IBDEI006 ; ; 01-AUG-2022
;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
Q:'DIFQR(358.2) 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,$J,358.2)
;;=^IBE(358.2,
;;^UTILITY(U,$J,358.2,0)
;;=IMP/EXP SELECTION LIST^358.2I^97^95
;;^UTILITY(U,$J,358.2,1,0)
;;=CPT CODES^3^^^^^3^0^CU^^4^1^^0^^0
;;^UTILITY(U,$J,358.2,1,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,1,2,1,0)
;;=1^CODE^5^1^1^^0
;;^UTILITY(U,$J,358.2,1,2,2,0)
;;=2^PROCEDURE^40^1^2^^1
;;^UTILITY(U,$J,358.2,1,2,3,0)
;;=3^x^^2^^1
;;^UTILITY(U,$J,358.2,2,0)
;;=ICD-10 DIAGNOSES^4^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,2,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,2,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,2,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,2,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,2,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,2,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,2,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,2,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,3,0)
;;=ICD-10 DIAGNOSES^7^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,3,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,3,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,3,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,3,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,3,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,3,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,3,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,3,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,4,0)
;;=CPT CODES^8^^^^^1^0^CSU^^4^0^2^0^^0^2^2
;;^UTILITY(U,$J,358.2,4,1,0)
;;=^358.21I^3^3
;;^UTILITY(U,$J,358.2,4,1,1,0)
;;=1^3^2
;;^UTILITY(U,$J,358.2,4,1,2,0)
;;=3^^91
;;^UTILITY(U,$J,358.2,4,1,3,0)
;;=2^3^54
;;^UTILITY(U,$J,358.2,4,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,4,2,1,0)
;;=2^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,4,2,2,0)
;;=3^ ^50^1^2^^1
;;^UTILITY(U,$J,358.2,4,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,5,0)
;;=CPT CODES^9^^^^^3^0^CS^^4^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,5,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,5,2,1,0)
;;=1^CODE^5^1^1^^0
;;^UTILITY(U,$J,358.2,5,2,2,0)
;;=3^ ^50^1^2^^1
;;^UTILITY(U,$J,358.2,5,2,3,0)
;;=2^ ^^2^^1^^1
;;^UTILITY(U,$J,358.2,6,0)
;;=VISIT TYPE^12^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,6,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,6,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,6,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,6,2,1,0)
;;=1^ ^28^1^2^^1
;;^UTILITY(U,$J,358.2,6,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,6,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,7,0)
;;=ICD-10 DIAGNOSES^13^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,7,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,7,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,7,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,7,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,7,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,7,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,7,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,7,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,8,0)
;;=CPT CODES^14^^^^^1^0^UBSC^^4^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,8,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,8,1,1,0)
;;=1^2^2
;;^UTILITY(U,$J,358.2,8,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,8,2,1,0)
;;=1^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,8,2,2,0)
;;=3^ ^45^1^2^^1
;;^UTILITY(U,$J,358.2,8,2,3,0)
;;=2^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,9,0)
;;=VISIT TYPE^15^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,9,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,9,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,9,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,9,2,1,0)
;;=1^ ^30^1^2^^1
;;^UTILITY(U,$J,358.2,9,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,9,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,10,0)
