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,Z0,D,T,T4,T5 F Z=1:1 Q:'$G(^TMP($J,"IBC-RC",Z)) S D=^(Z),T=$P(D,U,2),T5=$P(D,U,5),T4=$P(D,U,4),Z0=$S(+D=2:$E(T,31,45),+D=3:$E(T,26,40),T4'=""&(T>219):T4,T5'=""&(T<220)&(T>1):$J(T5,7,2),1:"") S:Z'>22 IBXDATA(Z)=Z0 D:Z>22 CKREV^IBCEF3(Z,Z0) |
FORMAT CODE DESCRIPTION | This data element is a group data element where more than one occurrence formatted with 2 decimal places. Since only 22 lines of service can appear on one form, if there are more than 22 lines, subsequent pages are forced for the remaining data lines after 22. might be expected. It relies on the presence of data in global ^TMP($J,"IBC-RC",n) extracted previously. The first '^' piece of the array indicates whether this is a 'normal' service data line (=1) or a text line (=2 or =3). For a normal service line, the data is found in the fourth (procedure code and modifiers) or fifth (unit charge) '^' pieces of the array. If there is a procedure and a unit charge, only the procedure code and its modifiers will print. If there is a unit charge and this is an inpatient bill and the revenue code is 100-219, it is printed and |