192Adjustment CodeGeneral Adjustment
Code 192
Problem Description
Non standard adjustment code from paper remittance. Usage: This code is to be used by providers/payers providing Coordination of Benefits information to another payer in the 837 transaction only. This code is only used when the non-standard code cannot be reasonably mapped to an existing Claims Adjustment Reason Code, specifically Deductible, Coinsurance and Co-payment.
Actionable Fix — Solution Steps
Verify claim details and patient demographics. Submit a corrected claim or appeal with necessary supporting medical documentation.
Related Codes in General Adjustment
This directory provides reference information only and does not constitute official legal, medical, or financial billing advice. Always consult the payer's official remittance advice and current coding guidelines.