Routine: IBDEI004

IBDEI004 ; ; 01-AUG-2022

 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022

 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^171^167

 ;;^UTILITY(U,$J,358.1,1,0)

 ;;=HEADER^1^^1^57^50^1^^^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)

 ;;=CPT CODES^1^^7^0^132^9^^^1^FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED^UBRC^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,4,0)

 ;;=ECOE ICD-10^1^^17^0^132^129^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^UTILITY(U,$J,358.1,5,0)

 ;;=HEADER^2^^1^49^26^1^^^2

 ;;^UTILITY(U,$J,358.1,6,0)

 ;;=PATIENT INFORMATION^2^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,7,0)

 ;;=PREVENTIVE HEALTH ICD-10^2^^41^0^132^204^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,8,0)

 ;;=PROCEDURES (V2.1)^2^^7^0^133^33^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,9,0)

 ;;=CPT CODES^3^^17^0^132^23^^^1^PLEASE MARK PROCEDURES PERFORMED THIS VISIT^CR^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,10,0)

 ;;=HEADER^3^^1^49^23^1^^^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)

 ;;=1995 VISIT TYPE CODES (V2.1)^3^^7^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,13,0)

 ;;=SLEEP MEDICINE ICD-10^3^^41^0^132^124^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,14,0)

 ;;=CPT PROCEDURE^4^^21^0^133^159^^^1^MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY^CRUB^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,15,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^4^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,16,0)

 ;;=HEADER^4^^1^44^39^1^^^2

 ;;^UTILITY(U,$J,358.1,17,0)

 ;;=PATIENT INFORMATION^4^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,18,0)

 ;;=ICD-10 DIAGNOSES (V1.0)^4^^181^0^132^494^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,19,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^5^^7^0^132^8^^^1^^CRU^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,20,0)

 ;;=HEADER^5^^2^55^18^1^^^2

 ;;^UTILITY(U,$J,358.1,21,0)

 ;;=PATIENT INFORMATION^5^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,22,0)

 ;;=CPT CODES^5^^16^0^132^69^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,23,0)

 ;;=NEUROLOGY ICD-10^5^^86^0^132^414^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,24,0)

 ;;=HEADER^6^^1^47^42^1^^^2

 ;;^UTILITY(U,$J,358.1,25,0)

 ;;=PATIENT INFORMATION^6^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,26,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^6^^7^0^132^5^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,27,0)

 ;;=PROCEDURES (V2.1)^6^^13^0^133^12^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,28,0)

 ;;=ADHC ICD-10^6^^26^0^132^284^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,29,0)

 ;;=HEADER^7^^1^56^20^1^^^2

 ;;^UTILITY(U,$J,358.1,30,0)

 ;;=PATIENT INFORMATION^7^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,31,0)

 ;;=CPT CODES^7^^7^0^132^23^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BC^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,32,0)

 ;;=BLIND REHAB ICD-10^7^^31^0^132^174^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,33,0)

 ;;=HEADER^8^^1^49^19^1^^^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)

 ;;=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,358.1,36,0)

 ;;=CARDIOLOGY/CARDIAC CATH ICD-10^8^^511^0^132^509^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,37,0)

 ;;=CARDIOLOGY PROCEDURES^8^^17^0^132^493^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^CR^EPS PROCEDURES^0

 ;;^UTILITY(U,$J,358.1,38,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^9^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,39,0)

 ;;=HEADER^9^^1^56^21^1^^^2

 ;;^UTILITY(U,$J,358.1,40,0)

 ;;=PATIENT INFORMATION^9^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,41,0)

 ;;=PROCEDURES (V2.1)^9^^15^0^133^30^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,42,0)

 ;;=CHIROPRACTIC ICD-10^9^^46^0^132^259^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,43,0)

 ;;=HEADER^10^^1^57^28^1^^^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^^7^0^133^23^^^1^MANAGEMENT OF MEDICATION THERAPY^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,46,0)

 ;;=CLINICAL PHARMACIST ICD-10^10^^31^0^132^179^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,47,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^11^^5^0^132^20^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^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)

 ;;=HEADER^11^^1^49^17^1^^^2

 ;;^UTILITY(U,$J,358.1,50,0)

 ;;=CPT CODES (3 COL)^11^^26^0^132^24^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,51,0)

 ;;=DIABETES ICD-10^11^^51^0^132^354^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,52,0)

 ;;=PROCEDURES (V2.1)^12^^21^0^133^124^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,53,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^12^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,54,0)

 ;;=HEADER^12^^1^56^29^1^^^2

 ;;^UTILITY(U,$J,358.1,55,0)

 ;;=PATIENT INFORMATION^12^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,56,0)

 ;;=EMERGENCY DEPT ICD-10^12^^146^0^132^829^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,57,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^13^^6^0^132^9^^^1^^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,58,0)

 ;;=HEADER^13^^1^54^22^1^^^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)

 ;;=ENDOCRINE ICD-10^13^^47^0^132^263^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,61,0)

 ;;=CPT CODES^13^^16^0^132^30^^^1^MARK PROCEDURE(S) PERFORMED THIS VISIT^RC^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,62,0)

 ;;=HEADER^14^^1^54^23^1^^^2

 ;;^UTILITY(U,$J,358.1,63,0)

