- IBDEI01G ; ; 01-AUG-2022
- ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
- Q:'DIFQR(358.3) 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,$J,358.3,3065,1,2,0)
- ;;=2^93312
- ;;^UTILITY(U,$J,358.3,3065,1,3,0)
- ;;=3^Echo TEE w/wo M-mode Record
- ;;^UTILITY(U,$J,358.3,3066,0)
- ;;=93313^^21^186^8^^^^1
- ;;^UTILITY(U,$J,358.3,3066,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3066,1,2,0)
- ;;=2^93313
- ;;^UTILITY(U,$J,358.3,3066,1,3,0)
- ;;=3^Echo TEE w/ Placement of Probe
- ;;^UTILITY(U,$J,358.3,3067,0)
- ;;=93314^^21^186^11^^^^1
- ;;^UTILITY(U,$J,358.3,3067,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3067,1,2,0)
- ;;=2^93314
- ;;^UTILITY(U,$J,358.3,3067,1,3,0)
- ;;=3^Echo TEE,Image Intrp & Rpt Only
- ;;^UTILITY(U,$J,358.3,3068,0)
- ;;=93318^^21^186^12^^^^1
- ;;^UTILITY(U,$J,358.3,3068,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3068,1,2,0)
- ;;=2^93318
- ;;^UTILITY(U,$J,358.3,3068,1,3,0)
- ;;=3^Echo TEE,Intraop
- ;;^UTILITY(U,$J,358.3,3069,0)
- ;;=93315^^21^186^10^^^^1
- ;;^UTILITY(U,$J,358.3,3069,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3069,1,2,0)
- ;;=2^93315
- ;;^UTILITY(U,$J,358.3,3069,1,3,0)
- ;;=3^Echo TEE,Complete;Congenital Anomalies
- ;;^UTILITY(U,$J,358.3,3070,0)
- ;;=93316^^21^186^13^^^^1
- ;;^UTILITY(U,$J,358.3,3070,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3070,1,2,0)
- ;;=2^93316
- ;;^UTILITY(U,$J,358.3,3070,1,3,0)
- ;;=3^Echo TEE,Plcmnt Only;Congenital Anomalies
- ;;^UTILITY(U,$J,358.3,3071,0)
- ;;=93317^^21^186^7^^^^1
- ;;^UTILITY(U,$J,358.3,3071,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3071,1,2,0)
- ;;=2^93317
- ;;^UTILITY(U,$J,358.3,3071,1,3,0)
- ;;=3^Echo Image,Intrp & Rpt Only;Cogenital Anomalies
- ;;^UTILITY(U,$J,358.3,3072,0)
- ;;=93303^^21^186^16^^^^1
- ;;^UTILITY(U,$J,358.3,3072,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3072,1,2,0)
- ;;=2^93303
- ;;^UTILITY(U,$J,358.3,3072,1,3,0)
- ;;=3^Echo Transthoracic,Complete,Congenital Anomalies
- ;;^UTILITY(U,$J,358.3,3073,0)
- ;;=93304^^21^186^18^^^^1
- ;;^UTILITY(U,$J,358.3,3073,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3073,1,2,0)
- ;;=2^93304
- ;;^UTILITY(U,$J,358.3,3073,1,3,0)
- ;;=3^Echo Transthroacic F/U,Congenital Anomalies
- ;;^UTILITY(U,$J,358.3,3074,0)
- ;;=93571^^21^186^5^^^^1
- ;;^UTILITY(U,$J,358.3,3074,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3074,1,2,0)
- ;;=2^93571
- ;;^UTILITY(U,$J,358.3,3074,1,3,0)
- ;;=3^Doppler Intravasc,During Coronary Angio,Intl Vessl
- ;;^UTILITY(U,$J,358.3,3075,0)
- ;;=93572^^21^186^6^^^^1
- ;;^UTILITY(U,$J,358.3,3075,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3075,1,2,0)
- ;;=2^93572
- ;;^UTILITY(U,$J,358.3,3075,1,3,0)
- ;;=3^Doppler Intravasc,During Coronary Angio,Ea Vessl
- ;;^UTILITY(U,$J,358.3,3076,0)
- ;;=93355^^21^186^14^^^^1
- ;;^UTILITY(U,$J,358.3,3076,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3076,1,2,0)
- ;;=2^93355
- ;;^UTILITY(U,$J,358.3,3076,1,3,0)
- ;;=3^Echo TEE,Transcath/Intracardiac/GV Guidance
- ;;^UTILITY(U,$J,358.3,3077,0)
- ;;=93356^^21^186^21^^^^1
- ;;^UTILITY(U,$J,358.3,3077,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3077,1,2,0)
- ;;=2^93356
- ;;^UTILITY(U,$J,358.3,3077,1,3,0)
- ;;=3^Myocardial Strain Img Speckle Trck Assmt Myocrd Mech
- ;;^UTILITY(U,$J,358.3,3078,0)
- ;;=C8929^^21^186^30^^^^1
- ;;^UTILITY(U,$J,358.3,3078,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3078,1,2,0)
- ;;=2^C8929
- ;;^UTILITY(U,$J,358.3,3078,1,3,0)
- ;;=3^TTE w/ Image w/ Spect & Col Flow Dop Echo
- ;;^UTILITY(U,$J,358.3,3079,0)
- ;;=C8921^^21^186^33^^^^1
- ;;^UTILITY(U,$J,358.3,3079,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3079,1,2,0)
- ;;=2^C8921
- ;;^UTILITY(U,$J,358.3,3079,1,3,0)
- ;;=3^TTE w/ or w/o Cont Foll w/ Cont,Complete
- ;;^UTILITY(U,$J,358.3,3080,0)
- ;;=C8922^^21^186^34^^^^1
- ;;^UTILITY(U,$J,358.3,3080,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3080,1,2,0)
- ;;=2^C8922
- ;;^UTILITY(U,$J,358.3,3080,1,3,0)
- ;;=3^TTE w/ or w/o Cont Foll w/ Cont,F/U or Limited
- ;;^UTILITY(U,$J,358.3,3081,0)
- ;;=C8924^^21^186^31^^^^1
- ;;^UTILITY(U,$J,358.3,3081,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3081,1,2,0)
- ;;=2^C8924
- ;;^UTILITY(U,$J,358.3,3081,1,3,0)
- ;;=3^TTE w/ or w/o Cont Foll w/ Cont,2D Image,F/U or Limited
- ;;^UTILITY(U,$J,358.3,3082,0)
- ;;=C8925^^21^186^29^^^^1
- ;;^UTILITY(U,$J,358.3,3082,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3082,1,2,0)
- ;;=2^C8925
- ;;^UTILITY(U,$J,358.3,3082,1,3,0)
- ;;=3^TEE w/ or w/o Contr Foll w/ Cont,2D Image,I&D
- ;;^UTILITY(U,$J,358.3,3083,0)
- ;;=C8926^^21^186^28^^^^1
- ;;^UTILITY(U,$J,358.3,3083,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3083,1,2,0)
- ;;=2^C8926
- ;;^UTILITY(U,$J,358.3,3083,1,3,0)
- ;;=3^TEE w/ or w/o Cont Foll w/ Cont,I&R
- ;;^UTILITY(U,$J,358.3,3084,0)
- ;;=C8927^^21^186^27^^^^1
- ;;^UTILITY(U,$J,358.3,3084,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3084,1,2,0)
- ;;=2^C8927
- ;;^UTILITY(U,$J,358.3,3084,1,3,0)
- ;;=3^TEE w/ or w/o Cont Foll w/ Cont,2D Img,Assess Card Pump Fnct
- ;;^UTILITY(U,$J,358.3,3085,0)
- ;;=C8928^^21^186^35^^^^1
- ;;^UTILITY(U,$J,358.3,3085,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3085,1,2,0)
- ;;=2^C8928
- ;;^UTILITY(U,$J,358.3,3085,1,3,0)
- ;;=3^TTE w/ or w/o Cont Foll w/ Cont,Stress,I&R
- ;;^UTILITY(U,$J,358.3,3086,0)
- ;;=C8930^^21^186^32^^^^1
