LEGACY HCFA-1500 (559)    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 44
LOCAL OVERRIDE ALLOWED YES
STARTING COLUMN OR PIECE 42
LENGTH 7
SHORT DESCRIPTION DIAGNOSIS CODE REFS (BX-24E)