| Name | Value |
|---|---|
| NAME | CPT CODES (3 COL) |
| FORM | NATL CAREGIVER ASSESS FY15-Q1 |
| BLOCK'S STARTING ROW | 13 |
| BLOCK'S STARTING COLUMN | 0 |
| WIDTH IN CHARACTERS | 132 |
| HEIGHT IN LINES | 12 |
| OUTLINE TYPE | SOLID LINE |
| BLOCK HEADER | PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT |
| HEADER APPEARANCE | BCU |
| BRIEF DESCRIPTION | Selection list - CPT codes |
| TOOLKIT ORDER | 0 |