;;=ICD-10 DIAGNOSES^18^^^^^4^0^SC^^6^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,10,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,10,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,10,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,10,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,10,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,10,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,11,0)
;;=VISIT TYPE^19^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,11,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,11,2,1,0)
;;=3^ ^22^1^4^^1
;;^UTILITY(U,$J,358.2,11,2,3,0)
;;=1^ ^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,11,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,12,0)
;;=CPT CODES^22^^^^^1^0^BC^^4^0^2^0^^0^3^2
;;^UTILITY(U,$J,358.2,12,1,0)
;;=^358.21I^2^2
;;^UTILITY(U,$J,358.2,12,1,1,0)
;;=1^3^1
;;^UTILITY(U,$J,358.2,12,1,2,0)
;;=2^3^64
;;^UTILITY(U,$J,358.2,12,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,12,2,1,0)
;;=1^ ^^2^^1^^1
;;^UTILITY(U,$J,358.2,12,2,2,0)
;;=2^ ^5^1^1^^1
;;^UTILITY(U,$J,358.2,12,2,3,0)
;;=3^ ^55^1^2^^1
;;^UTILITY(U,$J,358.2,13,0)
;;=ICD-10 DIAGNOSES^23^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,13,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,13,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,13,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,13,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,13,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,13,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,13,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,13,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,14,0)
;;=VISIT TYPE^26^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,14,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,14,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,14,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,14,2,1,0)
;;=1^ ^28^1^2^^1
;;^UTILITY(U,$J,358.2,14,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,14,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,15,0)
;;=CPT CODES^27^^^^^4^0^SC^^4^1^^0^^0^3^2
;;^UTILITY(U,$J,358.2,15,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,15,1,1,0)
;;=1^2^2
;;^UTILITY(U,$J,358.2,15,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,15,2,1,0)
;;=3^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,15,2,2,0)
;;=2^ ^40^1^2^^1
;;^UTILITY(U,$J,358.2,15,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,16,0)
;;=ICD-10 DIAGNOSES^28^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,16,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,16,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,16,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,16,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,16,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,16,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,16,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,16,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,17,0)
;;=CPT CODES^31^^^^^2^0^BC^^4^0^2^0^^0
;;^UTILITY(U,$J,358.2,17,1,0)
;;=^358.21I^2^2
;;^UTILITY(U,$J,358.2,17,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,17,1,2,0)
;;=2^2^64
;;^UTILITY(U,$J,358.2,17,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,17,2,1,0)
;;=1^ ^^2^^1^^1
;;^UTILITY(U,$J,358.2,17,2,2,0)
;;=2^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,17,2,3,0)
;;=3^ ^45^1^2^^1
;;^UTILITY(U,$J,358.2,18,0)
;;=ICD-10 DIAGNOSES^32^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,18,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,18,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,18,2,0)
;;=^358.22I^6^5
;;^UTILITY(U,$J,358.2,18,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,18,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,18,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,18,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,18,2,6,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,19,0)