- ;;^UTILITY(U,$J,358.3,3086,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3086,1,2,0)
- ;;=2^C8930
- ;;^UTILITY(U,$J,358.3,3086,1,3,0)
- ;;=3^TTE w/ or w/o Cont Foll w/ Cont,2D Image,w/ EC Montoring
- ;;^UTILITY(U,$J,358.3,3087,0)
- ;;=Q9955^^21^186^23^^^^1
- ;;^UTILITY(U,$J,358.3,3087,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3087,1,2,0)
- ;;=2^Q9955
- ;;^UTILITY(U,$J,358.3,3087,1,3,0)
- ;;=3^Perflexane Lipid Microspheres,per ml
- ;;^UTILITY(U,$J,358.3,3088,0)
- ;;=Q9956^^21^186^22^^^^1
- ;;^UTILITY(U,$J,358.3,3088,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3088,1,2,0)
- ;;=2^Q9956
- ;;^UTILITY(U,$J,358.3,3088,1,3,0)
- ;;=3^Octafluoropropane Microspheres,per ml
- ;;^UTILITY(U,$J,358.3,3089,0)
- ;;=Q9957^^21^186^24^^^^1
- ;;^UTILITY(U,$J,358.3,3089,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3089,1,2,0)
- ;;=2^Q9957
- ;;^UTILITY(U,$J,358.3,3089,1,3,0)
- ;;=3^Perflutren Lipid Microspheres,per ml
- ;;^UTILITY(U,$J,358.3,3090,0)
- ;;=Q9950^^21^186^26^^^^1
- ;;^UTILITY(U,$J,358.3,3090,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3090,1,2,0)
- ;;=2^Q9950
- ;;^UTILITY(U,$J,358.3,3090,1,3,0)
- ;;=3^Sulfur Hexafluoride Lipid Microspheres,per ml
- ;;^UTILITY(U,$J,358.3,3091,0)
- ;;=93000^^21^187^9
- ;;^UTILITY(U,$J,358.3,3091,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3091,1,2,0)
- ;;=2^93000
- ;;^UTILITY(U,$J,358.3,3091,1,3,0)
- ;;=3^EKG 12 Lead W/ Interp & Report
- ;;^UTILITY(U,$J,358.3,3092,0)
- ;;=93005^^21^187^11
- ;;^UTILITY(U,$J,358.3,3092,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3092,1,2,0)
- ;;=2^93005
- ;;^UTILITY(U,$J,358.3,3092,1,3,0)
- ;;=3^EKG,Tracing Only No Report
- ;;^UTILITY(U,$J,358.3,3093,0)
- ;;=93278^^21^187^12
- ;;^UTILITY(U,$J,358.3,3093,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3093,1,2,0)
- ;;=2^93278
- ;;^UTILITY(U,$J,358.3,3093,1,3,0)
- ;;=3^EKG/Signal-Averaged
- ;;^UTILITY(U,$J,358.3,3094,0)
- ;;=93010^^21^187^10^^^^1
- ;;^UTILITY(U,$J,358.3,3094,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3094,1,2,0)
- ;;=2^93010
- ;;^UTILITY(U,$J,358.3,3094,1,3,0)
- ;;=3^EKG Interp & Read Only
- ;;^UTILITY(U,$J,358.3,3095,0)
- ;;=93224^^21^187^1^^^^1
- ;;^UTILITY(U,$J,358.3,3095,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3095,1,2,0)
- ;;=2^93224
- ;;^UTILITY(U,$J,358.3,3095,1,3,0)
- ;;=3^ECG MONITOR, UP TO 48 HR, ALL INCLUSIVE
- ;;^UTILITY(U,$J,358.3,3096,0)
- ;;=93225^^21^187^2^^^^1
- ;;^UTILITY(U,$J,358.3,3096,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3096,1,2,0)
- ;;=2^93225
- ;;^UTILITY(U,$J,358.3,3096,1,3,0)
- ;;=3^ECG MONITOR, UP TO 48 HR, RECORDING ONLY
- ;;^UTILITY(U,$J,358.3,3097,0)
- ;;=93226^^21^187^4^^^^1
- ;;^UTILITY(U,$J,358.3,3097,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3097,1,2,0)
- ;;=2^93226
- ;;^UTILITY(U,$J,358.3,3097,1,3,0)
- ;;=3^ECG MONITOR, UP TO 48 HR, SCAN w/RPT
- ;;^UTILITY(U,$J,358.3,3098,0)
- ;;=93227^^21^187^3^^^^1
- ;;^UTILITY(U,$J,358.3,3098,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3098,1,2,0)
- ;;=2^93227
- ;;^UTILITY(U,$J,358.3,3098,1,3,0)
- ;;=3^ECG MONITOR, UP TO 48 HR, REVIEW & INTERP
- ;;^UTILITY(U,$J,358.3,3099,0)
- ;;=93228^^21^187^23^^^^1
- ;;^UTILITY(U,$J,358.3,3099,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3099,1,2,0)
- ;;=2^93228
- ;;^UTILITY(U,$J,358.3,3099,1,3,0)
- ;;=3^REMOTE 30 DAY ECG REV/REPORT
- ;;^UTILITY(U,$J,358.3,3100,0)
- ;;=93229^^21^187^24^^^^1
- ;;^UTILITY(U,$J,358.3,3100,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3100,1,2,0)
- ;;=2^93229
- ;;^UTILITY(U,$J,358.3,3100,1,3,0)
- ;;=3^REMOTE 30 DAY ECG TECH SUPP
- ;;^UTILITY(U,$J,358.3,3101,0)
- ;;=93268^^21^187^5^^^^1
- ;;^UTILITY(U,$J,358.3,3101,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3101,1,2,0)
- ;;=2^93268
- ;;^UTILITY(U,$J,358.3,3101,1,3,0)
- ;;=3^ECG RECORD/REVIEW
- ;;^UTILITY(U,$J,358.3,3102,0)
- ;;=93270^^21^187^22^^^^1
- ;;^UTILITY(U,$J,358.3,3102,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3102,1,2,0)
- ;;=2^93270
- ;;^UTILITY(U,$J,358.3,3102,1,3,0)
- ;;=3^REMOTE 30 DAY ECG RECORDING ONLY
- ;;^UTILITY(U,$J,358.3,3103,0)
- ;;=93271^^21^187^6^^^^1
- ;;^UTILITY(U,$J,358.3,3103,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3103,1,2,0)
- ;;=2^93271
- ;;^UTILITY(U,$J,358.3,3103,1,3,0)
- ;;=3^ECG/MONITORING AND ANALYSIS
- ;;^UTILITY(U,$J,358.3,3104,0)
- ;;=93272^^21^187^7^^^^1
- ;;^UTILITY(U,$J,358.3,3104,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3104,1,2,0)
- ;;=2^93272
- ;;^UTILITY(U,$J,358.3,3104,1,3,0)
- ;;=3^ECG/REVIEW INTERPRET ONLY
- ;;^UTILITY(U,$J,358.3,3105,0)
- ;;=93278^^21^187^8^^^^1
- ;;^UTILITY(U,$J,358.3,3105,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3105,1,2,0)
- ;;=2^93278
- ;;^UTILITY(U,$J,358.3,3105,1,3,0)
- ;;=3^ECG/SIGNAL-AVERAGED
- ;;^UTILITY(U,$J,358.3,3106,0)
- ;;=93025^^21^187^21^^^^1
- ;;^UTILITY(U,$J,358.3,3106,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3106,1,2,0)
- ;;=2^93025
- ;;^UTILITY(U,$J,358.3,3106,1,3,0)
- ;;=3^Microvolt T-Wave Assess
- ;;^UTILITY(U,$J,358.3,3107,0)
- ;;=93040^^21^187^26^^^^1
- ;;^UTILITY(U,$J,358.3,3107,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3107,1,2,0)
- ;;=2^93040
- ;;^UTILITY(U,$J,358.3,3107,1,3,0)
- ;;=3^Rhythm ECG w/ Report
- ;;^UTILITY(U,$J,358.3,3108,0)
- ;;=93041^^21^187^25^^^^1
- ;;^UTILITY(U,$J,358.3,3108,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3108,1,2,0)
- ;;=2^93041