 ;;=PATIENT INFORMATION^14^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,64,0)

 ;;=PROCEDURES (V2.1)^14^^7^0^133^43^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,65,0)

 ;;=EYE/TELERETINAL ICD-10^14^^51^0^132^759^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,66,0)

 ;;=HEADER^15^^1^60^12^1^^^2

 ;;^UTILITY(U,$J,358.1,67,0)

 ;;=PATIENT INFORMATION^15^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,68,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^15^^6^0^132^34^^^1^^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,69,0)

 ;;=PROCEDURES (V2.1)^15^^41^0^133^219^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,70,0)

 ;;=EYE/TELERETINAL ICD-10^15^^261^0^132^759^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^UTILITY(U,$J,358.1,71,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^16^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,72,0)

 ;;=HEADER^16^^1^54^22^1^^^2

 ;;^UTILITY(U,$J,358.1,73,0)

 ;;=PATIENT INFORMATION^16^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,74,0)

 ;;=ICD-10 DIAGNOSES (V1.0)^16^^106^0^132^709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,75,0)

 ;;=CPT CODES (3 COL)^16^^15^0^132^90^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,76,0)

 ;;=HEADER^17^^1^58^23^1^^^2

 ;;^UTILITY(U,$J,358.1,77,0)

 ;;=PATIENT INFORMATION^17^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,78,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^17^^6^0^132^14^^^1^TYPE OF HOME VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,79,0)

 ;;=PRIMARY CARE ICD-10^17^^101^0^132^2754^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,80,0)

 ;;=PROCEDURES (V2.1)^17^^21^0^133^79^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,81,0)

 ;;=PATIENT INFORMATION^18^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,82,0)

 ;;=PROCEDURE CODES^18^^7^0^132^48^^^1^PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT^CU^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,83,0)

 ;;=HEADER^18^^1^56^21^1^^^2

 ;;^UTILITY(U,$J,358.1,84,0)

 ;;=NURSING ICD-10^18^^56^0^132^644^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^UTILITY(U,$J,358.1,85,0)

 ;;=PROCEDURES (V2.1)^19^^6^0^133^34^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,86,0)

 ;;=HEADER^19^^1^49^29^1^^^2

 ;;^UTILITY(U,$J,358.1,87,0)

 ;;=PATIENT INFORMATION^19^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,88,0)

 ;;=REHAB ICD-10 CODES^19^^41^0^132^1419^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,89,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^20^^6^0^132^29^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,90,0)

 ;;=HEADER^20^^1^57^18^1^^^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)

 ;;=PROCEDURES (V2.1)^20^^36^0^133^24^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,93,0)

 ;;=INPATIENT ICD-10^20^^61^0^132^1189^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,94,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^21^^6^0^132^19^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,95,0)

 ;;=HEADER^21^^1^56^17^1^^^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)

 ;;=PROCEDURES (V2.1)^21^^26^0^133^94^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,98,0)

 ;;=PRIMARY CARE ICD-10^21^^121^0^132^2754^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,99,0)

 ;;=HEADER^22^^1^46^24^1^^^2

 ;;^UTILITY(U,$J,358.1,100,0)

 ;;=PATIENT INFORMATION^22^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,101,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^22^^7^0^132^6^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,102,0)

 ;;=PROCEDURES (V2.1)^22^^14^0^133^126^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,103,0)

 ;;=NURSING ICD-10^22^^141^0^132^644^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,104,0)

 ;;=WOMEN'S CLINIC PROCEDURES^23^^19^0^132^76^^^1^PROCEDURES^CR^WOMEN'S CLINIC PROCEDURES^0

 ;;^UTILITY(U,$J,358.1,105,0)

 ;;=PATIENT INFORMATION^23^^3^1^132^3^^^2^^^Patient information-name/ssn/age^0

 ;;^UTILITY(U,$J,358.1,106,0)

 ;;=HEADER^23^^1^49^30^1^^^2

 ;;^UTILITY(U,$J,358.1,107,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^23^^7^0^132^11^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,108,0)

 ;;=ICD-10 DIAGNOSES (V1.0)^23^^96^0^132^1149^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^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)

 ;;=PROCEDURES (V2.1)^24^^21^0^133^84^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,111,0)

 ;;=HEADER^24^^1^58^34^1^^^2

 ;;^UTILITY(U,$J,358.1,112,0)

 ;;=PATIENT INFORMATION^24^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,113,0)

 ;;=ICD-10 DIAGNOSES (V1.0)^24^^106^0^132^894^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,114,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^25^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,115,0)

 ;;=HEADER^25^^1^58^24^1^^^2

 ;;^UTILITY(U,$J,358.1,116,0)

 ;;=PATIENT INFORMATION^25^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,117,0)

 ;;=PROCEDURES (V2.1)^25^^16^0^133^59^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,118,0)

 ;;=ICD-10 DIAGNOSES (V1.0)^25^^81^0^132^894^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^UTILITY(U,$J,358.1,119,0)

 ;;=HEADER^26^^1^56^21^1^^^2

 ;;^UTILITY(U,$J,358.1,120,0)

 ;;=PATIENT INFORMATION^26^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,121,0)