;;=VISIT TYPE^35^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,19,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,19,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,19,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,19,2,1,0)
;;=1^ ^28^1^2^^1
;;^UTILITY(U,$J,358.2,19,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,19,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,20,0)
;;=ICD-10 DIAGNOSES^36^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,20,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,20,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,20,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,20,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,20,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,20,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,20,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,20,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,21,0)
;;=CPT CODES^37^^R^^^1^0^BSC^^4^0^2^0^^0^^2
;;^UTILITY(U,$J,358.2,21,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,21,2,1,0)
;;=1^x^5^2^1^1^0
;;^UTILITY(U,$J,358.2,21,2,2,0)
;;=2^CODE^5^1^1^^0
;;^UTILITY(U,$J,358.2,21,2,3,0)
;;=3^DESCRIPTION^60^1^2^2^1
;;^UTILITY(U,$J,358.2,22,0)
;;=VISIT TYPE^38^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,22,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,22,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,22,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,22,2,1,0)
;;=1^ ^28^1^2^^1
;;^UTILITY(U,$J,358.2,22,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,22,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,23,0)
;;=CPT CODES^41^^^^^1^0^SC^^4^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,23,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,23,1,1,0)
;;=1^2^2
;;^UTILITY(U,$J,358.2,23,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,23,2,1,0)
;;=3^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,23,2,2,0)
;;=2^ ^40^1^2^^1
;;^UTILITY(U,$J,358.2,23,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,24,0)
;;=ICD-10 DIAGNOSES^42^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,24,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,24,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,24,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,24,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,24,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,24,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,24,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,24,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,25,0)
;;=CPT CODES^45^^^^^1^0^SC^^4^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,25,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,25,1,1,0)
;;=1^2^2
;;^UTILITY(U,$J,358.2,25,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,25,2,1,0)
;;=3^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,25,2,2,0)
;;=2^ ^50^1^2^^1
;;^UTILITY(U,$J,358.2,25,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,26,0)
;;=ICD-10 DIAGNOSES^46^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,26,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,26,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,26,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,26,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,26,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,26,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,26,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,26,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,27,0)
;;=VISIT TYPE^47^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,27,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,27,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,27,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,27,2,1,0)
;;=1^ ^28^1^2^^1
;;^UTILITY(U,$J,358.2,27,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,27,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,28,0)
;;=CPT CODES^50^^^^^1^0^UBC^^4^0^2^0^^0^3^2
;;^UTILITY(U,$J,358.2,28,1,0)
;;=^358.21I^2^2
;;^UTILITY(U,$J,358.2,28,1,1,0)
;;=1^1^4
;;^UTILITY(U,$J,358.2,28,1,2,0)
;;=2^2^54