- ;;^UTILITY(U,$J,358.3,3108,1,3,0)
- ;;=3^Rhythm ECG Tracing
- ;;^UTILITY(U,$J,358.3,3109,0)
- ;;=93242^^21^187^14^^^^1
- ;;^UTILITY(U,$J,358.3,3109,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3109,1,2,0)
- ;;=2^93242
- ;;^UTILITY(U,$J,358.3,3109,1,3,0)
- ;;=3^Ext ECG>48HR<7D Recording
- ;;^UTILITY(U,$J,358.3,3110,0)
- ;;=93246^^21^187^18^^^^1
- ;;^UTILITY(U,$J,358.3,3110,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3110,1,2,0)
- ;;=2^93246
- ;;^UTILITY(U,$J,358.3,3110,1,3,0)
- ;;=3^Ext ECG>7D<15D Recording
- ;;^UTILITY(U,$J,358.3,3111,0)
- ;;=93244^^21^187^15^^^^1
- ;;^UTILITY(U,$J,358.3,3111,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3111,1,2,0)
- ;;=2^93244
- ;;^UTILITY(U,$J,358.3,3111,1,3,0)
- ;;=3^Ext ECG>48HR<7D Rev&Interp
- ;;^UTILITY(U,$J,358.3,3112,0)
- ;;=93241^^21^187^13^^^^1
- ;;^UTILITY(U,$J,358.3,3112,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3112,1,2,0)
- ;;=2^93241
- ;;^UTILITY(U,$J,358.3,3112,1,3,0)
- ;;=3^Ext ECG>48HR<7D Rec Scan A/R
- ;;^UTILITY(U,$J,358.3,3113,0)
- ;;=93243^^21^187^16^^^^1
- ;;^UTILITY(U,$J,358.3,3113,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3113,1,2,0)
- ;;=2^93243
- ;;^UTILITY(U,$J,358.3,3113,1,3,0)
- ;;=3^Ext ECG>48HR<7D Scan A/R
- ;;^UTILITY(U,$J,358.3,3114,0)
- ;;=93245^^21^187^17^^^^1
- ;;^UTILITY(U,$J,358.3,3114,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3114,1,2,0)
- ;;=2^93245
- ;;^UTILITY(U,$J,358.3,3114,1,3,0)
- ;;=3^Ext ECG>7D<15D Rec Scan A/R
- ;;^UTILITY(U,$J,358.3,3115,0)
- ;;=93247^^21^187^20^^^^1
- ;;^UTILITY(U,$J,358.3,3115,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3115,1,2,0)
- ;;=2^93247
- ;;^UTILITY(U,$J,358.3,3115,1,3,0)
- ;;=3^Ext ECG>7D<15D Scan A/R
- ;;^UTILITY(U,$J,358.3,3116,0)
- ;;=93248^^21^187^19^^^^1
- ;;^UTILITY(U,$J,358.3,3116,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3116,1,2,0)
- ;;=2^93248
- ;;^UTILITY(U,$J,358.3,3116,1,3,0)
- ;;=3^Ext ECG>7D<15D Rev&Interp
- ;;^UTILITY(U,$J,358.3,3117,0)
- ;;=96372^^21^188^10^^^^1
- ;;^UTILITY(U,$J,358.3,3117,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3117,1,2,0)
- ;;=2^96372
- ;;^UTILITY(U,$J,358.3,3117,1,3,0)
- ;;=3^Ther/Proph/Diag Inj SC/IM
- ;;^UTILITY(U,$J,358.3,3118,0)
- ;;=96360^^21^188^1^^^^1
- ;;^UTILITY(U,$J,358.3,3118,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3118,1,2,0)
- ;;=2^96360
- ;;^UTILITY(U,$J,358.3,3118,1,3,0)
- ;;=3^Hydration IV Infus Init
- ;;^UTILITY(U,$J,358.3,3119,0)
- ;;=96361^^21^188^2^^^^1
- ;;^UTILITY(U,$J,358.3,3119,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3119,1,2,0)
- ;;=2^96361
- ;;^UTILITY(U,$J,358.3,3119,1,3,0)
- ;;=3^Hydration IV Infus Add-On
- ;;^UTILITY(U,$J,358.3,3120,0)
- ;;=96365^^21^188^3^^^^1
- ;;^UTILITY(U,$J,358.3,3120,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3120,1,2,0)
- ;;=2^96365
- ;;^UTILITY(U,$J,358.3,3120,1,3,0)
- ;;=3^IV Inf Ther/Proph/Diag Init
- ;;^UTILITY(U,$J,358.3,3121,0)
- ;;=96366^^21^188^4^^^^1
- ;;^UTILITY(U,$J,358.3,3121,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3121,1,2,0)
- ;;=2^96366
- ;;^UTILITY(U,$J,358.3,3121,1,3,0)
- ;;=3^IV Inf Ther/Proph/Diag Add-On
- ;;^UTILITY(U,$J,358.3,3122,0)
- ;;=96367^^21^188^5^^^^1
- ;;^UTILITY(U,$J,358.3,3122,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3122,1,2,0)
- ;;=2^96367
- ;;^UTILITY(U,$J,358.3,3122,1,3,0)
- ;;=3^IV Inf Ther/Proph/Diag Addl Seq
- ;;^UTILITY(U,$J,358.3,3123,0)
- ;;=96368^^21^188^6^^^^1
- ;;^UTILITY(U,$J,358.3,3123,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3123,1,2,0)
- ;;=2^96368
- ;;^UTILITY(U,$J,358.3,3123,1,3,0)
- ;;=3^IV Inf Ther/Proph/Diag Concurrent
- ;;^UTILITY(U,$J,358.3,3124,0)
- ;;=82948^^21^188^8^^^^1
- ;;^UTILITY(U,$J,358.3,3124,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3124,1,2,0)
- ;;=2^82948
- ;;^UTILITY(U,$J,358.3,3124,1,3,0)
- ;;=3^REAGENT STRIP/BLOOD GLUCOSE
- ;;^UTILITY(U,$J,358.3,3125,0)
- ;;=90471^^21^188^7^^^^1
- ;;^UTILITY(U,$J,358.3,3125,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3125,1,2,0)
- ;;=2^90471
- ;;^UTILITY(U,$J,358.3,3125,1,3,0)
- ;;=3^Immunization Admin
- ;;^UTILITY(U,$J,358.3,3126,0)
- ;;=96374^^21^188^9^^^^1
- ;;^UTILITY(U,$J,358.3,3126,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3126,1,2,0)
- ;;=2^96374
- ;;^UTILITY(U,$J,358.3,3126,1,3,0)
- ;;=3^Ther/Proph/Diag Inj IV Push
- ;;^UTILITY(U,$J,358.3,3127,0)
- ;;=J1644^^21^189^12^^^^1
- ;;^UTILITY(U,$J,358.3,3127,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3127,1,2,0)
- ;;=2^J1644
- ;;^UTILITY(U,$J,358.3,3127,1,3,0)
- ;;=3^Heparin Sodium Inj 1000U
- ;;^UTILITY(U,$J,358.3,3128,0)
- ;;=J1642^^21^189^11^^^^1
- ;;^UTILITY(U,$J,358.3,3128,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3128,1,2,0)
- ;;=2^J1642
- ;;^UTILITY(U,$J,358.3,3128,1,3,0)
- ;;=3^Heparin Lock Flush 10U
- ;;^UTILITY(U,$J,358.3,3129,0)
- ;;=J3490^^21^189^32^^^^1
- ;;^UTILITY(U,$J,358.3,3129,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3129,1,2,0)
- ;;=2^J3490
- ;;^UTILITY(U,$J,358.3,3129,1,3,0)
- ;;=3^Unclassified Drug Inj
- ;;^UTILITY(U,$J,358.3,3130,0)
- ;;=J1250^^21^189^5^^^^1
- ;;^UTILITY(U,$J,358.3,3130,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3130,1,2,0)
- ;;=2^J1250
- ;;^UTILITY(U,$J,358.3,3130,1,3,0)
- ;;=3^Dobutamine HCL 250mg
- ;;^UTILITY(U,$J,358.3,3131,0)
- ;;=J2001^^21^189^16^^^^1
- ;;^UTILITY(U,$J,358.3,3131,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3131,1,2,0)
