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Routine: IBDEI004

IBDEI004.m

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IBDEI004 ; ; 01-MAY-2020
 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;MAY 01, 2020
 Q:'DIFQR(358.1)  F I=1:2 S X=$T(Q+I) Q:X=""  S Y=$E($T(Q+I+1),4,999),X=$E(X,4,999) S:$A(Y)=126 I=I+1,Y=$E(Y,2,999)_$E($T(Q+I+1),5,999) S:$A(Y)=61 Y=$E(Y,2,999) X NO E  S @X=Y
Q Q
 ;;^UTILITY(U,$J,358.1)
 ;;=^IBE(358.1,
 ;;^UTILITY(U,$J,358.1,0)
 ;;=IMP/EXP ENCOUNTER FORM BLOCK^358.1I^173^173
 ;;^UTILITY(U,$J,358.1,1,0)
 ;;=HEADER^1^^1^57^38^1^^^2
 ;;^UTILITY(U,$J,358.1,2,0)
 ;;=PATIENT INFORMATION^1^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,3,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^1^^6^0^132^19^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,4,0)
 ;;=PROCEDURES (V2.1)^1^^26^0^133^8^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,5,0)
 ;;=ECOE ICD-10^1^^35^0^132^129^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,6,0)
 ;;=HEADER^2^^1^57^51^1^^^2
 ;;^UTILITY(U,$J,358.1,7,0)
 ;;=PATIENT INFORMATION^2^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,8,0)
 ;;=PROCEDURES (V2.1)^2^^7^0^133^8^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,9,0)
 ;;=ECOE ICD-10^2^^16^0^132^129^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,10,0)
 ;;=HEADER^3^^1^57^51^1^^^2
 ;;^UTILITY(U,$J,358.1,11,0)
 ;;=PATIENT INFORMATION^3^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,12,0)
 ;;=PROCEDURES (V2.1)^3^^7^0^133^33^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,13,0)
 ;;=ECOE ICD-10^3^^41^0^132^129^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,14,0)
 ;;=HEADER^4^^1^57^50^1^^^2
 ;;^UTILITY(U,$J,358.1,15,0)
 ;;=PATIENT INFORMATION^4^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,16,0)
 ;;=CPT CODES^4^^7^0^132^13^^^1^FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED^UBRC^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,17,0)
 ;;=ECOE ICD-10^4^^21^0^132^129^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,18,0)
 ;;=CPT PROCEDURE^5^^17^0^133^58^^^1^MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY^CRUB^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,19,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^5^^6^0^132^10^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,20,0)
 ;;=HEADER^5^^1^49^19^1^^^2
 ;;^UTILITY(U,$J,358.1,21,0)
 ;;=PATIENT INFORMATION^5^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,22,0)
 ;;=HEMATOLOGY ICD-10^5^^81^0^132^369^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,23,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^6^^6^0^132^10^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,24,0)
 ;;=HEADER^6^^1^56^24^1^^^2
 ;;^UTILITY(U,$J,358.1,25,0)
 ;;=PATIENT INFORMATION^6^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,26,0)
 ;;=PROCEDURES (V2.1)^6^^17^0^133^48^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,27,0)
 ;;=ICD-10 DIAGNOSES (V1.0)^6^^66^0^132^344^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,28,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^7^^7^0^132^8^^^1^^CRU^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,29,0)
 ;;=HEADER^7^^2^55^18^1^^^2
 ;;^UTILITY(U,$J,358.1,30,0)
 ;;=PATIENT INFORMATION^7^^4^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,31,0)
 ;;=CPT CODES^7^^16^0^132^64^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,32,0)
 ;;=NEUROLOGY ICD-10^7^^81^0^132^369^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,33,0)
 ;;=HEADER^8^^1^54^18^1^^^2
 ;;^UTILITY(U,$J,358.1,34,0)
 ;;=PATIENT INFORMATION^8^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,35,0)
 ;;=AUDIOLOGY CPT CODES^8^^17^0^132^113^^^1^AUDIOLOGY PROCEDURES PERFORMED THIS VISIT^C^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,36,0)
 ;;=AUDIOLOGY ICD-10 DIAGNOSES^8^^131^0^132^324^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,37,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^8^^7^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,38,0)
 ;;=HEADER^9^^1^56^20^1^^^2
 ;;^UTILITY(U,$J,358.1,39,0)
 ;;=PATIENT INFORMATION^9^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,40,0)
 ;;=CPT CODES^9^^7^0^132^23^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BC^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,41,0)