 ;;=PROCEDURES (V2.1)^26^^27^0^133^133^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,122,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^26^^6^0^132^20^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,123,0)

 ;;=PRIMARY CARE ICD-10^26^^161^0^132^2754^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^UTILITY(U,$J,358.1,124,0)

 ;;=CPT CODES^27^^16^0^132^63^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BC^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,125,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^27^^5^0^132^10^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,126,0)

 ;;=HEADER^27^^1^57^18^1^^^2

 ;;^UTILITY(U,$J,358.1,127,0)

 ;;=PATIENT INFORMATION^27^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,128,0)

 ;;=RESPIRATORY THERAPY ICD-10^27^^81^0^132^949^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,129,0)

 ;;=HEADER^28^^1^52^27^1^^^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^^26^0^133^74^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0

 ;;^UTILITY(U,$J,358.1,132,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^28^^6^0^132^19^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,133,0)

 ;;=SCI ICD-10^28^^101^0^132^369^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,134,0)

 ;;=HEADER^29^^1^59^26^1^^^2

 ;;^UTILITY(U,$J,358.1,135,0)

 ;;=PATIENT INFORMATION^29^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^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)

 ;;=TELEPHONE ICD-10^29^^21^0^132^109^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^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)

 ;;=HEADER^30^^1^49^17^1^^^2

 ;;^UTILITY(U,$J,358.1,140,0)

 ;;=CPT CODES (3 COL)^30^^7^0^132^8^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,141,0)

 ;;=EYE/TELERETINAL ICD-10^30^^16^0^132^759^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^UTILITY(U,$J,358.1,142,0)

 ;;=1995 VISIT TYPE CODES (V2.1)^31^^6^0^132^14^^^1^^CR^1995 visit types WITH CODES SHOWN^0

 ;;^UTILITY(U,$J,358.1,143,0)

 ;;=HEADER^31^^1^54^19^1^^^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)

 ;;=ANESTHESIA ICD-10^31^^206^0^132^406^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,146,0)

 ;;=CPT CODES^31^^21^0^132^184^^^1^MARK PROCEDURE(S) PERFORMED THIS VISIT^RC^Selection list - CPT codes^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^^41^0^132^364^^^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^^36^0^132^364^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^UTILITY(U,$J,358.1,157,0)

 ;;=HEADER^34^^1^54^35^1^^^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)

 ;;=COVID-19 ICD CODES^34^^7^0^132^48^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 ;;^UTILITY(U,$J,358.1,160,0)

 ;;=HEADER^35^^1^49^45^1^^^2

 ;;^UTILITY(U,$J,358.1,161,0)

 ;;=PATIENT INFORMATION^35^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 ;;^UTILITY(U,$J,358.1,162,0)

 ;;=CPT CODES^35^^7^0^132^48^^^1^MARK PROCEDURE(S) PERFORMED THIS VISIT^RC^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,163,0)

 ;;=COVID-19 ICD CODES^35^^56^0^132^48^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 ;;^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)

 ;;=HEADER^37^^1^49^26^1^^^2

 ;;^UTILITY(U,$J,358.1,170,0)

 ;;=CPT CODES (3 COL)^37^^7^0^132^13^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 ;;^UTILITY(U,$J,358.1,171,0)

 ;;=DIABETES ICD-10^37^^21^0^132^19^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI004   18462     printed  Feb 18, 2025@23:05:22                                                                                                                                                                                                   Page 2

IBDEI004  ; ; 01-AUG-2022

 +1       ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022

 +2        if 'DIFQR(358.1)

               QUIT

           FOR I=1:2

               SET X=$TEXT(Q+I)

               if X=""

                   QUIT

               SET Y=$EXTRACT($TEXT(Q+I+1),4,999)

               SET X=$EXTRACT(X,4,999)

               if $ASCII(Y)=126

                   SET I=I+1

                   SET Y=$EXTRACT(Y,2,999)_$EXTRACT($TEXT(Q+I+1),5,999)

               if $ASCII(Y)=61

                   SET Y=$EXTRACT(Y,2,999)

               XECUTE NO

              IF '$TEST

                   SET @X=Y

Q          QUIT

 +1       ;;^UTILITY(U,$J,358.1)

 +2       ;;=^IBE(358.1,

 +3       ;;^UTILITY(U,$J,358.1,0)

 +4       ;;=IMP/EXP ENCOUNTER FORM BLOCK^358.1I^171^167

 +5       ;;^UTILITY(U,$J,358.1,1,0)

 +6       ;;=HEADER^1^^1^57^50^1^^^2

 +7       ;;^UTILITY(U,$J,358.1,2,0)

 +8       ;;=PATIENT INFORMATION^1^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +9       ;;^UTILITY(U,$J,358.1,3,0)

 +10      ;;=CPT CODES^1^^7^0^132^9^^^1^FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED^UBRC^Selection list - CPT codes^0

 +11      ;;^UTILITY(U,$J,358.1,4,0)

 +12      ;;=ECOE ICD-10^1^^17^0^132^129^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +13      ;;^UTILITY(U,$J,358.1,5,0)

 +14      ;;=HEADER^2^^1^49^26^1^^^2

 +15      ;;^UTILITY(U,$J,358.1,6,0)

