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)