 ;;=BLIND REHAB ICD-10^9^^31^0^132^174^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,42,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^10^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,43,0)
 ;;=HEADER^10^^1^56^21^1^^^2
 ;;^UTILITY(U,$J,358.1,44,0)
 ;;=PATIENT INFORMATION^10^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,45,0)
 ;;=PROCEDURES (V2.1)^10^^15^0^133^25^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,46,0)
 ;;=CHIROPRACTIC ICD-10^10^^41^0^132^244^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,47,0)
 ;;=HEADER^11^^1^49^46^1^^^2
 ;;^UTILITY(U,$J,358.1,48,0)
 ;;=PATIENT INFORMATION^11^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,49,0)
 ;;=PROCEDURES (V2.1)^11^^53^0^133^49^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,50,0)
 ;;=CIH ICD-10^11^^103^0^132^457^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,51,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^11^^43^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,52,0)
 ;;=PATIENT HEALTH FACTORS (V2.1)^11^^6^0^55^36^^^1^^CR^Patient health factors^0
 ;;^UTILITY(U,$J,358.1,53,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^12^^5^0^132^15^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,54,0)
 ;;=PATIENT INFORMATION^12^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,55,0)
 ;;=HEADER^12^^1^49^17^1^^^2
 ;;^UTILITY(U,$J,358.1,56,0)
 ;;=CPT CODES (3 COL)^12^^21^0^132^89^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,57,0)
 ;;=NEPHROLOGY ICD-10^12^^111^0^132^399^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,58,0)
 ;;=HEADER^13^^1^56^18^1^^^2
 ;;^UTILITY(U,$J,358.1,59,0)
 ;;=PATIENT INFORMATION^13^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,60,0)
 ;;=ICD-10 DIAGNOSES (V1.0)^13^^16^0^132^1439^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,61,0)
 ;;=PROCEDURES (V2.1)^13^^7^0^133^8^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,62,0)
 ;;=PROCEDURES (V2.1)^14^^21^0^133^109^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,63,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^14^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,64,0)
 ;;=HEADER^14^^1^56^29^1^^^2
 ;;^UTILITY(U,$J,358.1,65,0)
 ;;=PATIENT INFORMATION^14^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,66,0)
 ;;=EMERGENCY DEPT ICD-10^14^^131^0^132^739^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,67,0)
 ;;=HEADER^15^^1^54^23^1^^^2
 ;;^UTILITY(U,$J,358.1,68,0)
 ;;=PATIENT INFORMATION^15^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,69,0)
 ;;=PROCEDURES (V2.1)^15^^7^0^133^43^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,70,0)
 ;;=EYE/TELERETINAL ICD-10^15^^51^0^132^684^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,71,0)
 ;;=HEADER^16^^1^60^12^1^^^2
 ;;^UTILITY(U,$J,358.1,72,0)
 ;;=PATIENT INFORMATION^16^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,73,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^16^^6^0^132^34^^^1^^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,74,0)
 ;;=PROCEDURES (V2.1)^16^^41^0^133^104^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,75,0)
 ;;=EYE/TELERETINAL ICD-10^16^^146^0^132^684^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,76,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^17^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,77,0)
 ;;=HEADER^17^^1^54^22^1^^^2
 ;;^UTILITY(U,$J,358.1,78,0)
 ;;=PATIENT INFORMATION^17^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,79,0)
 ;;=ICD-10 DIAGNOSES (V1.0)^17^^96^0^132^699^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,80,0)
 ;;=CPT CODES (3 COL)^17^^15^0^132^80^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,81,0)
 ;;=HEADER^18^^1^58^23^1^^^2
 ;;^UTILITY(U,$J,358.1,82,0)
 ;;=PATIENT INFORMATION^18^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,83,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^18^^6^0^132^8^^^1^TYPE OF HOME VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,84,0)
 ;;=PRIMARY CARE ICD-10^18^^81^0^132^2709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,85,0)
 ;;=PROCEDURES (V2.1)^18^^15^0^133^60^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,86,0)
