IBDEI01H ; ; 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,$J,358.3,3148,1,2,0)
;;=2^A9502
;;^UTILITY(U,$J,358.3,3148,1,3,0)
;;=3^TC99M Tetrofosmin
;;^UTILITY(U,$J,358.3,3149,0)
;;=J0280^^21^189^1^^^^1
;;^UTILITY(U,$J,358.3,3149,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3149,1,2,0)
;;=2^J0280
;;^UTILITY(U,$J,358.3,3149,1,3,0)
;;=3^Aminophyllin 250mg
;;^UTILITY(U,$J,358.3,3150,0)
;;=J0461^^21^189^2^^^^1
;;^UTILITY(U,$J,358.3,3150,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3150,1,2,0)
;;=2^J0461
;;^UTILITY(U,$J,358.3,3150,1,3,0)
;;=3^Atropine Sulfate 0.01mg
;;^UTILITY(U,$J,358.3,3151,0)
;;=J1245^^21^189^4^^^^1
;;^UTILITY(U,$J,358.3,3151,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3151,1,2,0)
;;=2^J1245
;;^UTILITY(U,$J,358.3,3151,1,3,0)
;;=3^Dipyridamole per 10mg
;;^UTILITY(U,$J,358.3,3152,0)
;;=J2785^^21^189^25^^^^1
;;^UTILITY(U,$J,358.3,3152,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3152,1,2,0)
;;=2^J2785
;;^UTILITY(U,$J,358.3,3152,1,3,0)
;;=3^Regadenoson 0.1mg
;;^UTILITY(U,$J,358.3,3153,0)
;;=J7030^^21^189^18^^^^1
;;^UTILITY(U,$J,358.3,3153,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3153,1,2,0)
;;=2^J7030
;;^UTILITY(U,$J,358.3,3153,1,3,0)
;;=3^NS Solution Infusion 1000ml
;;^UTILITY(U,$J,358.3,3154,0)
;;=J7050^^21^189^19^^^^1
;;^UTILITY(U,$J,358.3,3154,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3154,1,2,0)
;;=2^J7050
;;^UTILITY(U,$J,358.3,3154,1,3,0)
;;=3^NS Solution Infusion 250ml
;;^UTILITY(U,$J,358.3,3155,0)
;;=J7040^^21^189^20^^^^1
;;^UTILITY(U,$J,358.3,3155,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3155,1,2,0)
;;=2^J7040
;;^UTILITY(U,$J,358.3,3155,1,3,0)
;;=3^NS Solution Infusion 500ml
;;^UTILITY(U,$J,358.3,3156,0)
;;=J3240^^21^189^31^^^^1
;;^UTILITY(U,$J,358.3,3156,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3156,1,2,0)
;;=2^J3240
;;^UTILITY(U,$J,358.3,3156,1,3,0)
;;=3^Thyrotropin Alpha 0.9mg
;;^UTILITY(U,$J,358.3,3157,0)
;;=Q9957^^21^189^3^^^^1
;;^UTILITY(U,$J,358.3,3157,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3157,1,2,0)
;;=2^Q9957
;;^UTILITY(U,$J,358.3,3157,1,3,0)
;;=3^Definity per ML
;;^UTILITY(U,$J,358.3,3158,0)
;;=J1444^^21^189^8^^^^1
;;^UTILITY(U,$J,358.3,3158,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3158,1,2,0)
;;=2^J1444
;;^UTILITY(U,$J,358.3,3158,1,3,0)
;;=3^Ferric Pyrophosphate Citrate Powder 0.1mg
;;^UTILITY(U,$J,358.3,3159,0)
;;=A9700^^21^189^6^^^^1
;;^UTILITY(U,$J,358.3,3159,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3159,1,2,0)
;;=2^A9700
;;^UTILITY(U,$J,358.3,3159,1,3,0)
;;=3^Echocardiography Contrast
;;^UTILITY(U,$J,358.3,3160,0)
;;=90694^^21^189^9^^^^1
;;^UTILITY(U,$J,358.3,3160,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3160,1,2,0)
;;=2^90694
;;^UTILITY(U,$J,358.3,3160,1,3,0)
;;=3^Flu Vax,Quadvlt,Inactive Prsrv Free,65+ yrs
;;^UTILITY(U,$J,358.3,3161,0)
;;=93015^^21^190^7
;;^UTILITY(U,$J,358.3,3161,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3161,1,2,0)
;;=2^93015
;;^UTILITY(U,$J,358.3,3161,1,3,0)
;;=3^Cardiovascular Stress Test
;;^UTILITY(U,$J,358.3,3162,0)
;;=93660^^21^190^16
;;^UTILITY(U,$J,358.3,3162,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3162,1,2,0)
;;=2^93660
;;^UTILITY(U,$J,358.3,3162,1,3,0)
;;=3^Tilt Test Study
;;^UTILITY(U,$J,358.3,3163,0)
;;=78472^^21^190^2^^^^1
;;^UTILITY(U,$J,358.3,3163,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3163,1,2,0)
;;=2^78472
;;^UTILITY(U,$J,358.3,3163,1,3,0)
