| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-PATIENT ZIP CODE |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | S:+$$PTADDR^IBCEF(IBXIEN,25)>1 IBXDATA=$$PTADDR^IBCEF(IBXIEN,24) |
| FORMAT CODE DESCRIPTION | Patient address - zip code/postal code |