 ;;=HEADER^19^^1^46^23^1^^^2
 ;;^UTILITY(U,$J,358.1,87,0)
 ;;=PATIENT INFORMATION^19^^4^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,88,0)
 ;;=PROCEDURE CODES^19^^7^0^132^43^^^1^PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT^CU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,89,0)
 ;;=NURSING ICD-10^19^^51^0^132^629^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,90,0)
 ;;=HEADER^20^^1^49^23^1^^^2
 ;;^UTILITY(U,$J,358.1,91,0)
 ;;=PATIENT INFORMATION^20^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,92,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^20^^7^0^132^11^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,93,0)
 ;;=CPT CODES (3 COL)^20^^18^0^132^22^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,94,0)
 ;;=HT ICD-10^20^^41^0^132^674^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,95,0)
 ;;=HEADER^21^^1^49^21^1^^^2
 ;;^UTILITY(U,$J,358.1,96,0)
 ;;=PATIENT INFORMATION^21^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,97,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^21^^7^0^132^6^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,98,0)
 ;;=CPT CODES (3 COL)^21^^14^0^132^21^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,99,0)
 ;;=HT ICD-10^21^^36^0^132^674^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,100,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^22^^6^0^132^10^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,101,0)
 ;;=HEADER^22^^1^56^27^1^^^2
 ;;^UTILITY(U,$J,358.1,102,0)
 ;;=PATIENT INFORMATION^22^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,103,0)
 ;;=PROCEDURES (V2.1)^22^^17^0^133^33^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,104,0)
 ;;=ICD-10 DIAGNOSES (V1.0)^22^^51^0^132^419^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,105,0)
 ;;=HEADER^23^^1^56^28^1^^^2
 ;;^UTILITY(U,$J,358.1,106,0)
 ;;=PATIENT INFORMATION^23^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,107,0)
 ;;=PROCEDURES (V2.1)^23^^6^0^133^39^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,108,0)
 ;;=PRIMARY CARE ICD-10^23^^46^0^132^2709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,109,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^24^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,110,0)
 ;;=HEADER^24^^1^56^17^1^^^2
 ;;^UTILITY(U,$J,358.1,111,0)
 ;;=PATIENT INFORMATION^24^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,112,0)
 ;;=PROCEDURES (V2.1)^24^^21^0^133^89^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,113,0)
 ;;=PRIMARY CARE ICD-10^24^^111^0^132^2709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,114,0)
 ;;=HEADER^25^^1^49^37^1^^^2
 ;;^UTILITY(U,$J,358.1,115,0)
 ;;=PATIENT INFORMATION^25^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,116,0)
 ;;=CPT CODES (3 COL)^25^^7^0^132^53^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,117,0)
 ;;=MENTAL HEALTH ICD-10^25^^61^0^132^754^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,118,0)
 ;;=HEADER^26^^1^46^24^1^^^2
 ;;^UTILITY(U,$J,358.1,119,0)
 ;;=PATIENT INFORMATION^26^^4^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,120,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^26^^7^0^132^6^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,121,0)
 ;;=PROCEDURES (V2.1)^26^^14^0^133^121^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,122,0)
 ;;=NURSING ICD-10^26^^136^0^132^629^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,123,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^27^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,124,0)
 ;;=HEADER^27^^1^56^21^1^^^2
 ;;^UTILITY(U,$J,358.1,125,0)
 ;;=PATIENT INFORMATION^27^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,126,0)
 ;;=PROCEDURES (V2.1)^27^^21^0^133^124^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,127,0)
 ;;=PRIMARY CARE ICD-10^27^^146^0^132^2709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,128,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^28^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,129,0)
 ;;=HEADER^28^^1^58^17^1^^^2
 ;;^UTILITY(U,$J,358.1,130,0)
 ;;=PATIENT INFORMATION^28^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,131,0)
 ;;=PROCEDURES (V2.1)^28^^16^0^133^239^^^1^PROCEDURES^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,132,0)
