| 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 | S IBXDATA=$TR($P($G(IBXSAVE("DX-E",3)),U),".") |
| FORMAT CODE DESCRIPTION | This is the third 'E-code' diagnosis found. |