;;=3^Cardiac Blood Pool Gate+EF
;;^UTILITY(U,$J,358.3,3164,0)
;;=78473^^21^190^1^^^^1
;;^UTILITY(U,$J,358.3,3164,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3164,1,2,0)
;;=2^78473
;;^UTILITY(U,$J,358.3,3164,1,3,0)
;;=3^Cardiac Blood Pool Gate Mult,Add-on
;;^UTILITY(U,$J,358.3,3165,0)
;;=78481^^21^190^3^^^^1
;;^UTILITY(U,$J,358.3,3165,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3165,1,2,0)
;;=2^78481
;;^UTILITY(U,$J,358.3,3165,1,3,0)
;;=3^Cardiac Blood Pool Imag
;;^UTILITY(U,$J,358.3,3166,0)
;;=78483^^21^190^5^^^^1
;;^UTILITY(U,$J,358.3,3166,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3166,1,2,0)
;;=2^78483
;;^UTILITY(U,$J,358.3,3166,1,3,0)
;;=3^Cardiac Blood Pool Imag Mult,Add-On
;;^UTILITY(U,$J,358.3,3167,0)
;;=78491^^21^190^14^^^^1
;;^UTILITY(U,$J,358.3,3167,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3167,1,2,0)
;;=2^78491
;;^UTILITY(U,$J,358.3,3167,1,3,0)
;;=3^PET, Single, Rest or stress
;;^UTILITY(U,$J,358.3,3168,0)
;;=78492^^21^190^15^^^^1
;;^UTILITY(U,$J,358.3,3168,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3168,1,2,0)
;;=2^78492
;;^UTILITY(U,$J,358.3,3168,1,3,0)
;;=3^PET, multiple, rest or stress
;;^UTILITY(U,$J,358.3,3169,0)
;;=78496^^21^190^4^^^^1
;;^UTILITY(U,$J,358.3,3169,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3169,1,2,0)
;;=2^78496
;;^UTILITY(U,$J,358.3,3169,1,3,0)
;;=3^Cardiac Blood Pool Imag Gate sgl+EF,Add-On
;;^UTILITY(U,$J,358.3,3170,0)
;;=78451^^21^190^11^^^^1
;;^UTILITY(U,$J,358.3,3170,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3170,1,2,0)
;;=2^78451
;;^UTILITY(U,$J,358.3,3170,1,3,0)
;;=3^HT Muscle Image Spect,Single
;;^UTILITY(U,$J,358.3,3171,0)
;;=78452^^21^190^10^^^^1
;;^UTILITY(U,$J,358.3,3171,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3171,1,2,0)
;;=2^78452
;;^UTILITY(U,$J,358.3,3171,1,3,0)
;;=3^HT Muscle Image Spect,Multi,Add-On
;;^UTILITY(U,$J,358.3,3172,0)
;;=78453^^21^190^13^^^^1
;;^UTILITY(U,$J,358.3,3172,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3172,1,2,0)
;;=2^78453
;;^UTILITY(U,$J,358.3,3172,1,3,0)
;;=3^HT Muscle Image,Planar,Single
;;^UTILITY(U,$J,358.3,3173,0)
;;=78454^^21^190^12^^^^1
;;^UTILITY(U,$J,358.3,3173,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3173,1,2,0)
;;=2^78454
;;^UTILITY(U,$J,358.3,3173,1,3,0)
;;=3^HT Muscle Image,Planar,Multi,Add-On
;;^UTILITY(U,$J,358.3,3174,0)
;;=93641^^21^190^8^^^^1
;;^UTILITY(U,$J,358.3,3174,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3174,1,2,0)
;;=2^93641
;;^UTILITY(U,$J,358.3,3174,1,3,0)
;;=3^Electrophysiology Eval,Pulse Generator
;;^UTILITY(U,$J,358.3,3175,0)
;;=93642^^21^190^9^^^^1
;;^UTILITY(U,$J,358.3,3175,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3175,1,2,0)
;;=2^93642
;;^UTILITY(U,$J,358.3,3175,1,3,0)
;;=3^Electrophysiology Eval,Sensing/Therapeutic Parameters
;;^UTILITY(U,$J,358.3,3176,0)
;;=93797^^21^190^6^^^^1
;;^UTILITY(U,$J,358.3,3176,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3176,1,2,0)
;;=2^93797
;;^UTILITY(U,$J,358.3,3176,1,3,0)
;;=3^Cardiac Rehab w/o ECG Monitoring
;;^UTILITY(U,$J,358.3,3177,0)
;;=93799^^21^190^17^^^^1
;;^UTILITY(U,$J,358.3,3177,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3177,1,2,0)
;;=2^93799
;;^UTILITY(U,$J,358.3,3177,1,3,0)
;;=3^Unlisted Cardiovascular Procedure
;;^UTILITY(U,$J,358.3,3178,0)
;;=93015^^21^191^1^^^^1
;;^UTILITY(U,$J,358.3,3178,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3178,1,2,0)
;;=2^93015
;;^UTILITY(U,$J,358.3,3178,1,3,0)
