| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-OCCURRENCE CODES |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | N Z,Z0 K IBXDATA S Z0=0 F Z=1,5 S Z0=Z0+1 S:$G(IBXSAVE("OCC",Z))'="" IBXDATA(Z0)=$P(IBXSAVE("OCC",Z),U) |
| FORMAT CODE DESCRIPTION | The data element extracts multiply-occurring data for the occurrence codes and occurrence span codes and outputs the first occurrence code here. Overflow codes are printed on a separate page. |