IP7002 Sequence Number NA NA IP7003 Patient Control Number 3A 837/2300/CLM/01 IP7004 Principal Diagnosis Code 67 837/2300/HI/BK/01-2 IP7004A Present on Admission Indicator 67 837/2300/HI/01-9 IP7005 Other Diagnosis Code 1 67A 837/2300/HI/BF/01-2 – IP7006 Present on Admission Indicator 1 67A (pos 8) 837/2300/HI/01-9 – IP7007 Other Diagnosis Code 2 67B 837/2300/HI/BF/02-2 – IP7008 Present on Admission Indicator 2 67B (pos 8) 837/2300/HI/02-9 – IP7009 Other Diagnosis Code 3 67C 837/2300/HI/BF/03-2 – IP7010 Present on Admission Indicator 3 67C (pos 8) 837/2300/HI/03-9 – IP7011 Other Diagnosis Code 4 67D 837/2300/HI/BF/04-2 – IP7012 Present on Admission Indicator 4 67D (pos 8) 837/2300/HI/04-9 – IP7013 Other Diagnosis Code 5 67E 837/2300/HI/BF/05-2 – IP7014 Present on Admission Indicator 5 67E (pos 8) 837/2300/HI/05-9 – IP7015 Diagnosis Code 6 67F 837/2300/HI/BF/06-2 – IP7016 Present on Admission Indicator 6 67F (pos 8) 837/2300/HI/06-9 – IP7017 Other Diagnosis Code 7 67G 837/2300/HI/BF/07-2 – IP7018 Present on Admission Indicator 7 67G (pos 8) 837/2300/HI/07-9 – IP7019 Other Diagnosis Code 8 67H 837/2300/HI/BF/08-2 – IP7020 Present on Admission Indicator 8 67H (pos 8) 837/2300/HI/08-9 – IP7021 Principal Procedure Code 74 837/2300/HI/BR/01-2
IP7002 Sequence Number NA NA IP7003 Patient Control Number 3A 837/2300/CLM/01 IP7004 Principal Diagnosis Code 67 837/2300/HI/BK/01-2 IP7004A Present on Admission Indicator 67 837/2300/HI/01-9 IP7005 Other Diagnosis Code – 1 67A 837/2300/HI/BF/01-2 IP7006 Present on Admission Indicator – 1 67A (pos 8) 837/2300/HI/01-9 IP7007 Other Diagnosis Code – 2 67B 837/2300/HI/BF/02-2 IP7008 Present on Admission Indicator – 2 67B (pos 8) 837/2300/HI/02-9 IP7009 Other Diagnosis Code – 3 67C 837/2300/HI/BF/03-2 IP7010 Present on Admission Indicator – 3 67C (pos 8) 837/2300/HI/03-9 IP7011 Other Diagnosis Code – 4 67D 837/2300/HI/BF/04-2 IP7012 Present on Admission Indicator – 4 67D (pos 8) 837/2300/HI/04-9 IP7013 Other Diagnosis Code – 5 67E 837/2300/HI/BF/05-2 IP7014 Present on Admission Indicator – 5 67E (pos 8) 837/2300/HI/05-9 IP7015 Diagnosis Code – 6 67F 837/2300/HI/BF/06-2 IP7016 Present on Admission Indicator – 6 67F (pos 8) 837/2300/HI/06-9 IP7017 Other Diagnosis Code – 7 67G 837/2300/HI/BF/07-2 IP7018 Present on Admission Indicator – 7 67G (pos 8) 837/2300/HI/07-9 IP7019 Other Diagnosis Code – 8 67H 837/2300/HI/BF/08-2 IP7020 Present on Admission Indicator – 8 67H (pos 8) 837/2300/HI/08-9 IP7021 Principal Procedure Code 74 837/2300/HI/BR/01-2
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