| Name | Value |
|---|---|
| NAME | DIAGNOSIS CODES |
| FORM | NATL HOSP/PALL OTPT FY15-Q3 |
| BLOCK'S STARTING ROW | 33 |
| BLOCK'S STARTING COLUMN | 0 |
| WIDTH IN CHARACTERS | 132 |
| HEIGHT IN LINES | 75 |
| OUTLINE TYPE | SOLID LINE |
| BLOCK HEADER | PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT |
| HEADER APPEARANCE | UC |
| BRIEF DESCRIPTION | Selection list - ICD-9 dx codes |