 +16      ;;=PATIENT INFORMATION^2^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +17      ;;^UTILITY(U,$J,358.1,7,0)

 +18      ;;=PREVENTIVE HEALTH ICD-10^2^^41^0^132^204^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +19      ;;^UTILITY(U,$J,358.1,8,0)

 +20      ;;=PROCEDURES (V2.1)^2^^7^0^133^33^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0

 +21      ;;^UTILITY(U,$J,358.1,9,0)

 +22      ;;=CPT CODES^3^^17^0^132^23^^^1^PLEASE MARK PROCEDURES PERFORMED THIS VISIT^CR^Selection list - CPT codes^0

 +23      ;;^UTILITY(U,$J,358.1,10,0)

 +24      ;;=HEADER^3^^1^49^23^1^^^2

 +25      ;;^UTILITY(U,$J,358.1,11,0)

 +26      ;;=PATIENT INFORMATION^3^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +27      ;;^UTILITY(U,$J,358.1,12,0)

 +28      ;;=1995 VISIT TYPE CODES (V2.1)^3^^7^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +29      ;;^UTILITY(U,$J,358.1,13,0)

 +30      ;;=SLEEP MEDICINE ICD-10^3^^41^0^132^124^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +31      ;;^UTILITY(U,$J,358.1,14,0)

 +32      ;;=CPT PROCEDURE^4^^21^0^133^159^^^1^MARK BUBBLE FOR ALL PROCEDURES PERFORMED TODAY^CRUB^Common CPT-4 procedures^0

 +33      ;;^UTILITY(U,$J,358.1,15,0)

 +34      ;;=1995 VISIT TYPE CODES (V2.1)^4^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +35      ;;^UTILITY(U,$J,358.1,16,0)

 +36      ;;=HEADER^4^^1^44^39^1^^^2

 +37      ;;^UTILITY(U,$J,358.1,17,0)

 +38      ;;=PATIENT INFORMATION^4^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +39      ;;^UTILITY(U,$J,358.1,18,0)

 +40      ;;=ICD-10 DIAGNOSES (V1.0)^4^^181^0^132^494^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +41      ;;^UTILITY(U,$J,358.1,19,0)

 +42      ;;=1995 VISIT TYPE CODES (V2.1)^5^^7^0^132^8^^^1^^CRU^1995 visit types WITH CODES SHOWN^0

 +43      ;;^UTILITY(U,$J,358.1,20,0)

 +44      ;;=HEADER^5^^2^55^18^1^^^2

 +45      ;;^UTILITY(U,$J,358.1,21,0)

 +46      ;;=PATIENT INFORMATION^5^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 +47      ;;^UTILITY(U,$J,358.1,22,0)

 +48      ;;=CPT CODES^5^^16^0^132^69^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 +49      ;;^UTILITY(U,$J,358.1,23,0)

 +50      ;;=NEUROLOGY ICD-10^5^^86^0^132^414^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +51      ;;^UTILITY(U,$J,358.1,24,0)

 +52      ;;=HEADER^6^^1^47^42^1^^^2

 +53      ;;^UTILITY(U,$J,358.1,25,0)

 +54      ;;=PATIENT INFORMATION^6^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 +55      ;;^UTILITY(U,$J,358.1,26,0)

 +56      ;;=1995 VISIT TYPE CODES (V2.1)^6^^7^0^132^5^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +57      ;;^UTILITY(U,$J,358.1,27,0)

 +58      ;;=PROCEDURES (V2.1)^6^^13^0^133^12^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +59      ;;^UTILITY(U,$J,358.1,28,0)

 +60      ;;=ADHC ICD-10^6^^26^0^132^284^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +61      ;;^UTILITY(U,$J,358.1,29,0)

 +62      ;;=HEADER^7^^1^56^20^1^^^2

 +63      ;;^UTILITY(U,$J,358.1,30,0)

 +64      ;;=PATIENT INFORMATION^7^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +65      ;;^UTILITY(U,$J,358.1,31,0)

 +66      ;;=CPT CODES^7^^7^0^132^23^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BC^Selection list - CPT codes^0

 +67      ;;^UTILITY(U,$J,358.1,32,0)

 +68      ;;=BLIND REHAB ICD-10^7^^31^0^132^174^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +69      ;;^UTILITY(U,$J,358.1,33,0)

 +70      ;;=HEADER^8^^1^49^19^1^^^2

 +71      ;;^UTILITY(U,$J,358.1,34,0)

 +72      ;;=PATIENT INFORMATION^8^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +73      ;;^UTILITY(U,$J,358.1,35,0)

 +74      ;;=1995 VISIT TYPE CODES (V2.1)^8^^7^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +75      ;;^UTILITY(U,$J,358.1,36,0)

 +76      ;;=CARDIOLOGY/CARDIAC CATH ICD-10^8^^511^0^132^509^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +77      ;;^UTILITY(U,$J,358.1,37,0)

 +78      ;;=CARDIOLOGY PROCEDURES^8^^17^0^132^493^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^CR^EPS PROCEDURES^0

 +79      ;;^UTILITY(U,$J,358.1,38,0)

 +80      ;;=1995 VISIT TYPE CODES (V2.1)^9^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +81      ;;^UTILITY(U,$J,358.1,39,0)

