| Name | Value |
|---|---|
| FORM FIELD REFERENCE | UB-04 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-GET FROM PREVIOUS EXTRACT |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | I $D(IBXSAVE("DX",16)) S IBXDATA=$TR($P($$ICD9^IBACSV(+IBXSAVE("DX",16),$$BDATE^IBACSV(IBXIEN)),U),".") |
| FORMAT CODE DESCRIPTION | If there is a sixteenth diagnosis, print its name. |