CMS-1500 (1478) 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
42
LENGTH
8
SHORT DESCRIPTION
DIAGNOSIS CODE 4 (BX-21.4)