| Cancelled Reason Code | Cancelled Reason Code Description |
|---|---|
| 100 | Declined 2nd Ultrasound exam |
| 101 | Declined 1st Ultrasound Exam |
| 102 | Patient went to hospital |
| 103 | Patient Deceased |
| 104 | Patient Discharged/Not in Building |
| 105 | Patient/Family Refused and/or Pt combative |
| 106 | Unable to Position or Weight Limit / Body Habitus |
| 107 | Facility / Other Provider Performed |
| 108 | Unable to contact patient |
| 109 | Chairlift / Other access issues |
| 110 | Pelvic/Scrotum/Breast cannot be done in patients’ home |
| 111 | Not Covered / Patient Declined Payment |
| 112 | No Signed Consent |
| 113 | Exam / Service not offered |
| 114 | Do not service area |
| 115 | Duplicate Order |
| 116 | Other |