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)