;;^UTILITY(U,$J,358.2,28,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,28,2,1,0)
;;=1^ ^^2^^1^^1
;;^UTILITY(U,$J,358.2,28,2,2,0)
;;=2^ ^5^1^1^^1
;;^UTILITY(U,$J,358.2,28,2,3,0)
;;=3^ ^45^1^2^^1
;;^UTILITY(U,$J,358.2,29,0)
;;=ICD-10 DIAGNOSES^51^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,29,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,29,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,29,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,29,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,29,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,29,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,29,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,29,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,30,0)
;;=CPT CODES^52^^^^^1^0^CSU^^4^0^2^0^^0^2^2
;;^UTILITY(U,$J,358.2,30,1,0)
;;=^358.21I^3^3
;;^UTILITY(U,$J,358.2,30,1,1,0)
;;=1^2^2
;;^UTILITY(U,$J,358.2,30,1,2,0)
;;=3^^91
;;^UTILITY(U,$J,358.2,30,1,3,0)
;;=2^3^64
;;^UTILITY(U,$J,358.2,30,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,30,2,1,0)
;;=2^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,30,2,2,0)
;;=3^ ^50^1^2^^1
;;^UTILITY(U,$J,358.2,30,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,31,0)
;;=VISIT TYPE^53^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,31,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,31,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,31,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,31,2,1,0)
;;=1^ ^45^1^2^^1
;;^UTILITY(U,$J,358.2,31,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,31,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,32,0)
;;=ICD-10 DIAGNOSES^56^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,32,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,32,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,32,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,32,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,32,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,32,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,32,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,32,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,33,0)
;;=VISIT TYPE^57^^^^^1^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,33,1,0)
;;=^358.21I^2^2
;;^UTILITY(U,$J,358.2,33,1,1,0)
;;=1
;;^UTILITY(U,$J,358.2,33,1,2,0)
;;=2
;;^UTILITY(U,$J,358.2,33,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,33,2,1,0)
;;=1^ ^28^1^2^^1
;;^UTILITY(U,$J,358.2,33,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,33,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,34,0)
;;=ICD-10 DIAGNOSES^60^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,34,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,34,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,34,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,34,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,34,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,34,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,34,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,34,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,35,0)
;;=CPT CODES^61^^^^^1^0^BSC^^4^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,35,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,35,2,1,0)
;;=4^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,35,2,2,0)
;;=2^ ^45^1^2^^1
;;^UTILITY(U,$J,358.2,35,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,36,0)
;;=CPT CODES^64^^^^^1^0^SC^^4^0^2^0^^0^3^3
;;^UTILITY(U,$J,358.2,36,1,0)
;;=^358.21I^3^2
;;^UTILITY(U,$J,358.2,36,1,1,0)
;;=1
;;^UTILITY(U,$J,358.2,36,1,3,0)
;;=2^3^59
;;^UTILITY(U,$J,358.2,36,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,36,2,1,0)
;;=3^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,36,2,2,0)
;;=2^ ^45^1^2^^1
;;^UTILITY(U,$J,358.2,36,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,37,0)
