| 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 | N Z I $$INPAT^IBCEF(IBXIEN) S Z=+$P($G(^DGCR(399,IBXIEN,"U1")),U,15) I Z S IBXDATA=$$FO^IBCNEUT1(Z,4,"R",0) |
| FORMAT CODE DESCRIPTION | IB*2*400 - for Inpatient claims only. Retrieve the PPS code from field# 170 in the claim. If it exists, then format it as a 4 character numeric field, right justified, zero filled. |