| # | Name | Location | Type | Details | Index | Description |
|---|---|---|---|---|---|---|
| .01 | diagnosis | 0;1 | POINTER | 80 | B | This multiple field will store 8 diagnosis codes. The first code is considered the primary diagnosis and the last seven are secondary diagnosis codes. |
| 1 | agent orange | 0;2 | BOOLEAN | 0:NO 1:YES | This field is used to directly identify the corresponding ICD-9 code in the .01 field as related to Agent Orange for 3rd Party Billing. | |
| 2 | ionizing radiation | 0;3 | BOOLEAN | 0:NO 1:YES | This field is used to directly identify the corresponding ICD-9 code in the .01 field as related to Ionizing Radiation for 3rd Party Billing. | |
| 3 | service connection | 0;4 | BOOLEAN | 0:NO 1:YES | This field is used to directly identify the corresponding ICD-9 code in the .01 field as related to Service Connection for 3rd Party Billing. | |
| 4 | southwest asia conditions | 0;5 | BOOLEAN | 0:NO 1:YES | This field is used to directly identify the corresponding ICD-9 code in the .01 field as related to Southwest Asia Conditions for 3rd Party Billing. | |
| 5 | military sexual trauma | 0;6 | BOOLEAN | 0:NO 1:YES | This field is used to directly identify the corresponding ICD-9 code in the .01 field as releated to Military Sexual Trauma for 3rd Party Billing. | |
| 6 | head and/or neck cancer | 0;7 | BOOLEAN | 0:NO 1:YES | This field is used to directly identify the corresponding ICD-9 code in the .01 field as related to Head and/or Neck Cancer for 3rd Party Billing. | |
| 7 | combat veteran | 0;8 | BOOLEAN | 0:NO 1:YES | This field is used to directly identify the corresponding ICD-9 code in the .01 field as related to Combat Veteran for 3rd Party Billing. | |
| 8 | proj 112/shad | 0;9 | BOOLEAN | 0:NO 1:YES | This field is used directly to identify the corresponding ICD-9 code in the .01 field as related to PROJ 112/SHAD for 3rd Party Billing. |
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