 +82      ;;=HEADER^9^^1^56^21^1^^^2

 +83      ;;^UTILITY(U,$J,358.1,40,0)

 +84      ;;=PATIENT INFORMATION^9^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +85      ;;^UTILITY(U,$J,358.1,41,0)

 +86      ;;=PROCEDURES (V2.1)^9^^15^0^133^30^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +87      ;;^UTILITY(U,$J,358.1,42,0)

 +88      ;;=CHIROPRACTIC ICD-10^9^^46^0^132^259^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +89      ;;^UTILITY(U,$J,358.1,43,0)

 +90      ;;=HEADER^10^^1^57^28^1^^^2

 +91      ;;^UTILITY(U,$J,358.1,44,0)

 +92      ;;=PATIENT INFORMATION^10^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +93      ;;^UTILITY(U,$J,358.1,45,0)

 +94      ;;=PROCEDURES (V2.1)^10^^7^0^133^23^^^1^MANAGEMENT OF MEDICATION THERAPY^CR^Common CPT-4 procedures^0

 +95      ;;^UTILITY(U,$J,358.1,46,0)

 +96      ;;=CLINICAL PHARMACIST ICD-10^10^^31^0^132^179^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +97      ;;^UTILITY(U,$J,358.1,47,0)

 +98      ;;=1995 VISIT TYPE CODES (V2.1)^11^^5^0^132^20^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +99      ;;^UTILITY(U,$J,358.1,48,0)

 +100     ;;=PATIENT INFORMATION^11^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +101     ;;^UTILITY(U,$J,358.1,49,0)

 +102     ;;=HEADER^11^^1^49^17^1^^^2

 +103     ;;^UTILITY(U,$J,358.1,50,0)

 +104     ;;=CPT CODES (3 COL)^11^^26^0^132^24^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 +105     ;;^UTILITY(U,$J,358.1,51,0)

 +106     ;;=DIABETES ICD-10^11^^51^0^132^354^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +107     ;;^UTILITY(U,$J,358.1,52,0)

 +108     ;;=PROCEDURES (V2.1)^12^^21^0^133^124^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +109     ;;^UTILITY(U,$J,358.1,53,0)

 +110     ;;=1995 VISIT TYPE CODES (V2.1)^12^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +111     ;;^UTILITY(U,$J,358.1,54,0)

 +112     ;;=HEADER^12^^1^56^29^1^^^2

 +113     ;;^UTILITY(U,$J,358.1,55,0)

 +114     ;;=PATIENT INFORMATION^12^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +115     ;;^UTILITY(U,$J,358.1,56,0)

 +116     ;;=EMERGENCY DEPT ICD-10^12^^146^0^132^829^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +117     ;;^UTILITY(U,$J,358.1,57,0)

 +118     ;;=1995 VISIT TYPE CODES (V2.1)^13^^6^0^132^9^^^1^^CR^1995 visit types WITH CODES SHOWN^0

 +119     ;;^UTILITY(U,$J,358.1,58,0)

 +120     ;;=HEADER^13^^1^54^22^1^^^2

 +121     ;;^UTILITY(U,$J,358.1,59,0)

 +122     ;;=PATIENT INFORMATION^13^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +123     ;;^UTILITY(U,$J,358.1,60,0)

 +124     ;;=ENDOCRINE ICD-10^13^^47^0^132^263^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +125     ;;^UTILITY(U,$J,358.1,61,0)

 +126     ;;=CPT CODES^13^^16^0^132^30^^^1^MARK PROCEDURE(S) PERFORMED THIS VISIT^RC^Selection list - CPT codes^0

 +127     ;;^UTILITY(U,$J,358.1,62,0)

 +128     ;;=HEADER^14^^1^54^23^1^^^2

 +129     ;;^UTILITY(U,$J,358.1,63,0)

 +130     ;;=PATIENT INFORMATION^14^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +131     ;;^UTILITY(U,$J,358.1,64,0)

 +132     ;;=PROCEDURES (V2.1)^14^^7^0^133^43^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +133     ;;^UTILITY(U,$J,358.1,65,0)

 +134     ;;=EYE/TELERETINAL ICD-10^14^^51^0^132^759^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +135     ;;^UTILITY(U,$J,358.1,66,0)

 +136     ;;=HEADER^15^^1^60^12^1^^^2

 +137     ;;^UTILITY(U,$J,358.1,67,0)

 +138     ;;=PATIENT INFORMATION^15^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +139     ;;^UTILITY(U,$J,358.1,68,0)

 +140     ;;=1995 VISIT TYPE CODES (V2.1)^15^^6^0^132^34^^^1^^CR^1995 visit types WITH CODES SHOWN^0

 +141     ;;^UTILITY(U,$J,358.1,69,0)

 +142     ;;=PROCEDURES (V2.1)^15^^41^0^133^219^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +143     ;;^UTILITY(U,$J,358.1,70,0)

 +144     ;;=EYE/TELERETINAL ICD-10^15^^261^0^132^759^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +145     ;;^UTILITY(U,$J,358.1,71,0)

 +146     ;;=1995 VISIT TYPE CODES (V2.1)^16^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +147     ;;^UTILITY(U,$J,358.1,72,0)

