| Name | Value |
|---|---|
| NAME | DIAGNOSIS CODES |
| FORM | NATL LOW VISION-OPTOM FY13-Q4 |
| BLOCK'S STARTING ROW | 48 |
| BLOCK'S STARTING COLUMN | 0 |
| WIDTH IN CHARACTERS | 132 |
| HEIGHT IN LINES | 92 |
| OUTLINE TYPE | SOLID LINE |
| BLOCK HEADER | PLEASE CHECK OFF DIAGNOSIS TREATED THIS VISIT |
| HEADER APPEARANCE | BC |
| BRIEF DESCRIPTION | Selection list - ICD-9 dx codes |
| TOOLKIT ORDER | 0 |