| Name | Value |
|---|---|
| FORM FIELD REFERENCE | IB 837 TRANSMISSION |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-ACUTE MANIFESTATION |
| PAD CHARACTER | NO PAD REQUIRED |
| REQUIRED | NO |
| FORMAT CODE | S IBXDATA=$S($$FT^IBCEF(IBXIEN)=3:"",1:$$DT^IBCEFG1(IBXDATA,"","D8")) S:IBXDATA IBXSAVE("ACUT-DATE")=1 |
| FORMAT CODE DESCRIPTION | Required when sequence 51 piece 7 (Spinal Manipulation Nature of Condifion Code) = A or M on spinal manipulation claims and the payer is Medicare |