;;=ICD-10 DIAGNOSES^65^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,37,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,37,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,37,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,37,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,37,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,37,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,37,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,37,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,38,0)
;;=VISIT TYPE^68^^^^^1^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,38,1,0)
;;=^358.21I^2^2
;;^UTILITY(U,$J,358.2,38,1,1,0)
;;=1
;;^UTILITY(U,$J,358.2,38,1,2,0)
;;=2
;;^UTILITY(U,$J,358.2,38,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,38,2,1,0)
;;=1^ ^35^1^2^^1
;;^UTILITY(U,$J,358.2,38,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,38,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,39,0)
;;=CPT CODES^69^^^^^1^0^SC^^4^0^2^0^^0^3^3
;;^UTILITY(U,$J,358.2,39,1,0)
;;=^358.21I^3^2
;;^UTILITY(U,$J,358.2,39,1,1,0)
;;=1
;;^UTILITY(U,$J,358.2,39,1,3,0)
;;=2^3^64
;;^UTILITY(U,$J,358.2,39,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,39,2,1,0)
;;=3^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,39,2,2,0)
;;=2^ ^70^1^2^^1
;;^UTILITY(U,$J,358.2,39,2,3,0)
;;=1^ ^^2^^1^^1^^0
;;^UTILITY(U,$J,358.2,40,0)
;;=ICD-10 DIAGNOSES^70^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,40,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,40,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,40,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,40,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,40,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,40,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,40,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,40,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,41,0)
;;=VISIT TYPE^71^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,41,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,41,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,41,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,41,2,1,0)
;;=1^ ^28^1^2^^1
;;^UTILITY(U,$J,358.2,41,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,41,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,42,0)
;;=ICD-10 DIAGNOSES^74^^^^^4^0^SC^^6^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,42,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,42,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,42,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,42,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,42,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,42,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,43,0)
;;=CPT CODES^75^^^^^1^0^UBC^^4^0^2^0^^0^3^2
;;^UTILITY(U,$J,358.2,43,1,0)
;;=^358.21I^2^2
;;^UTILITY(U,$J,358.2,43,1,1,0)
;;=1^3
;;^UTILITY(U,$J,358.2,43,1,2,0)
;;=2^3^64
;;^UTILITY(U,$J,358.2,43,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,43,2,1,0)
;;=1^ ^^2^^1^^1
;;^UTILITY(U,$J,358.2,43,2,2,0)
;;=2^ ^5^1^1^^1
;;^UTILITY(U,$J,358.2,43,2,3,0)
;;=3^ ^50^1^2^^1
;;^UTILITY(U,$J,358.2,44,0)
;;=VISIT TYPE^78^^^^^2^0^C^^8^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,44,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,44,1,1,0)
;;=1^2
;;^UTILITY(U,$J,358.2,44,2,0)
;;=^358.22I^4^3
;;^UTILITY(U,$J,358.2,44,2,1,0)
;;=1^ ^50^1^2^^1
;;^UTILITY(U,$J,358.2,44,2,3,0)
;;=3^^^2^^1^^1^^1
;;^UTILITY(U,$J,358.2,44,2,4,0)
;;=2^ ^5^1^1
;;^UTILITY(U,$J,358.2,45,0)
;;=ICD-10 DIAGNOSES^79^^^^^4^0^SC^^6^0^1^0^^0^3^2
;;^UTILITY(U,$J,358.2,45,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,45,1,1,0)
;;=1^2^1
;;^UTILITY(U,$J,358.2,45,2,0)
;;=^358.22I^5^5
;;^UTILITY(U,$J,358.2,45,2,1,0)
;;=4^CODE^8^1^1^^0
;;^UTILITY(U,$J,358.2,45,2,2,0)
;;=3^DIAGNOSIS^95^1^2^^1
;;^UTILITY(U,$J,358.2,45,2,3,0)
;;=5^ADD^^2^^1^^1^7^0
;;^UTILITY(U,$J,358.2,45,2,4,0)
;;=1^P^^2^^1^^1^1^1
;;^UTILITY(U,$J,358.2,45,2,5,0)
;;=2^S^^2^^1^^1^2^0
;;^UTILITY(U,$J,358.2,46,0)
;;=CPT CODES^80^^^^^1^0^SC^^4^0^^0^^0^3^2
;;^UTILITY(U,$J,358.2,46,1,0)
;;=^358.21I^1^1
;;^UTILITY(U,$J,358.2,46,1,1,0)
;;=1^2^2
;;^UTILITY(U,$J,358.2,46,2,0)
;;=^358.22I^3^3
;;^UTILITY(U,$J,358.2,46,2,1,0)
;;=3^ ^5^1^1^^0
;;^UTILITY(U,$J,358.2,46,2,2,0)
