CMS-1500 (1473)    IB FORM SKELETON DEFINITION (364.6)

Name Value
BILL FORM CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
PAGE OR SEQUENCE 1
FIRST LINE NUMBER 39
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 3
LENGTH 8
SHORT DESCRIPTION DIAGNOSIS CODE 1 (BX-21.1)