NATL COVID19 SPLMNTL FY21-Q2 (860) ENCOUNTER FORM (357)
Name
Value
NAME
NATL COVID19 SPLMNTL FY21-Q2
SIMPLEX/DUPLEX
SIMPLEX
BRIEF DESCRIPTION
National COVID-19 ICD Supplemental Form January 2021
TYPE OF USE
OUTPATIENT ENCOUNTER FORM
COMPILED?
NO
USE ICR?
NO
TOOLKIT
YES
RIGHT MARGIN
133
PAGE LENGTH
80
NUMBER OF PAGES
1
SCANNED/MANUAL DATA ENTRY
YES
PAPER SIZE
LETTER (8 1/2 x 11)
ORIENTATION
PORTRAIT
TEXT SIZE
133 COLUMNS x 80 LINES
VERSION
2.1
