LEGACY HCFA-1500 (550) IB FORM SKELETON DEFINITION (364.6)

Name	Value
BILL FORM	LEGACY HCFA-1500
SECURITY LEVEL	NATIONAL,NO EDIT
PAGE OR SEQUENCE	1
FIRST LINE NUMBER	41
LOCAL OVERRIDE ALLOWED	YES
STARTING COLUMN OR PIECE	3
LENGTH	7
SHORT DESCRIPTION	DIAGNOSIS CODE 2 (BX-21.2)