;;=2^ ^45^1^2^^1
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI006 19755 printed Sep 23, 2025@19:15 Page 2
IBDEI006 ; ; 01-AUG-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
+2 if 'DIFQR(358.2)
QUIT
FOR I=1:2
SET X=$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,358.2)
+2 ;;=^IBE(358.2,
+3 ;;^UTILITY(U,$J,358.2,0)
+4 ;;=IMP/EXP SELECTION LIST^358.2I^97^95
+5 ;;^UTILITY(U,$J,358.2,1,0)
+6 ;;=CPT CODES^3^^^^^3^0^CU^^4^1^^0^^0
+7 ;;^UTILITY(U,$J,358.2,1,2,0)
+8 ;;=^358.22I^3^3
+9 ;;^UTILITY(U,$J,358.2,1,2,1,0)
+10 ;;=1^CODE^5^1^1^^0
+11 ;;^UTILITY(U,$J,358.2,1,2,2,0)
+12 ;;=2^PROCEDURE^40^1^2^^1
+13 ;;^UTILITY(U,$J,358.2,1,2,3,0)
+14 ;;=3^x^^2^^1
+15 ;;^UTILITY(U,$J,358.2,2,0)
+16 ;;=ICD-10 DIAGNOSES^4^^^^^4^0^SC^^6^0^1^0^^0^3^2
+17 ;;^UTILITY(U,$J,358.2,2,1,0)
+18 ;;=^358.21I^1^1
+19 ;;^UTILITY(U,$J,358.2,2,1,1,0)
+20 ;;=1^2^1
+21 ;;^UTILITY(U,$J,358.2,2,2,0)
+22 ;;=^358.22I^5^5
+23 ;;^UTILITY(U,$J,358.2,2,2,1,0)
+24 ;;=4^CODE^8^1^1^^0
+25 ;;^UTILITY(U,$J,358.2,2,2,2,0)
+26 ;;=3^DIAGNOSIS^95^1^2^^1
+27 ;;^UTILITY(U,$J,358.2,2,2,3,0)
+28 ;;=5^ADD^^2^^1^^1^7^0
+29 ;;^UTILITY(U,$J,358.2,2,2,4,0)
+30 ;;=1^P^^2^^1^^1^1^1
+31 ;;^UTILITY(U,$J,358.2,2,2,5,0)
+32 ;;=2^S^^2^^1^^1^2^0
+33 ;;^UTILITY(U,$J,358.2,3,0)
+34 ;;=ICD-10 DIAGNOSES^7^^^^^4^0^SC^^6^0^1^0^^0^3^2
+35 ;;^UTILITY(U,$J,358.2,3,1,0)
+36 ;;=^358.21I^1^1
+37 ;;^UTILITY(U,$J,358.2,3,1,1,0)
+38 ;;=1^2^1
+39 ;;^UTILITY(U,$J,358.2,3,2,0)
+40 ;;=^358.22I^5^5
+41 ;;^UTILITY(U,$J,358.2,3,2,1,0)
+42 ;;=4^CODE^8^1^1^^0
+43 ;;^UTILITY(U,$J,358.2,3,2,2,0)
+44 ;;=3^DIAGNOSIS^95^1^2^^1
+45 ;;^UTILITY(U,$J,358.2,3,2,3,0)
+46 ;;=5^ADD^^2^^1^^1^7^0
+47 ;;^UTILITY(U,$J,358.2,3,2,4,0)
+48 ;;=1^P^^2^^1^^1^1^1
+49 ;;^UTILITY(U,$J,358.2,3,2,5,0)
+50 ;;=2^S^^2^^1^^1^2^0
+51 ;;^UTILITY(U,$J,358.2,4,0)
+52 ;;=CPT CODES^8^^^^^1^0^CSU^^4^0^2^0^^0^2^2
+53 ;;^UTILITY(U,$J,358.2,4,1,0)
+54 ;;=^358.21I^3^3
+55 ;;^UTILITY(U,$J,358.2,4,1,1,0)
+56 ;;=1^3^2
+57 ;;^UTILITY(U,$J,358.2,4,1,2,0)
+58 ;;=3^^91
+59 ;;^UTILITY(U,$J,358.2,4,1,3,0)
+60 ;;=2^3^54
+61 ;;^UTILITY(U,$J,358.2,4,2,0)
+62 ;;=^358.22I^3^3
+63 ;;^UTILITY(U,$J,358.2,4,2,1,0)
+64 ;;=2^ ^5^1^1^^0
+65 ;;^UTILITY(U,$J,358.2,4,2,2,0)
+66 ;;=3^ ^50^1^2^^1
+67 ;;^UTILITY(U,$J,358.2,4,2,3,0)
+68 ;;=1^ ^^2^^1^^1^^0
+69 ;;^UTILITY(U,$J,358.2,5,0)
+70 ;;=CPT CODES^9^^^^^3^0^CS^^4^0^^0^^0^3^2
+71 ;;^UTILITY(U,$J,358.2,5,2,0)
+72 ;;=^358.22I^3^3
+73 ;;^UTILITY(U,$J,358.2,5,2,1,0)
+74 ;;=1^CODE^5^1^1^^0
+75 ;;^UTILITY(U,$J,358.2,5,2,2,0)
+76 ;;=3^ ^50^1^2^^1
+77 ;;^UTILITY(U,$J,358.2,5,2,3,0)
+78 ;;=2^ ^^2^^1^^1
+79 ;;^UTILITY(U,$J,358.2,6,0)
+80 ;;=VISIT TYPE^12^^^^^2^0^C^^8^0^^0^^0^3^2
+81 ;;^UTILITY(U,$J,358.2,6,1,0)
+82 ;;=^358.21I^1^1
+83 ;;^UTILITY(U,$J,358.2,6,1,1,0)
+84 ;;=1^2
+85 ;;^UTILITY(U,$J,358.2,6,2,0)
+86 ;;=^358.22I^4^3
+87 ;;^UTILITY(U,$J,358.2,6,2,1,0)
+88 ;;=1^ ^28^1^2^^1
+89 ;;^UTILITY(U,$J,358.2,6,2,3,0)
+90 ;;=3^^^2^^1^^1^^1
+91 ;;^UTILITY(U,$J,358.2,6,2,4,0)
+92 ;;=2^ ^5^1^1
+93 ;;^UTILITY(U,$J,358.2,7,0)
+94 ;;=ICD-10 DIAGNOSES^13^^^^^4^0^SC^^6^0^1^0^^0^3^2
+95 ;;^UTILITY(U,$J,358.2,7,1,0)
+96 ;;=^358.21I^1^1
+97 ;;^UTILITY(U,$J,358.2,7,1,1,0)
+98 ;;=1^2^1
+99 ;;^UTILITY(U,$J,358.2,7,2,0)
+100 ;;=^358.22I^5^5
+101 ;;^UTILITY(U,$J,358.2,7,2,1,0)
+102 ;;=4^CODE^8^1^1^^0
+103 ;;^UTILITY(U,$J,358.2,7,2,2,0)
+104 ;;=3^DIAGNOSIS^95^1^2^^1
+105 ;;^UTILITY(U,$J,358.2,7,2,3,0)
+106 ;;=5^ADD^^2^^1^^1^7^0
+107 ;;^UTILITY(U,$J,358.2,7,2,4,0)
+108 ;;=1^P^^2^^1^^1^1^1
+109 ;;^UTILITY(U,$J,358.2,7,2,5,0)
+110 ;;=2^S^^2^^1^^1^2^0
+111 ;;^UTILITY(U,$J,358.2,8,0)
+112 ;;=CPT CODES^14^^^^^1^0^UBSC^^4^0^^0^^0^3^2
+113 ;;^UTILITY(U,$J,358.2,8,1,0)
+114 ;;=^358.21I^1^1
+115 ;;^UTILITY(U,$J,358.2,8,1,1,0)
+116 ;;=1^2^2
+117 ;;^UTILITY(U,$J,358.2,8,2,0)
+118 ;;=^358.22I^3^3
+119 ;;^UTILITY(U,$J,358.2,8,2,1,0)
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+128 ;;=^358.21I^1^1
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+227 ;;^UTILITY(U,$J,358.2,16,1,0)
+228 ;;=^358.21I^1^1
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+680 ;;=2^ ^5^1^1
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+710 ;;=2^ ^45^1^2^^1