- ;;=2^J2001
- ;;^UTILITY(U,$J,358.3,3131,1,3,0)
- ;;=3^Lidocaine HCL IV Inf 10mg
- ;;^UTILITY(U,$J,358.3,3132,0)
- ;;=Q9965^^21^189^13^^^^1
- ;;^UTILITY(U,$J,358.3,3132,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3132,1,2,0)
- ;;=2^Q9965
- ;;^UTILITY(U,$J,358.3,3132,1,3,0)
- ;;=3^LOCM 100-199mg/ml Iodine 1ml
- ;;^UTILITY(U,$J,358.3,3133,0)
- ;;=Q9966^^21^189^14^^^^1
- ;;^UTILITY(U,$J,358.3,3133,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3133,1,2,0)
- ;;=2^Q9966
- ;;^UTILITY(U,$J,358.3,3133,1,3,0)
- ;;=3^LOCM 200-299mg/ml Iodine 1ml
- ;;^UTILITY(U,$J,358.3,3134,0)
- ;;=Q9967^^21^189^15^^^^1
- ;;^UTILITY(U,$J,358.3,3134,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3134,1,2,0)
- ;;=2^Q9967
- ;;^UTILITY(U,$J,358.3,3134,1,3,0)
- ;;=3^LOCM 300-399mg/ml Iodine 1ml
- ;;^UTILITY(U,$J,358.3,3135,0)
- ;;=J2250^^21^189^17^^^^1
- ;;^UTILITY(U,$J,358.3,3135,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3135,1,2,0)
- ;;=2^J2250
- ;;^UTILITY(U,$J,358.3,3135,1,3,0)
- ;;=3^Midazolam Hydrochloride 1mg
- ;;^UTILITY(U,$J,358.3,3136,0)
- ;;=J3010^^21^189^7^^^^1
- ;;^UTILITY(U,$J,358.3,3136,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3136,1,2,0)
- ;;=2^J3010
- ;;^UTILITY(U,$J,358.3,3136,1,3,0)
- ;;=3^Fentanyl Citrate 0.1mg
- ;;^UTILITY(U,$J,358.3,3137,0)
- ;;=J2405^^21^189^22^^^^1
- ;;^UTILITY(U,$J,358.3,3137,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3137,1,2,0)
- ;;=2^J2405
- ;;^UTILITY(U,$J,358.3,3137,1,3,0)
- ;;=3^Ondansetron HCL 1mg
- ;;^UTILITY(U,$J,358.3,3138,0)
- ;;=J2550^^21^189^24^^^^1
- ;;^UTILITY(U,$J,358.3,3138,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3138,1,2,0)
- ;;=2^J2550
- ;;^UTILITY(U,$J,358.3,3138,1,3,0)
- ;;=3^Promethazine HCL 50mg
- ;;^UTILITY(U,$J,358.3,3139,0)
- ;;=90658^^21^189^10^^^^1
- ;;^UTILITY(U,$J,358.3,3139,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3139,1,2,0)
- ;;=2^90658
- ;;^UTILITY(U,$J,358.3,3139,1,3,0)
- ;;=3^Flu Vax,Trivalent,Split Virus
- ;;^UTILITY(U,$J,358.3,3140,0)
- ;;=J1568^^21^189^21^^^^1
- ;;^UTILITY(U,$J,358.3,3140,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3140,1,2,0)
- ;;=2^J1568
- ;;^UTILITY(U,$J,358.3,3140,1,3,0)
- ;;=3^Octagam 500mg
- ;;^UTILITY(U,$J,358.3,3141,0)
- ;;=90732^^21^189^23^^^^1
- ;;^UTILITY(U,$J,358.3,3141,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3141,1,2,0)
- ;;=2^90732
- ;;^UTILITY(U,$J,358.3,3141,1,3,0)
- ;;=3^Pneumococcal Vaccine
- ;;^UTILITY(U,$J,358.3,3142,0)
- ;;=J3420^^21^189^33^^^^1
- ;;^UTILITY(U,$J,358.3,3142,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3142,1,2,0)
- ;;=2^J3420
- ;;^UTILITY(U,$J,358.3,3142,1,3,0)
- ;;=3^Vitamin B12 1000mcg
- ;;^UTILITY(U,$J,358.3,3143,0)
- ;;=J1562^^21^189^34^^^^1
- ;;^UTILITY(U,$J,358.3,3143,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3143,1,2,0)
- ;;=2^J1562
- ;;^UTILITY(U,$J,358.3,3143,1,3,0)
- ;;=3^Vivaglobin 100mg
- ;;^UTILITY(U,$J,358.3,3144,0)
- ;;=A9505^^21^189^28^^^^1
- ;;^UTILITY(U,$J,358.3,3144,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3144,1,2,0)
- ;;=2^A9505
- ;;^UTILITY(U,$J,358.3,3144,1,3,0)
- ;;=3^TL201 Thallium per MCL
- ;;^UTILITY(U,$J,358.3,3145,0)
- ;;=A9560^^21^189^26^^^^1
- ;;^UTILITY(U,$J,358.3,3145,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3145,1,2,0)
- ;;=2^A9560
- ;;^UTILITY(U,$J,358.3,3145,1,3,0)
- ;;=3^TC99M Labeled RBC per 30M
- ;;^UTILITY(U,$J,358.3,3146,0)
- ;;=A9500^^21^189^29^^^^1
- ;;^UTILITY(U,$J,358.3,3146,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3146,1,2,0)
- ;;=2^A9500
- ;;^UTILITY(U,$J,358.3,3146,1,3,0)
- ;;=3^Tc99M Sestamibi
- ;;^UTILITY(U,$J,358.3,3147,0)
- ;;=A9501^^21^189^30^^^^1
- ;;^UTILITY(U,$J,358.3,3147,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,3147,1,2,0)
- ;;=2^A9501
- ;;^UTILITY(U,$J,358.3,3147,1,3,0)
- ;;=3^Technetium TC-99M Teboroxime
- ;;^UTILITY(U,$J,358.3,3148,0)
- ;;=A9502^^21^189^27^^^^1
- ;;^UTILITY(U,$J,358.3,3148,1,0)
- ;;=^358.31IA^3^2
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI01G 19748 printed Jan 18, 2025@02:40:58 Page 2
- IBDEI01G ; ; 01-AUG-2022
- +1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
- +2 if 'DIFQR(358.3)
- 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,358.3,3065,1,2,0)
- +2 ;;=2^93312
- +3 ;;^UTILITY(U,$J,358.3,3065,1,3,0)
- +4 ;;=3^Echo TEE w/wo M-mode Record
- +5 ;;^UTILITY(U,$J,358.3,3066,0)
- +6 ;;=93313^^21^186^8^^^^1
- +7 ;;^UTILITY(U,$J,358.3,3066,1,0)
- +8 ;;=^358.31IA^3^2
- +9 ;;^UTILITY(U,$J,358.3,3066,1,2,0)
- +10 ;;=2^93313
- +11 ;;^UTILITY(U,$J,358.3,3066,1,3,0)
- +12 ;;=3^Echo TEE w/ Placement of Probe
- +13 ;;^UTILITY(U,$J,358.3,3067,0)
- +14 ;;=93314^^21^186^11^^^^1
- +15 ;;^UTILITY(U,$J,358.3,3067,1,0)
- +16 ;;=^358.31IA^3^2
- +17 ;;^UTILITY(U,$J,358.3,3067,1,2,0)
- +18 ;;=2^93314
- +19 ;;^UTILITY(U,$J,358.3,3067,1,3,0)
- +20 ;;=3^Echo TEE,Image Intrp & Rpt Only
- +21 ;;^UTILITY(U,$J,358.3,3068,0)
- +22 ;;=93318^^21^186^12^^^^1
- +23 ;;^UTILITY(U,$J,358.3,3068,1,0)
- +24 ;;=^358.31IA^3^2
- +25 ;;^UTILITY(U,$J,358.3,3068,1,2,0)
- +26 ;;=2^93318
- +27 ;;^UTILITY(U,$J,358.3,3068,1,3,0)
- +28 ;;=3^Echo TEE,Intraop
- +29 ;;^UTILITY(U,$J,358.3,3069,0)
- +30 ;;=93315^^21^186^10^^^^1
- +31 ;;^UTILITY(U,$J,358.3,3069,1,0)
- +32 ;;=^358.31IA^3^2
- +33 ;;^UTILITY(U,$J,358.3,3069,1,2,0)
- +34 ;;=2^93315
- +35 ;;^UTILITY(U,$J,358.3,3069,1,3,0)
- +36 ;;=3^Echo TEE,Complete;Congenital Anomalies
- +37 ;;^UTILITY(U,$J,358.3,3070,0)
