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Back  RFI # 724: LQ Segment Remark Codes

Formal vs. Informal Help Informal Formal


Michii Summers


Is it acceptable for payer's to send claim adjustment reason codes instead of remittance advice remark codes in LQ segments or does this make the file non-compliant?


This issue is explicitly addressed in guide 004010X091. The code values for element LQ01 reference specific external code lists. The only compliant content for LQ02 is valid code values from those specific external code lists. Referencing or using codes from other code lists is not compliant with the implementation guide.
Submission 1/22/2009
Status Date 1/22/2009
Status F - Final
Primary References
Document 004010X091A1
Set ID835
Segment PositionLQ02
Segment IDLQ
Element Position02
Component Positionna