LEGACY UB-92 (615) IB FORM FIELD CONTENT (364.7)
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