- +38 ;;=93316^^21^186^13^^^^1
- +39 ;;^UTILITY(U,$J,358.3,3070,1,0)
- +40 ;;=^358.31IA^3^2
- +41 ;;^UTILITY(U,$J,358.3,3070,1,2,0)
- +42 ;;=2^93316
- +43 ;;^UTILITY(U,$J,358.3,3070,1,3,0)
- +44 ;;=3^Echo TEE,Plcmnt Only;Congenital Anomalies
- +45 ;;^UTILITY(U,$J,358.3,3071,0)
- +46 ;;=93317^^21^186^7^^^^1
- +47 ;;^UTILITY(U,$J,358.3,3071,1,0)
- +48 ;;=^358.31IA^3^2
- +49 ;;^UTILITY(U,$J,358.3,3071,1,2,0)
- +50 ;;=2^93317
- +51 ;;^UTILITY(U,$J,358.3,3071,1,3,0)
- +52 ;;=3^Echo Image,Intrp & Rpt Only;Cogenital Anomalies
- +53 ;;^UTILITY(U,$J,358.3,3072,0)
- +54 ;;=93303^^21^186^16^^^^1
- +55 ;;^UTILITY(U,$J,358.3,3072,1,0)
- +56 ;;=^358.31IA^3^2
- +57 ;;^UTILITY(U,$J,358.3,3072,1,2,0)
- +58 ;;=2^93303
- +59 ;;^UTILITY(U,$J,358.3,3072,1,3,0)
- +60 ;;=3^Echo Transthoracic,Complete,Congenital Anomalies
- +61 ;;^UTILITY(U,$J,358.3,3073,0)
- +62 ;;=93304^^21^186^18^^^^1
- +63 ;;^UTILITY(U,$J,358.3,3073,1,0)
- +64 ;;=^358.31IA^3^2
- +65 ;;^UTILITY(U,$J,358.3,3073,1,2,0)
- +66 ;;=2^93304
- +67 ;;^UTILITY(U,$J,358.3,3073,1,3,0)
- +68 ;;=3^Echo Transthroacic F/U,Congenital Anomalies
- +69 ;;^UTILITY(U,$J,358.3,3074,0)
- +70 ;;=93571^^21^186^5^^^^1
- +71 ;;^UTILITY(U,$J,358.3,3074,1,0)
- +72 ;;=^358.31IA^3^2
- +73 ;;^UTILITY(U,$J,358.3,3074,1,2,0)
- +74 ;;=2^93571
- +75 ;;^UTILITY(U,$J,358.3,3074,1,3,0)
- +76 ;;=3^Doppler Intravasc,During Coronary Angio,Intl Vessl
- +77 ;;^UTILITY(U,$J,358.3,3075,0)
- +78 ;;=93572^^21^186^6^^^^1
- +79 ;;^UTILITY(U,$J,358.3,3075,1,0)
- +80 ;;=^358.31IA^3^2
- +81 ;;^UTILITY(U,$J,358.3,3075,1,2,0)
- +82 ;;=2^93572
- +83 ;;^UTILITY(U,$J,358.3,3075,1,3,0)
- +84 ;;=3^Doppler Intravasc,During Coronary Angio,Ea Vessl
- +85 ;;^UTILITY(U,$J,358.3,3076,0)
- +86 ;;=93355^^21^186^14^^^^1
- +87 ;;^UTILITY(U,$J,358.3,3076,1,0)
- +88 ;;=^358.31IA^3^2
- +89 ;;^UTILITY(U,$J,358.3,3076,1,2,0)
- +90 ;;=2^93355
- +91 ;;^UTILITY(U,$J,358.3,3076,1,3,0)
- +92 ;;=3^Echo TEE,Transcath/Intracardiac/GV Guidance
- +93 ;;^UTILITY(U,$J,358.3,3077,0)
- +94 ;;=93356^^21^186^21^^^^1
- +95 ;;^UTILITY(U,$J,358.3,3077,1,0)
- +96 ;;=^358.31IA^3^2
- +97 ;;^UTILITY(U,$J,358.3,3077,1,2,0)
- +98 ;;=2^93356
- +99 ;;^UTILITY(U,$J,358.3,3077,1,3,0)
- +100 ;;=3^Myocardial Strain Img Speckle Trck Assmt Myocrd Mech
- +101 ;;^UTILITY(U,$J,358.3,3078,0)
- +102 ;;=C8929^^21^186^30^^^^1
- +103 ;;^UTILITY(U,$J,358.3,3078,1,0)
- +104 ;;=^358.31IA^3^2
- +105 ;;^UTILITY(U,$J,358.3,3078,1,2,0)
- +106 ;;=2^C8929
- +107 ;;^UTILITY(U,$J,358.3,3078,1,3,0)
- +108 ;;=3^TTE w/ Image w/ Spect & Col Flow Dop Echo
- +109 ;;^UTILITY(U,$J,358.3,3079,0)
- +110 ;;=C8921^^21^186^33^^^^1
- +111 ;;^UTILITY(U,$J,358.3,3079,1,0)
- +112 ;;=^358.31IA^3^2
- +113 ;;^UTILITY(U,$J,358.3,3079,1,2,0)
- +114 ;;=2^C8921
- +115 ;;^UTILITY(U,$J,358.3,3079,1,3,0)
- +116 ;;=3^TTE w/ or w/o Cont Foll w/ Cont,Complete
- +117 ;;^UTILITY(U,$J,358.3,3080,0)
- +118 ;;=C8922^^21^186^34^^^^1
- +119 ;;^UTILITY(U,$J,358.3,3080,1,0)
- +120 ;;=^358.31IA^3^2
- +121 ;;^UTILITY(U,$J,358.3,3080,1,2,0)
- +122 ;;=2^C8922
- +123 ;;^UTILITY(U,$J,358.3,3080,1,3,0)
- +124 ;;=3^TTE w/ or w/o Cont Foll w/ Cont,F/U or Limited
- +125 ;;^UTILITY(U,$J,358.3,3081,0)
- +126 ;;=C8924^^21^186^31^^^^1
- +127 ;;^UTILITY(U,$J,358.3,3081,1,0)
- +128 ;;=^358.31IA^3^2
- +129 ;;^UTILITY(U,$J,358.3,3081,1,2,0)
- +130 ;;=2^C8924
- +131 ;;^UTILITY(U,$J,358.3,3081,1,3,0)
- +132 ;;=3^TTE w/ or w/o Cont Foll w/ Cont,2D Image,F/U or Limited
- +133 ;;^UTILITY(U,$J,358.3,3082,0)
- +134 ;;=C8925^^21^186^29^^^^1
- +135 ;;^UTILITY(U,$J,358.3,3082,1,0)
- +136 ;;=^358.31IA^3^2
- +137 ;;^UTILITY(U,$J,358.3,3082,1,2,0)
- +138 ;;=2^C8925
- +139 ;;^UTILITY(U,$J,358.3,3082,1,3,0)
- +140 ;;=3^TEE w/ or w/o Contr Foll w/ Cont,2D Image,I&D
- +141 ;;^UTILITY(U,$J,358.3,3083,0)
- +142 ;;=C8926^^21^186^28^^^^1
- +143 ;;^UTILITY(U,$J,358.3,3083,1,0)
- +144 ;;=^358.31IA^3^2
- +145 ;;^UTILITY(U,$J,358.3,3083,1,2,0)
- +146 ;;=2^C8926
- +147 ;;^UTILITY(U,$J,358.3,3083,1,3,0)
- +148 ;;=3^TEE w/ or w/o Cont Foll w/ Cont,I&R
- +149 ;;^UTILITY(U,$J,358.3,3084,0)
- +150 ;;=C8927^^21^186^27^^^^1
- +151 ;;^UTILITY(U,$J,358.3,3084,1,0)
- +152 ;;=^358.31IA^3^2
- +153 ;;^UTILITY(U,$J,358.3,3084,1,2,0)
- +154 ;;=2^C8927
- +155 ;;^UTILITY(U,$J,358.3,3084,1,3,0)
- +156 ;;=3^TEE w/ or w/o Cont Foll w/ Cont,2D Img,Assess Card Pump Fnct
- +157 ;;^UTILITY(U,$J,358.3,3085,0)
- +158 ;;=C8928^^21^186^35^^^^1
- +159 ;;^UTILITY(U,$J,358.3,3085,1,0)
- +160 ;;=^358.31IA^3^2
- +161 ;;^UTILITY(U,$J,358.3,3085,1,2,0)
- +162 ;;=2^C8928
- +163 ;;^UTILITY(U,$J,358.3,3085,1,3,0)
- +164 ;;=3^TTE w/ or w/o Cont Foll w/ Cont,Stress,I&R
- +165 ;;^UTILITY(U,$J,358.3,3086,0)
- +166 ;;=C8930^^21^186^32^^^^1
- +167 ;;^UTILITY(U,$J,358.3,3086,1,0)
- +168 ;;=^358.31IA^3^2
- +169 ;;^UTILITY(U,$J,358.3,3086,1,2,0)
- +170 ;;=2^C8930
- +171 ;;^UTILITY(U,$J,358.3,3086,1,3,0)
- +172 ;;=3^TTE w/ or w/o Cont Foll w/ Cont,2D Image,w/ EC Montoring
- +173 ;;^UTILITY(U,$J,358.3,3087,0)
- +174 ;;=Q9955^^21^186^23^^^^1
- +175 ;;^UTILITY(U,$J,358.3,3087,1,0)
- +176 ;;=^358.31IA^3^2
- +177 ;;^UTILITY(U,$J,358.3,3087,1,2,0)
- +178 ;;=2^Q9955
- +179 ;;^UTILITY(U,$J,358.3,3087,1,3,0)
- +180 ;;=3^Perflexane Lipid Microspheres,per ml
- +181 ;;^UTILITY(U,$J,358.3,3088,0)
- +182 ;;=Q9956^^21^186^22^^^^1
- +183 ;;^UTILITY(U,$J,358.3,3088,1,0)
- +184 ;;=^358.31IA^3^2
- +185 ;;^UTILITY(U,$J,358.3,3088,1,2,0)
- +186 ;;=2^Q9956
- +187 ;;^UTILITY(U,$J,358.3,3088,1,3,0)
