| Name | Value |
|---|---|
| FORM FIELD REFERENCE | LEGACY UB-92 |
| SECURITY LEVEL | NATIONAL,NO EDIT |
| DATA ELEMENT | N-PROCEDURE CODING METHD |
| PAD CHARACTER | NO PAD REQUIRED |
| FORMAT CODE | I IBXDATA=4 S IBXDATA=5 |
| FORMAT CODE DESCRIPTION | Data can only be 5 (HCPCS) or 9 (ICD9). CPT-4 (4) has been rolled into 5 |