 +148     ;;=HEADER^16^^1^54^22^1^^^2

 +149     ;;^UTILITY(U,$J,358.1,73,0)

 +150     ;;=PATIENT INFORMATION^16^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +151     ;;^UTILITY(U,$J,358.1,74,0)

 +152     ;;=ICD-10 DIAGNOSES (V1.0)^16^^106^0^132^709^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +153     ;;^UTILITY(U,$J,358.1,75,0)

 +154     ;;=CPT CODES (3 COL)^16^^15^0^132^90^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 +155     ;;^UTILITY(U,$J,358.1,76,0)

 +156     ;;=HEADER^17^^1^58^23^1^^^2

 +157     ;;^UTILITY(U,$J,358.1,77,0)

 +158     ;;=PATIENT INFORMATION^17^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +159     ;;^UTILITY(U,$J,358.1,78,0)

 +160     ;;=1995 VISIT TYPE CODES (V2.1)^17^^6^0^132^14^^^1^TYPE OF HOME VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +161     ;;^UTILITY(U,$J,358.1,79,0)

 +162     ;;=PRIMARY CARE ICD-10^17^^101^0^132^2754^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +163     ;;^UTILITY(U,$J,358.1,80,0)

 +164     ;;=PROCEDURES (V2.1)^17^^21^0^133^79^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +165     ;;^UTILITY(U,$J,358.1,81,0)

 +166     ;;=PATIENT INFORMATION^18^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 +167     ;;^UTILITY(U,$J,358.1,82,0)

 +168     ;;=PROCEDURE CODES^18^^7^0^132^48^^^1^PLEASE CHECK OFF PROCEDURE CODES PERFORMED AT THIS VISIT^CU^Selection list - CPT codes^0

 +169     ;;^UTILITY(U,$J,358.1,83,0)

 +170     ;;=HEADER^18^^1^56^21^1^^^2

 +171     ;;^UTILITY(U,$J,358.1,84,0)

 +172     ;;=NURSING ICD-10^18^^56^0^132^644^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +173     ;;^UTILITY(U,$J,358.1,85,0)

 +174     ;;=PROCEDURES (V2.1)^19^^6^0^133^34^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +175     ;;^UTILITY(U,$J,358.1,86,0)

 +176     ;;=HEADER^19^^1^49^29^1^^^2

 +177     ;;^UTILITY(U,$J,358.1,87,0)

 +178     ;;=PATIENT INFORMATION^19^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +179     ;;^UTILITY(U,$J,358.1,88,0)

 +180     ;;=REHAB ICD-10 CODES^19^^41^0^132^1419^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +181     ;;^UTILITY(U,$J,358.1,89,0)

 +182     ;;=1995 VISIT TYPE CODES (V2.1)^20^^6^0^132^29^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +183     ;;^UTILITY(U,$J,358.1,90,0)

 +184     ;;=HEADER^20^^1^57^18^1^^^2

 +185     ;;^UTILITY(U,$J,358.1,91,0)

 +186     ;;=PATIENT INFORMATION^20^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +187     ;;^UTILITY(U,$J,358.1,92,0)

 +188     ;;=PROCEDURES (V2.1)^20^^36^0^133^24^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +189     ;;^UTILITY(U,$J,358.1,93,0)

 +190     ;;=INPATIENT ICD-10^20^^61^0^132^1189^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +191     ;;^UTILITY(U,$J,358.1,94,0)

 +192     ;;=1995 VISIT TYPE CODES (V2.1)^21^^6^0^132^19^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +193     ;;^UTILITY(U,$J,358.1,95,0)

 +194     ;;=HEADER^21^^1^56^17^1^^^2

 +195     ;;^UTILITY(U,$J,358.1,96,0)

 +196     ;;=PATIENT INFORMATION^21^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +197     ;;^UTILITY(U,$J,358.1,97,0)

 +198     ;;=PROCEDURES (V2.1)^21^^26^0^133^94^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +199     ;;^UTILITY(U,$J,358.1,98,0)

 +200     ;;=PRIMARY CARE ICD-10^21^^121^0^132^2754^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +201     ;;^UTILITY(U,$J,358.1,99,0)

 +202     ;;=HEADER^22^^1^46^24^1^^^2

 +203     ;;^UTILITY(U,$J,358.1,100,0)

 +204     ;;=PATIENT INFORMATION^22^^4^0^132^3^^^2^^^Patient information-name/ssn/age

 +205     ;;^UTILITY(U,$J,358.1,101,0)

 +206     ;;=1995 VISIT TYPE CODES (V2.1)^22^^7^0^132^6^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +207     ;;^UTILITY(U,$J,358.1,102,0)

 +208     ;;=PROCEDURES (V2.1)^22^^14^0^133^126^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +209     ;;^UTILITY(U,$J,358.1,103,0)

 +210     ;;=NURSING ICD-10^22^^141^0^132^644^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +211     ;;^UTILITY(U,$J,358.1,104,0)

 +212     ;;=WOMEN'S CLINIC PROCEDURES^23^^19^0^132^76^^^1^PROCEDURES^CR^WOMEN'S CLINIC PROCEDURES^0

 +213     ;;^UTILITY(U,$J,358.1,105,0)