- +188 ;;=3^Octafluoropropane Microspheres,per ml
- +189 ;;^UTILITY(U,$J,358.3,3089,0)
- +190 ;;=Q9957^^21^186^24^^^^1
- +191 ;;^UTILITY(U,$J,358.3,3089,1,0)
- +192 ;;=^358.31IA^3^2
- +193 ;;^UTILITY(U,$J,358.3,3089,1,2,0)
- +194 ;;=2^Q9957
- +195 ;;^UTILITY(U,$J,358.3,3089,1,3,0)
- +196 ;;=3^Perflutren Lipid Microspheres,per ml
- +197 ;;^UTILITY(U,$J,358.3,3090,0)
- +198 ;;=Q9950^^21^186^26^^^^1
- +199 ;;^UTILITY(U,$J,358.3,3090,1,0)
- +200 ;;=^358.31IA^3^2
- +201 ;;^UTILITY(U,$J,358.3,3090,1,2,0)
- +202 ;;=2^Q9950
- +203 ;;^UTILITY(U,$J,358.3,3090,1,3,0)
- +204 ;;=3^Sulfur Hexafluoride Lipid Microspheres,per ml
- +205 ;;^UTILITY(U,$J,358.3,3091,0)
- +206 ;;=93000^^21^187^9
- +207 ;;^UTILITY(U,$J,358.3,3091,1,0)
- +208 ;;=^358.31IA^3^2
- +209 ;;^UTILITY(U,$J,358.3,3091,1,2,0)
- +210 ;;=2^93000
- +211 ;;^UTILITY(U,$J,358.3,3091,1,3,0)
- +212 ;;=3^EKG 12 Lead W/ Interp & Report
- +213 ;;^UTILITY(U,$J,358.3,3092,0)
- +214 ;;=93005^^21^187^11
- +215 ;;^UTILITY(U,$J,358.3,3092,1,0)
- +216 ;;=^358.31IA^3^2
- +217 ;;^UTILITY(U,$J,358.3,3092,1,2,0)
- +218 ;;=2^93005
- +219 ;;^UTILITY(U,$J,358.3,3092,1,3,0)
- +220 ;;=3^EKG,Tracing Only No Report
- +221 ;;^UTILITY(U,$J,358.3,3093,0)
- +222 ;;=93278^^21^187^12
- +223 ;;^UTILITY(U,$J,358.3,3093,1,0)
- +224 ;;=^358.31IA^3^2
- +225 ;;^UTILITY(U,$J,358.3,3093,1,2,0)
- +226 ;;=2^93278
- +227 ;;^UTILITY(U,$J,358.3,3093,1,3,0)
- +228 ;;=3^EKG/Signal-Averaged
- +229 ;;^UTILITY(U,$J,358.3,3094,0)
- +230 ;;=93010^^21^187^10^^^^1
- +231 ;;^UTILITY(U,$J,358.3,3094,1,0)
- +232 ;;=^358.31IA^3^2
- +233 ;;^UTILITY(U,$J,358.3,3094,1,2,0)
- +234 ;;=2^93010
- +235 ;;^UTILITY(U,$J,358.3,3094,1,3,0)
- +236 ;;=3^EKG Interp & Read Only
- +237 ;;^UTILITY(U,$J,358.3,3095,0)
- +238 ;;=93224^^21^187^1^^^^1
- +239 ;;^UTILITY(U,$J,358.3,3095,1,0)
- +240 ;;=^358.31IA^3^2
- +241 ;;^UTILITY(U,$J,358.3,3095,1,2,0)
- +242 ;;=2^93224
- +243 ;;^UTILITY(U,$J,358.3,3095,1,3,0)
- +244 ;;=3^ECG MONITOR, UP TO 48 HR, ALL INCLUSIVE
- +245 ;;^UTILITY(U,$J,358.3,3096,0)
- +246 ;;=93225^^21^187^2^^^^1
- +247 ;;^UTILITY(U,$J,358.3,3096,1,0)
- +248 ;;=^358.31IA^3^2
- +249 ;;^UTILITY(U,$J,358.3,3096,1,2,0)
- +250 ;;=2^93225
- +251 ;;^UTILITY(U,$J,358.3,3096,1,3,0)
- +252 ;;=3^ECG MONITOR, UP TO 48 HR, RECORDING ONLY
- +253 ;;^UTILITY(U,$J,358.3,3097,0)
- +254 ;;=93226^^21^187^4^^^^1
- +255 ;;^UTILITY(U,$J,358.3,3097,1,0)
- +256 ;;=^358.31IA^3^2
- +257 ;;^UTILITY(U,$J,358.3,3097,1,2,0)
- +258 ;;=2^93226
- +259 ;;^UTILITY(U,$J,358.3,3097,1,3,0)
- +260 ;;=3^ECG MONITOR, UP TO 48 HR, SCAN w/RPT
- +261 ;;^UTILITY(U,$J,358.3,3098,0)
- +262 ;;=93227^^21^187^3^^^^1
- +263 ;;^UTILITY(U,$J,358.3,3098,1,0)
- +264 ;;=^358.31IA^3^2
- +265 ;;^UTILITY(U,$J,358.3,3098,1,2,0)
- +266 ;;=2^93227
- +267 ;;^UTILITY(U,$J,358.3,3098,1,3,0)
- +268 ;;=3^ECG MONITOR, UP TO 48 HR, REVIEW & INTERP
- +269 ;;^UTILITY(U,$J,358.3,3099,0)
- +270 ;;=93228^^21^187^23^^^^1
- +271 ;;^UTILITY(U,$J,358.3,3099,1,0)
- +272 ;;=^358.31IA^3^2
- +273 ;;^UTILITY(U,$J,358.3,3099,1,2,0)
- +274 ;;=2^93228
- +275 ;;^UTILITY(U,$J,358.3,3099,1,3,0)
- +276 ;;=3^REMOTE 30 DAY ECG REV/REPORT
- +277 ;;^UTILITY(U,$J,358.3,3100,0)
- +278 ;;=93229^^21^187^24^^^^1
- +279 ;;^UTILITY(U,$J,358.3,3100,1,0)
- +280 ;;=^358.31IA^3^2
- +281 ;;^UTILITY(U,$J,358.3,3100,1,2,0)
- +282 ;;=2^93229
- +283 ;;^UTILITY(U,$J,358.3,3100,1,3,0)
- +284 ;;=3^REMOTE 30 DAY ECG TECH SUPP
- +285 ;;^UTILITY(U,$J,358.3,3101,0)
- +286 ;;=93268^^21^187^5^^^^1
- +287 ;;^UTILITY(U,$J,358.3,3101,1,0)
- +288 ;;=^358.31IA^3^2
- +289 ;;^UTILITY(U,$J,358.3,3101,1,2,0)
- +290 ;;=2^93268
- +291 ;;^UTILITY(U,$J,358.3,3101,1,3,0)
- +292 ;;=3^ECG RECORD/REVIEW
- +293 ;;^UTILITY(U,$J,358.3,3102,0)
- +294 ;;=93270^^21^187^22^^^^1
- +295 ;;^UTILITY(U,$J,358.3,3102,1,0)
- +296 ;;=^358.31IA^3^2
- +297 ;;^UTILITY(U,$J,358.3,3102,1,2,0)
- +298 ;;=2^93270
- +299 ;;^UTILITY(U,$J,358.3,3102,1,3,0)
- +300 ;;=3^REMOTE 30 DAY ECG RECORDING ONLY
- +301 ;;^UTILITY(U,$J,358.3,3103,0)
- +302 ;;=93271^^21^187^6^^^^1
- +303 ;;^UTILITY(U,$J,358.3,3103,1,0)
- +304 ;;=^358.31IA^3^2
- +305 ;;^UTILITY(U,$J,358.3,3103,1,2,0)
- +306 ;;=2^93271
- +307 ;;^UTILITY(U,$J,358.3,3103,1,3,0)
- +308 ;;=3^ECG/MONITORING AND ANALYSIS
- +309 ;;^UTILITY(U,$J,358.3,3104,0)
- +310 ;;=93272^^21^187^7^^^^1
- +311 ;;^UTILITY(U,$J,358.3,3104,1,0)
- +312 ;;=^358.31IA^3^2
- +313 ;;^UTILITY(U,$J,358.3,3104,1,2,0)
- +314 ;;=2^93272
- +315 ;;^UTILITY(U,$J,358.3,3104,1,3,0)
- +316 ;;=3^ECG/REVIEW INTERPRET ONLY
- +317 ;;^UTILITY(U,$J,358.3,3105,0)
- +318 ;;=93278^^21^187^8^^^^1
- +319 ;;^UTILITY(U,$J,358.3,3105,1,0)
- +320 ;;=^358.31IA^3^2
- +321 ;;^UTILITY(U,$J,358.3,3105,1,2,0)
- +322 ;;=2^93278
- +323 ;;^UTILITY(U,$J,358.3,3105,1,3,0)
- +324 ;;=3^ECG/SIGNAL-AVERAGED
- +325 ;;^UTILITY(U,$J,358.3,3106,0)
- +326 ;;=93025^^21^187^21^^^^1
- +327 ;;^UTILITY(U,$J,358.3,3106,1,0)
- +328 ;;=^358.31IA^3^2
- +329 ;;^UTILITY(U,$J,358.3,3106,1,2,0)
- +330 ;;=2^93025
- +331 ;;^UTILITY(U,$J,358.3,3106,1,3,0)
- +332 ;;=3^Microvolt T-Wave Assess
- +333 ;;^UTILITY(U,$J,358.3,3107,0)
- +334 ;;=93040^^21^187^26^^^^1
- +335 ;;^UTILITY(U,$J,358.3,3107,1,0)
- +336 ;;=^358.31IA^3^2
- +337 ;;^UTILITY(U,$J,358.3,3107,1,2,0)
- +338 ;;=2^93040
- +339 ;;^UTILITY(U,$J,358.3,3107,1,3,0)
- +340 ;;=3^Rhythm ECG w/ Report
- +341 ;;^UTILITY(U,$J,358.3,3108,0)
- +342 ;;=93041^^21^187^25^^^^1
- +343 ;;^UTILITY(U,$J,358.3,3108,1,0)
- +344 ;;=^358.31IA^3^2
