IB 837 TRANSMISSION (186)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE IB 837 TRANSMISSION
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-LAST XRAY
PAD CHARACTER NO PAD REQUIRED
REQUIRED NO
FORMAT CODE S IBXDATA=$S($$FT^IBCEF(IBXIEN)=3:"",1:$$DT^IBCEFG1(IBXDATA,"","D8")) S:IBXDATA IBXSAVE("XRAY-DATE")=1
FORMAT CODE DESCRIPTION
FIND THE LAST XRAY DATE WHEN CLAIM INVOLVES A SPINAL MANIPULATION