 +214     ;;=PATIENT INFORMATION^23^^3^1^132^3^^^2^^^Patient information-name/ssn/age^0

 +215     ;;^UTILITY(U,$J,358.1,106,0)

 +216     ;;=HEADER^23^^1^49^30^1^^^2

 +217     ;;^UTILITY(U,$J,358.1,107,0)

 +218     ;;=1995 VISIT TYPE CODES (V2.1)^23^^7^0^132^11^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +219     ;;^UTILITY(U,$J,358.1,108,0)

 +220     ;;=ICD-10 DIAGNOSES (V1.0)^23^^96^0^132^1149^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +221     ;;^UTILITY(U,$J,358.1,109,0)

 +222     ;;=1995 VISIT TYPE CODES (V2.1)^24^^6^0^132^14^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +223     ;;^UTILITY(U,$J,358.1,110,0)

 +224     ;;=PROCEDURES (V2.1)^24^^21^0^133^84^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +225     ;;^UTILITY(U,$J,358.1,111,0)

 +226     ;;=HEADER^24^^1^58^34^1^^^2

 +227     ;;^UTILITY(U,$J,358.1,112,0)

 +228     ;;=PATIENT INFORMATION^24^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +229     ;;^UTILITY(U,$J,358.1,113,0)

 +230     ;;=ICD-10 DIAGNOSES (V1.0)^24^^106^0^132^894^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +231     ;;^UTILITY(U,$J,358.1,114,0)

 +232     ;;=1995 VISIT TYPE CODES (V2.1)^25^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +233     ;;^UTILITY(U,$J,358.1,115,0)

 +234     ;;=HEADER^25^^1^58^24^1^^^2

 +235     ;;^UTILITY(U,$J,358.1,116,0)

 +236     ;;=PATIENT INFORMATION^25^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +237     ;;^UTILITY(U,$J,358.1,117,0)

 +238     ;;=PROCEDURES (V2.1)^25^^16^0^133^59^^^1^PROCEDURES^CR^Common CPT-4 procedures^0

 +239     ;;^UTILITY(U,$J,358.1,118,0)

 +240     ;;=ICD-10 DIAGNOSES (V1.0)^25^^81^0^132^894^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +241     ;;^UTILITY(U,$J,358.1,119,0)

 +242     ;;=HEADER^26^^1^56^21^1^^^2

 +243     ;;^UTILITY(U,$J,358.1,120,0)

 +244     ;;=PATIENT INFORMATION^26^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +245     ;;^UTILITY(U,$J,358.1,121,0)

 +246     ;;=PROCEDURES (V2.1)^26^^27^0^133^133^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0

 +247     ;;^UTILITY(U,$J,358.1,122,0)

 +248     ;;=1995 VISIT TYPE CODES (V2.1)^26^^6^0^132^20^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +249     ;;^UTILITY(U,$J,358.1,123,0)

 +250     ;;=PRIMARY CARE ICD-10^26^^161^0^132^2754^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +251     ;;^UTILITY(U,$J,358.1,124,0)

 +252     ;;=CPT CODES^27^^16^0^132^63^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BC^Selection list - CPT codes^0

 +253     ;;^UTILITY(U,$J,358.1,125,0)

 +254     ;;=1995 VISIT TYPE CODES (V2.1)^27^^5^0^132^10^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +255     ;;^UTILITY(U,$J,358.1,126,0)

 +256     ;;=HEADER^27^^1^57^18^1^^^2

 +257     ;;^UTILITY(U,$J,358.1,127,0)

 +258     ;;=PATIENT INFORMATION^27^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +259     ;;^UTILITY(U,$J,358.1,128,0)

 +260     ;;=RESPIRATORY THERAPY ICD-10^27^^81^0^132^949^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +261     ;;^UTILITY(U,$J,358.1,129,0)

 +262     ;;=HEADER^28^^1^52^27^1^^^2

 +263     ;;^UTILITY(U,$J,358.1,130,0)

 +264     ;;=PATIENT INFORMATION^28^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +265     ;;^UTILITY(U,$J,358.1,131,0)

 +266     ;;=PROCEDURES (V2.1)^28^^26^0^133^74^^^1^MARK ALL PROCEDURES PERFORMED^CR^Common CPT-4 procedures^0

 +267     ;;^UTILITY(U,$J,358.1,132,0)

 +268     ;;=1995 VISIT TYPE CODES (V2.1)^28^^6^0^132^19^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +269     ;;^UTILITY(U,$J,358.1,133,0)

 +270     ;;=SCI ICD-10^28^^101^0^132^369^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +271     ;;^UTILITY(U,$J,358.1,134,0)

 +272     ;;=HEADER^29^^1^59^26^1^^^2

 +273     ;;^UTILITY(U,$J,358.1,135,0)

 +274     ;;=PATIENT INFORMATION^29^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +275     ;;^UTILITY(U,$J,358.1,136,0)

 +276     ;;=CPT CODES^29^^7^0^132^13^^^1^FILL IN BUBBLE FOR TELEPHONE CALL PERFORMED^UBRC^Selection list - CPT codes^0

 +277     ;;^UTILITY(U,$J,358.1,137,0)