- +345 ;;^UTILITY(U,$J,358.3,3108,1,2,0)
- +346 ;;=2^93041
- +347 ;;^UTILITY(U,$J,358.3,3108,1,3,0)
- +348 ;;=3^Rhythm ECG Tracing
- +349 ;;^UTILITY(U,$J,358.3,3109,0)
- +350 ;;=93242^^21^187^14^^^^1
- +351 ;;^UTILITY(U,$J,358.3,3109,1,0)
- +352 ;;=^358.31IA^3^2
- +353 ;;^UTILITY(U,$J,358.3,3109,1,2,0)
- +354 ;;=2^93242
- +355 ;;^UTILITY(U,$J,358.3,3109,1,3,0)
- +356 ;;=3^Ext ECG>48HR<7D Recording
- +357 ;;^UTILITY(U,$J,358.3,3110,0)
- +358 ;;=93246^^21^187^18^^^^1
- +359 ;;^UTILITY(U,$J,358.3,3110,1,0)
- +360 ;;=^358.31IA^3^2
- +361 ;;^UTILITY(U,$J,358.3,3110,1,2,0)
- +362 ;;=2^93246
- +363 ;;^UTILITY(U,$J,358.3,3110,1,3,0)
- +364 ;;=3^Ext ECG>7D<15D Recording
- +365 ;;^UTILITY(U,$J,358.3,3111,0)
- +366 ;;=93244^^21^187^15^^^^1
- +367 ;;^UTILITY(U,$J,358.3,3111,1,0)
- +368 ;;=^358.31IA^3^2
- +369 ;;^UTILITY(U,$J,358.3,3111,1,2,0)
- +370 ;;=2^93244
- +371 ;;^UTILITY(U,$J,358.3,3111,1,3,0)
- +372 ;;=3^Ext ECG>48HR<7D Rev&Interp
- +373 ;;^UTILITY(U,$J,358.3,3112,0)
- +374 ;;=93241^^21^187^13^^^^1
- +375 ;;^UTILITY(U,$J,358.3,3112,1,0)
- +376 ;;=^358.31IA^3^2
- +377 ;;^UTILITY(U,$J,358.3,3112,1,2,0)
- +378 ;;=2^93241
- +379 ;;^UTILITY(U,$J,358.3,3112,1,3,0)
- +380 ;;=3^Ext ECG>48HR<7D Rec Scan A/R
- +381 ;;^UTILITY(U,$J,358.3,3113,0)
- +382 ;;=93243^^21^187^16^^^^1
- +383 ;;^UTILITY(U,$J,358.3,3113,1,0)
- +384 ;;=^358.31IA^3^2
- +385 ;;^UTILITY(U,$J,358.3,3113,1,2,0)
- +386 ;;=2^93243
- +387 ;;^UTILITY(U,$J,358.3,3113,1,3,0)
- +388 ;;=3^Ext ECG>48HR<7D Scan A/R
- +389 ;;^UTILITY(U,$J,358.3,3114,0)
- +390 ;;=93245^^21^187^17^^^^1
- +391 ;;^UTILITY(U,$J,358.3,3114,1,0)
- +392 ;;=^358.31IA^3^2
- +393 ;;^UTILITY(U,$J,358.3,3114,1,2,0)
- +394 ;;=2^93245
- +395 ;;^UTILITY(U,$J,358.3,3114,1,3,0)
- +396 ;;=3^Ext ECG>7D<15D Rec Scan A/R
- +397 ;;^UTILITY(U,$J,358.3,3115,0)
- +398 ;;=93247^^21^187^20^^^^1
- +399 ;;^UTILITY(U,$J,358.3,3115,1,0)
- +400 ;;=^358.31IA^3^2
- +401 ;;^UTILITY(U,$J,358.3,3115,1,2,0)
- +402 ;;=2^93247
- +403 ;;^UTILITY(U,$J,358.3,3115,1,3,0)
- +404 ;;=3^Ext ECG>7D<15D Scan A/R
- +405 ;;^UTILITY(U,$J,358.3,3116,0)
- +406 ;;=93248^^21^187^19^^^^1
- +407 ;;^UTILITY(U,$J,358.3,3116,1,0)
- +408 ;;=^358.31IA^3^2
- +409 ;;^UTILITY(U,$J,358.3,3116,1,2,0)
- +410 ;;=2^93248
- +411 ;;^UTILITY(U,$J,358.3,3116,1,3,0)
- +412 ;;=3^Ext ECG>7D<15D Rev&Interp
- +413 ;;^UTILITY(U,$J,358.3,3117,0)
- +414 ;;=96372^^21^188^10^^^^1
- +415 ;;^UTILITY(U,$J,358.3,3117,1,0)
- +416 ;;=^358.31IA^3^2
- +417 ;;^UTILITY(U,$J,358.3,3117,1,2,0)
- +418 ;;=2^96372
- +419 ;;^UTILITY(U,$J,358.3,3117,1,3,0)
- +420 ;;=3^Ther/Proph/Diag Inj SC/IM
- +421 ;;^UTILITY(U,$J,358.3,3118,0)
- +422 ;;=96360^^21^188^1^^^^1
- +423 ;;^UTILITY(U,$J,358.3,3118,1,0)
- +424 ;;=^358.31IA^3^2
- +425 ;;^UTILITY(U,$J,358.3,3118,1,2,0)
- +426 ;;=2^96360
- +427 ;;^UTILITY(U,$J,358.3,3118,1,3,0)
- +428 ;;=3^Hydration IV Infus Init
- +429 ;;^UTILITY(U,$J,358.3,3119,0)
- +430 ;;=96361^^21^188^2^^^^1
- +431 ;;^UTILITY(U,$J,358.3,3119,1,0)
- +432 ;;=^358.31IA^3^2
- +433 ;;^UTILITY(U,$J,358.3,3119,1,2,0)
- +434 ;;=2^96361
- +435 ;;^UTILITY(U,$J,358.3,3119,1,3,0)
- +436 ;;=3^Hydration IV Infus Add-On
- +437 ;;^UTILITY(U,$J,358.3,3120,0)
- +438 ;;=96365^^21^188^3^^^^1
- +439 ;;^UTILITY(U,$J,358.3,3120,1,0)
- +440 ;;=^358.31IA^3^2
- +441 ;;^UTILITY(U,$J,358.3,3120,1,2,0)
- +442 ;;=2^96365
- +443 ;;^UTILITY(U,$J,358.3,3120,1,3,0)
- +444 ;;=3^IV Inf Ther/Proph/Diag Init
- +445 ;;^UTILITY(U,$J,358.3,3121,0)
- +446 ;;=96366^^21^188^4^^^^1
- +447 ;;^UTILITY(U,$J,358.3,3121,1,0)
- +448 ;;=^358.31IA^3^2
- +449 ;;^UTILITY(U,$J,358.3,3121,1,2,0)
- +450 ;;=2^96366
- +451 ;;^UTILITY(U,$J,358.3,3121,1,3,0)
- +452 ;;=3^IV Inf Ther/Proph/Diag Add-On
- +453 ;;^UTILITY(U,$J,358.3,3122,0)
- +454 ;;=96367^^21^188^5^^^^1
- +455 ;;^UTILITY(U,$J,358.3,3122,1,0)
- +456 ;;=^358.31IA^3^2
- +457 ;;^UTILITY(U,$J,358.3,3122,1,2,0)
- +458 ;;=2^96367
- +459 ;;^UTILITY(U,$J,358.3,3122,1,3,0)
- +460 ;;=3^IV Inf Ther/Proph/Diag Addl Seq
- +461 ;;^UTILITY(U,$J,358.3,3123,0)
- +462 ;;=96368^^21^188^6^^^^1
- +463 ;;^UTILITY(U,$J,358.3,3123,1,0)
- +464 ;;=^358.31IA^3^2
- +465 ;;^UTILITY(U,$J,358.3,3123,1,2,0)
- +466 ;;=2^96368
- +467 ;;^UTILITY(U,$J,358.3,3123,1,3,0)
- +468 ;;=3^IV Inf Ther/Proph/Diag Concurrent
- +469 ;;^UTILITY(U,$J,358.3,3124,0)
- +470 ;;=82948^^21^188^8^^^^1
- +471 ;;^UTILITY(U,$J,358.3,3124,1,0)
- +472 ;;=^358.31IA^3^2
- +473 ;;^UTILITY(U,$J,358.3,3124,1,2,0)
- +474 ;;=2^82948
- +475 ;;^UTILITY(U,$J,358.3,3124,1,3,0)
- +476 ;;=3^REAGENT STRIP/BLOOD GLUCOSE
- +477 ;;^UTILITY(U,$J,358.3,3125,0)
- +478 ;;=90471^^21^188^7^^^^1
- +479 ;;^UTILITY(U,$J,358.3,3125,1,0)
- +480 ;;=^358.31IA^3^2
- +481 ;;^UTILITY(U,$J,358.3,3125,1,2,0)
- +482 ;;=2^90471
- +483 ;;^UTILITY(U,$J,358.3,3125,1,3,0)
- +484 ;;=3^Immunization Admin
- +485 ;;^UTILITY(U,$J,358.3,3126,0)
- +486 ;;=96374^^21^188^9^^^^1
- +487 ;;^UTILITY(U,$J,358.3,3126,1,0)
- +488 ;;=^358.31IA^3^2
- +489 ;;^UTILITY(U,$J,358.3,3126,1,2,0)
- +490 ;;=2^96374
- +491 ;;^UTILITY(U,$J,358.3,3126,1,3,0)
- +492 ;;=3^Ther/Proph/Diag Inj IV Push
- +493 ;;^UTILITY(U,$J,358.3,3127,0)
- +494 ;;=J1644^^21^189^12^^^^1
- +495 ;;^UTILITY(U,$J,358.3,3127,1,0)
- +496 ;;=^358.31IA^3^2
- +497 ;;^UTILITY(U,$J,358.3,3127,1,2,0)
- +498 ;;=2^J1644
- +499 ;;^UTILITY(U,$J,358.3,3127,1,3,0)
- +500 ;;=3^Heparin Sodium Inj 1000U
- +501 ;;^UTILITY(U,$J,358.3,3128,0)
- +502 ;;=J1642^^21^189^11^^^^1
- +503 ;;^UTILITY(U,$J,358.3,3128,1,0)
