PRIMARY DX-TBI (1336)    ENCOUNTER FORM BLOCK (357.1)

Name Value
NAME PRIMARY DX-TBI
FORM NATL PHYSIATRIST INPT FY15-Q2
BLOCK'S STARTING ROW 61
BLOCK'S STARTING COLUMN 0
WIDTH IN CHARACTERS 132
HEIGHT IN LINES 15
OUTLINE TYPE SOLID LINE
BLOCK HEADER PRIMARY DX IF TBI
HEADER APPEARANCE CR
BRIEF DESCRIPTION Common ICD-9 diagnoses
TOOLKIT ORDER 0