 ;;=REHAB ICD-10 CODES^28^^256^0^132^1524^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,133,0)
 ;;=HEADER^29^^1^59^26^1^^^2
 ;;^UTILITY(U,$J,358.1,134,0)
 ;;=PATIENT INFORMATION^29^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,135,0)
 ;;=TELEPHONE ICD-10^29^^21^0^132^94^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,136,0)
 ;;=CPT CODES^29^^7^0^132^13^^^1^FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED^UBRC^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,137,0)
 ;;=HEADER^30^^1^49^20^1^^^2
 ;;^UTILITY(U,$J,358.1,138,0)
 ;;=PATIENT INFORMATION^30^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,139,0)
 ;;=E&M OUTPATIENT CODES^30^^6^0^90^11^^^1^EXAM CODES FOR OUTPATIENT EVALUATION & MANAGMENT^CR^1997 OUTPATIENT E&M TYPES W CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,140,0)
 ;;=CPT CODES^30^^18^0^132^102^^^1^FILL IN BUBBLES FOR ALL PROCEDURES PERFORMED THIS VISIT^URCB^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,141,0)
 ;;=PRIMARY CARE ICD-10^30^^121^0^132^2709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,142,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^31^^5^0^132^10^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,143,0)
 ;;=HEADER^31^^1^57^19^1^^^2
 ;;^UTILITY(U,$J,358.1,144,0)
 ;;=PATIENT INFORMATION^31^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,145,0)
 ;;=CPT CODES (3 COL)^31^^16^0^132^94^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,146,0)
 ;;=UROLOGY ICD-10^31^^111^0^132^319^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,147,0)
 ;;=CPT CODES^32^^26^0^132^14^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^CU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,148,0)
 ;;=PATIENT INFORMATION^32^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,149,0)
 ;;=HEADER^32^^1^48^42^1^^^2
 ;;^UTILITY(U,$J,358.1,150,0)
 ;;=HOSPICE/PALLIATIVE CARE ICD-10^32^^41^0^132^329^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,151,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^32^^6^0^132^19^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,152,0)
 ;;=CPT CODES^33^^16^0^132^19^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^CU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,153,0)
 ;;=PATIENT INFORMATION^33^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,154,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^33^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,155,0)
 ;;=HEADER^33^^1^48^43^1^^^2
 ;;^UTILITY(U,$J,358.1,156,0)
 ;;=HOSPICE/PALLIATIVE CARE ICD-10^33^^36^0^132^329^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,157,0)
 ;;=HEADER^34^^1^54^34^1^^^2
 ;;^UTILITY(U,$J,358.1,158,0)
 ;;=PATIENT INFORMATION^34^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,159,0)
 ;;=PROCEDURES (V2.1)^34^^7^0^133^13^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0
 ;;^UTILITY(U,$J,358.1,160,0)
 ;;=PRIMARY CARE ICD-10^34^^21^0^132^2709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^
 ;;^UTILITY(U,$J,358.1,161,0)
 ;;=HEADER^35^^1^54^19^1^^^2
 ;;^UTILITY(U,$J,358.1,162,0)
 ;;=PATIENT INFORMATION^35^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,163,0)
 ;;=CPT CODES (3 COL)^35^^6^0^132^13^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0
 ;;^UTILITY(U,$J,358.1,164,0)
 ;;=TELESTROKE ICD-10^35^^20^0^132^150^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,165,0)
 ;;=HEADER^36^^1^49^30^1^^^2
 ;;^UTILITY(U,$J,358.1,166,0)
 ;;=PATIENT HEALTH FACTORS (V2.1)^36^^4^0^55^36^^^1^^CR^Patient health factors^0
 ;;^UTILITY(U,$J,358.1,167,0)
 ;;=HEADER^37^^1^54^35^1^^^2
 ;;^UTILITY(U,$J,358.1,168,0)
 ;;=PATIENT INFORMATION^37^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,169,0)
 ;;=COVID-19 ICD CODES^37^^7^0^132^23^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0
 ;;^UTILITY(U,$J,358.1,170,0)
 ;;=HEADER^38^^1^54^38^1^^^2
 ;;^UTILITY(U,$J,358.1,171,0)
 ;;=PATIENT INFORMATION^38^^3^0^132^3^^^2^^^Patient information-name/ssn/age
 ;;^UTILITY(U,$J,358.1,172,0)
 ;;=1995 VISIT TYPE CODES (V2.1)^38^^7^0^132^8^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0
 ;;^UTILITY(U,$J,358.1,173,0)
 ;;=ICD CODES^38^^16^0^132^29^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0