CMS-1500 (1474)    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 29
LENGTH 8
SHORT DESCRIPTION DIAGNOSIS CODE 3 (BX-21.3)