION: The description of the adjustment group code as of the effective date. It will be used to
display a description of the code.
INPUT TEMPLATE(S):
PRINT TEMPLATE(S):
SORT TEMPLATE(S):
FORM(S)/BLOCK(S):