CMS-1500 (1940)    IB FORM FIELD CONTENT (364.7)

Name Value
FORM FIELD REFERENCE CMS-1500
SECURITY LEVEL NATIONAL,NO EDIT
DATA ELEMENT N-DIAGNOSIS CODE 11(HCFA 1500)
PAD CHARACTER NO PAD REQUIRED
FORMAT CODE S IBXDATA=$P($$ICD9^IBACSV(+IBXDATA,$$BDATE^IBACSV(IBXIEN)),U) D PGDX^IBCEF31(11,IBX0,IBXDA,IBXLN,IBXCOL,.IBXSIZE,.IBXSAVE)