Use the form below to request additions or revisions to the code lists.

For all requests, your name, phone, company, email, Request Type and List Name are required.

Revision to existing code

New code

Claim Adjustment Reason

Health Care Claim Status

Health Care Claim Status Category

Health Care Services Review Decision Reason

To request a revision to an existing code: Value, Description, and Explanation are required.

For new codes: Description and Explanation are required.