| Parent File | Name | Number | Package | 
|---|---|---|---|
| IHS LAB CPT CODE(#9009021) | CPT CODE | 9009021.01101 | IHS Changes To Lab | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | CPT CODE | 0;1 | POINTER TO CPT FILE (#81) | CPT(#81) 
 | 
| .02 | LAB LIST COST | 0;2 | NUMBER | 
 | 
| .03 | REVIEW CODE | 0;3 | POINTER TO IHS LAB CPT REVIEW CODE FILE (#9009021.1) | IHS LAB CPT REVIEW CODE(#9009021.1) 
 | 
| .04 | ACTION CODE | 0;4 | POINTER TO IHS LAB CPT ACTION CODE FILE (#9009021.2) | IHS LAB CPT ACTION CODE(#9009021.2) 
 | 
| 101 | MODIFIER | 1;0 | Multiple #9009021.1101101 | 9009021.1101101 | 
| 201 | QUALIFIER | 2;0 | Multiple #9009021.1101201 | 9009021.1101201 |