 +278     ;;=TELEPHONE ICD-10^29^^21^0^132^109^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +279     ;;^UTILITY(U,$J,358.1,138,0)

 +280     ;;=PATIENT INFORMATION^30^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +281     ;;^UTILITY(U,$J,358.1,139,0)

 +282     ;;=HEADER^30^^1^49^17^1^^^2

 +283     ;;^UTILITY(U,$J,358.1,140,0)

 +284     ;;=CPT CODES (3 COL)^30^^7^0^132^8^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 +285     ;;^UTILITY(U,$J,358.1,141,0)

 +286     ;;=EYE/TELERETINAL ICD-10^30^^16^0^132^759^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +287     ;;^UTILITY(U,$J,358.1,142,0)

 +288     ;;=1995 VISIT TYPE CODES (V2.1)^31^^6^0^132^14^^^1^^CR^1995 visit types WITH CODES SHOWN^0

 +289     ;;^UTILITY(U,$J,358.1,143,0)

 +290     ;;=HEADER^31^^1^54^19^1^^^2

 +291     ;;^UTILITY(U,$J,358.1,144,0)

 +292     ;;=PATIENT INFORMATION^31^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +293     ;;^UTILITY(U,$J,358.1,145,0)

 +294     ;;=ANESTHESIA ICD-10^31^^206^0^132^406^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +295     ;;^UTILITY(U,$J,358.1,146,0)

 +296     ;;=CPT CODES^31^^21^0^132^184^^^1^MARK PROCEDURE(S) PERFORMED THIS VISIT^RC^Selection list - CPT codes^0

 +297     ;;^UTILITY(U,$J,358.1,147,0)

 +298     ;;=CPT CODES^32^^26^0^132^14^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^CU^Selection list - CPT codes^0

 +299     ;;^UTILITY(U,$J,358.1,148,0)

 +300     ;;=PATIENT INFORMATION^32^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +301     ;;^UTILITY(U,$J,358.1,149,0)

 +302     ;;=HEADER^32^^1^48^42^1^^^2

 +303     ;;^UTILITY(U,$J,358.1,150,0)

 +304     ;;=HOSPICE/PALLIATIVE CARE ICD-10^32^^41^0^132^364^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +305     ;;^UTILITY(U,$J,358.1,151,0)

 +306     ;;=1995 VISIT TYPE CODES (V2.1)^32^^6^0^132^19^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +307     ;;^UTILITY(U,$J,358.1,152,0)

 +308     ;;=CPT CODES^33^^16^0^132^19^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^CU^Selection list - CPT codes^0

 +309     ;;^UTILITY(U,$J,358.1,153,0)

 +310     ;;=PATIENT INFORMATION^33^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +311     ;;^UTILITY(U,$J,358.1,154,0)

 +312     ;;=1995 VISIT TYPE CODES (V2.1)^33^^6^0^132^9^^^1^TYPE OF VISIT^CR^1995 visit types WITH CODES SHOWN^0

 +313     ;;^UTILITY(U,$J,358.1,155,0)

 +314     ;;=HEADER^33^^1^48^43^1^^^2

 +315     ;;^UTILITY(U,$J,358.1,156,0)

 +316     ;;=HOSPICE/PALLIATIVE CARE ICD-10^33^^36^0^132^364^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +317     ;;^UTILITY(U,$J,358.1,157,0)

 +318     ;;=HEADER^34^^1^54^35^1^^^2

 +319     ;;^UTILITY(U,$J,358.1,158,0)

 +320     ;;=PATIENT INFORMATION^34^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +321     ;;^UTILITY(U,$J,358.1,159,0)

 +322     ;;=COVID-19 ICD CODES^34^^7^0^132^48^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

 +323     ;;^UTILITY(U,$J,358.1,160,0)

 +324     ;;=HEADER^35^^1^49^45^1^^^2

 +325     ;;^UTILITY(U,$J,358.1,161,0)

 +326     ;;=PATIENT INFORMATION^35^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +327     ;;^UTILITY(U,$J,358.1,162,0)

 +328     ;;=CPT CODES^35^^7^0^132^48^^^1^MARK PROCEDURE(S) PERFORMED THIS VISIT^RC^Selection list - CPT codes^0

 +329     ;;^UTILITY(U,$J,358.1,163,0)

 +330     ;;=COVID-19 ICD CODES^35^^56^0^132^48^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^

 +331     ;;^UTILITY(U,$J,358.1,168,0)

 +332     ;;=PATIENT INFORMATION^37^^3^0^132^3^^^2^^^Patient information-name/ssn/age

 +333     ;;^UTILITY(U,$J,358.1,169,0)

 +334     ;;=HEADER^37^^1^49^26^1^^^2

 +335     ;;^UTILITY(U,$J,358.1,170,0)

 +336     ;;=CPT CODES (3 COL)^37^^7^0^132^13^^^1^PLEASE CHECK OFF PROCEDURES PERFORMED THIS VISIT^BCU^Selection list - CPT codes^0

 +337     ;;^UTILITY(U,$J,358.1,171,0)

 +338     ;;=DIABETES ICD-10^37^^21^0^132^19^^^1^DIAGNOSIS^CR^Common ICD-10 diagnoses^0

IBDEI004.m