| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-ORTHO BANDING QUALIFIER |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | K IBXDATA I $$FT^IBCEF(IBXIEN)=7,$P($G(^DGCR(399,IBXIEN,"DEN")),U)'="" S IBXDATA=452 |
| FORMAT CODE DESCRIPTION | Orthodontic Banding Qualifier always will be 452. |