- +504 ;;=^358.31IA^3^2
- +505 ;;^UTILITY(U,$J,358.3,3128,1,2,0)
- +506 ;;=2^J1642
- +507 ;;^UTILITY(U,$J,358.3,3128,1,3,0)
- +508 ;;=3^Heparin Lock Flush 10U
- +509 ;;^UTILITY(U,$J,358.3,3129,0)
- +510 ;;=J3490^^21^189^32^^^^1
- +511 ;;^UTILITY(U,$J,358.3,3129,1,0)
- +512 ;;=^358.31IA^3^2
- +513 ;;^UTILITY(U,$J,358.3,3129,1,2,0)
- +514 ;;=2^J3490
- +515 ;;^UTILITY(U,$J,358.3,3129,1,3,0)
- +516 ;;=3^Unclassified Drug Inj
- +517 ;;^UTILITY(U,$J,358.3,3130,0)
- +518 ;;=J1250^^21^189^5^^^^1
- +519 ;;^UTILITY(U,$J,358.3,3130,1,0)
- +520 ;;=^358.31IA^3^2
- +521 ;;^UTILITY(U,$J,358.3,3130,1,2,0)
- +522 ;;=2^J1250
- +523 ;;^UTILITY(U,$J,358.3,3130,1,3,0)
- +524 ;;=3^Dobutamine HCL 250mg
- +525 ;;^UTILITY(U,$J,358.3,3131,0)
- +526 ;;=J2001^^21^189^16^^^^1
- +527 ;;^UTILITY(U,$J,358.3,3131,1,0)
- +528 ;;=^358.31IA^3^2
- +529 ;;^UTILITY(U,$J,358.3,3131,1,2,0)
- +530 ;;=2^J2001
- +531 ;;^UTILITY(U,$J,358.3,3131,1,3,0)
- +532 ;;=3^Lidocaine HCL IV Inf 10mg
- +533 ;;^UTILITY(U,$J,358.3,3132,0)
- +534 ;;=Q9965^^21^189^13^^^^1
- +535 ;;^UTILITY(U,$J,358.3,3132,1,0)
- +536 ;;=^358.31IA^3^2
- +537 ;;^UTILITY(U,$J,358.3,3132,1,2,0)
- +538 ;;=2^Q9965
- +539 ;;^UTILITY(U,$J,358.3,3132,1,3,0)
- +540 ;;=3^LOCM 100-199mg/ml Iodine 1ml
- +541 ;;^UTILITY(U,$J,358.3,3133,0)
- +542 ;;=Q9966^^21^189^14^^^^1
- +543 ;;^UTILITY(U,$J,358.3,3133,1,0)
- +544 ;;=^358.31IA^3^2
- +545 ;;^UTILITY(U,$J,358.3,3133,1,2,0)
- +546 ;;=2^Q9966
- +547 ;;^UTILITY(U,$J,358.3,3133,1,3,0)
- +548 ;;=3^LOCM 200-299mg/ml Iodine 1ml
- +549 ;;^UTILITY(U,$J,358.3,3134,0)
- +550 ;;=Q9967^^21^189^15^^^^1
- +551 ;;^UTILITY(U,$J,358.3,3134,1,0)
- +552 ;;=^358.31IA^3^2
- +553 ;;^UTILITY(U,$J,358.3,3134,1,2,0)
- +554 ;;=2^Q9967
- +555 ;;^UTILITY(U,$J,358.3,3134,1,3,0)
- +556 ;;=3^LOCM 300-399mg/ml Iodine 1ml
- +557 ;;^UTILITY(U,$J,358.3,3135,0)
- +558 ;;=J2250^^21^189^17^^^^1
- +559 ;;^UTILITY(U,$J,358.3,3135,1,0)
- +560 ;;=^358.31IA^3^2
- +561 ;;^UTILITY(U,$J,358.3,3135,1,2,0)
- +562 ;;=2^J2250
- +563 ;;^UTILITY(U,$J,358.3,3135,1,3,0)
- +564 ;;=3^Midazolam Hydrochloride 1mg
- +565 ;;^UTILITY(U,$J,358.3,3136,0)
- +566 ;;=J3010^^21^189^7^^^^1
- +567 ;;^UTILITY(U,$J,358.3,3136,1,0)
- +568 ;;=^358.31IA^3^2
- +569 ;;^UTILITY(U,$J,358.3,3136,1,2,0)
- +570 ;;=2^J3010
- +571 ;;^UTILITY(U,$J,358.3,3136,1,3,0)
- +572 ;;=3^Fentanyl Citrate 0.1mg
- +573 ;;^UTILITY(U,$J,358.3,3137,0)
- +574 ;;=J2405^^21^189^22^^^^1
- +575 ;;^UTILITY(U,$J,358.3,3137,1,0)
- +576 ;;=^358.31IA^3^2
- +577 ;;^UTILITY(U,$J,358.3,3137,1,2,0)
- +578 ;;=2^J2405
- +579 ;;^UTILITY(U,$J,358.3,3137,1,3,0)
- +580 ;;=3^Ondansetron HCL 1mg
- +581 ;;^UTILITY(U,$J,358.3,3138,0)
- +582 ;;=J2550^^21^189^24^^^^1
- +583 ;;^UTILITY(U,$J,358.3,3138,1,0)
- +584 ;;=^358.31IA^3^2
- +585 ;;^UTILITY(U,$J,358.3,3138,1,2,0)
- +586 ;;=2^J2550
- +587 ;;^UTILITY(U,$J,358.3,3138,1,3,0)
- +588 ;;=3^Promethazine HCL 50mg
- +589 ;;^UTILITY(U,$J,358.3,3139,0)
- +590 ;;=90658^^21^189^10^^^^1
- +591 ;;^UTILITY(U,$J,358.3,3139,1,0)
- +592 ;;=^358.31IA^3^2
- +593 ;;^UTILITY(U,$J,358.3,3139,1,2,0)
- +594 ;;=2^90658
- +595 ;;^UTILITY(U,$J,358.3,3139,1,3,0)
- +596 ;;=3^Flu Vax,Trivalent,Split Virus
- +597 ;;^UTILITY(U,$J,358.3,3140,0)
- +598 ;;=J1568^^21^189^21^^^^1
- +599 ;;^UTILITY(U,$J,358.3,3140,1,0)
- +600 ;;=^358.31IA^3^2
- +601 ;;^UTILITY(U,$J,358.3,3140,1,2,0)
- +602 ;;=2^J1568
- +603 ;;^UTILITY(U,$J,358.3,3140,1,3,0)
- +604 ;;=3^Octagam 500mg
- +605 ;;^UTILITY(U,$J,358.3,3141,0)
- +606 ;;=90732^^21^189^23^^^^1
- +607 ;;^UTILITY(U,$J,358.3,3141,1,0)
- +608 ;;=^358.31IA^3^2
- +609 ;;^UTILITY(U,$J,358.3,3141,1,2,0)
- +610 ;;=2^90732
- +611 ;;^UTILITY(U,$J,358.3,3141,1,3,0)
- +612 ;;=3^Pneumococcal Vaccine
- +613 ;;^UTILITY(U,$J,358.3,3142,0)
- +614 ;;=J3420^^21^189^33^^^^1
- +615 ;;^UTILITY(U,$J,358.3,3142,1,0)
- +616 ;;=^358.31IA^3^2
- +617 ;;^UTILITY(U,$J,358.3,3142,1,2,0)
- +618 ;;=2^J3420
- +619 ;;^UTILITY(U,$J,358.3,3142,1,3,0)
- +620 ;;=3^Vitamin B12 1000mcg
- +621 ;;^UTILITY(U,$J,358.3,3143,0)
- +622 ;;=J1562^^21^189^34^^^^1
- +623 ;;^UTILITY(U,$J,358.3,3143,1,0)
- +624 ;;=^358.31IA^3^2
- +625 ;;^UTILITY(U,$J,358.3,3143,1,2,0)
- +626 ;;=2^J1562
- +627 ;;^UTILITY(U,$J,358.3,3143,1,3,0)
- +628 ;;=3^Vivaglobin 100mg
- +629 ;;^UTILITY(U,$J,358.3,3144,0)
- +630 ;;=A9505^^21^189^28^^^^1
- +631 ;;^UTILITY(U,$J,358.3,3144,1,0)
- +632 ;;=^358.31IA^3^2
- +633 ;;^UTILITY(U,$J,358.3,3144,1,2,0)
- +634 ;;=2^A9505
- +635 ;;^UTILITY(U,$J,358.3,3144,1,3,0)
- +636 ;;=3^TL201 Thallium per MCL
- +637 ;;^UTILITY(U,$J,358.3,3145,0)
- +638 ;;=A9560^^21^189^26^^^^1
- +639 ;;^UTILITY(U,$J,358.3,3145,1,0)
- +640 ;;=^358.31IA^3^2
- +641 ;;^UTILITY(U,$J,358.3,3145,1,2,0)
- +642 ;;=2^A9560
- +643 ;;^UTILITY(U,$J,358.3,3145,1,3,0)
- +644 ;;=3^TC99M Labeled RBC per 30M
- +645 ;;^UTILITY(U,$J,358.3,3146,0)
- +646 ;;=A9500^^21^189^29^^^^1
- +647 ;;^UTILITY(U,$J,358.3,3146,1,0)
- +648 ;;=^358.31IA^3^2
- +649 ;;^UTILITY(U,$J,358.3,3146,1,2,0)
- +650 ;;=2^A9500
- +651 ;;^UTILITY(U,$J,358.3,3146,1,3,0)
- +652 ;;=3^Tc99M Sestamibi
- +653 ;;^UTILITY(U,$J,358.3,3147,0)
- +654 ;;=A9501^^21^189^30^^^^1
- +655 ;;^UTILITY(U,$J,358.3,3147,1,0)
- +656 ;;=^358.31IA^3^2
- +657 ;;^UTILITY(U,$J,358.3,3147,1,2,0)
- +658 ;;=2^A9501
- +659 ;;^UTILITY(U,$J,358.3,3147,1,3,0)
- +660 ;;=3^Technetium TC-99M Teboroxime
- +661 ;;^UTILITY(U,$J,358.3,3148,0)
- +662 ;;=A9502^^21^189^27^^^^1
- +663 ;;^UTILITY(U,$J,358.3,3148,1,0)
- +664 ;;=^358.31IA^3^2