;;=3^Cardiovascular Stress Test
;;^UTILITY(U,$J,358.3,3179,0)
;;=93016^^21^191^7^^^^1
;;^UTILITY(U,$J,358.3,3179,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3179,1,2,0)
;;=2^93016
;;^UTILITY(U,$J,358.3,3179,1,3,0)
;;=3^Stress Test, Phy Super Only No Report
;;^UTILITY(U,$J,358.3,3180,0)
;;=93017^^21^191^8^^^^1
;;^UTILITY(U,$J,358.3,3180,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3180,1,2,0)
;;=2^93017
;;^UTILITY(U,$J,358.3,3180,1,3,0)
;;=3^Stress Test, Tracing Only
;;^UTILITY(U,$J,358.3,3181,0)
;;=93018^^21^191^6^^^^1
;;^UTILITY(U,$J,358.3,3181,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3181,1,2,0)
;;=2^93018
;;^UTILITY(U,$J,358.3,3181,1,3,0)
;;=3^Stress Test, Interr & Report Only
;;^UTILITY(U,$J,358.3,3182,0)
;;=78451^^21^191^4^^^^1
;;^UTILITY(U,$J,358.3,3182,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3182,1,2,0)
;;=2^78451
;;^UTILITY(U,$J,358.3,3182,1,3,0)
;;=3^SPECT,Single Study
;;^UTILITY(U,$J,358.3,3183,0)
;;=93350^^21^191^5^^^^1
;;^UTILITY(U,$J,358.3,3183,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3183,1,2,0)
;;=2^93350
;;^UTILITY(U,$J,358.3,3183,1,3,0)
;;=3^Stress TTE Only
;;^UTILITY(U,$J,358.3,3184,0)
;;=J2785^^21^191^3^^^^1
;;^UTILITY(U,$J,358.3,3184,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3184,1,2,0)
;;=2^J2785
;;^UTILITY(U,$J,358.3,3184,1,3,0)
;;=3^Regadenoson 0.1mg (Lexiscan)
;;^UTILITY(U,$J,358.3,3185,0)
;;=J1250^^21^191^2^^^^1
;;^UTILITY(U,$J,358.3,3185,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3185,1,2,0)
;;=2^J1250
;;^UTILITY(U,$J,358.3,3185,1,3,0)
;;=3^Dobutamin Hydrochloride per 250mg
;;^UTILITY(U,$J,358.3,3186,0)
;;=99401^^21^192^1^^^^1
;;^UTILITY(U,$J,358.3,3186,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3186,1,2,0)
;;=2^99401
;;^UTILITY(U,$J,358.3,3186,1,3,0)
;;=3^Preventive Counseling,15 min
;;^UTILITY(U,$J,358.3,3187,0)
;;=99402^^21^192^2^^^^1
;;^UTILITY(U,$J,358.3,3187,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3187,1,2,0)
;;=2^99402
;;^UTILITY(U,$J,358.3,3187,1,3,0)
;;=3^Preventive Counseling,30 min
;;^UTILITY(U,$J,358.3,3188,0)
;;=99403^^21^192^3^^^^1
;;^UTILITY(U,$J,358.3,3188,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3188,1,2,0)
;;=2^99403
;;^UTILITY(U,$J,358.3,3188,1,3,0)
;;=3^Preventive Counseling,45 min
;;^UTILITY(U,$J,358.3,3189,0)
;;=99404^^21^192^4^^^^1
;;^UTILITY(U,$J,358.3,3189,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3189,1,2,0)
;;=2^99404
;;^UTILITY(U,$J,358.3,3189,1,3,0)
;;=3^Preventive Counseling,60 min
;;^UTILITY(U,$J,358.3,3190,0)
;;=99411^^21^192^5^^^^1
;;^UTILITY(U,$J,358.3,3190,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3190,1,2,0)
;;=2^99411
;;^UTILITY(U,$J,358.3,3190,1,3,0)
;;=3^Preventive Counseling,Grp,30 Min
;;^UTILITY(U,$J,358.3,3191,0)
;;=99412^^21^192^6^^^^1
;;^UTILITY(U,$J,358.3,3191,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3191,1,2,0)
;;=2^99412
;;^UTILITY(U,$J,358.3,3191,1,3,0)
;;=3^Preventive Counseling,Grp,60 Min
;;^UTILITY(U,$J,358.3,3192,0)
;;=99152^^21^193^1^^^^1
;;^UTILITY(U,$J,358.3,3192,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3192,1,2,0)
;;=2^99152
;;^UTILITY(U,$J,358.3,3192,1,3,0)
;;=3^MS by Same/Supr MD/QHCP,1st 15 min
;;^UTILITY(U,$J,358.3,3193,0)
;;=99153^^21^193^2^^^^1
;;^UTILITY(U,$J,358.3,3193,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3193,1,2,0)
;;=2^99153
;;^UTILITY(U,$J,358.3,3193,1,3,0)
;;=3^MS by Same/Supr MD/QHCP,Ea Addl 15 min
;;^UTILITY(U,$J,358.3,3194,0)
;;=99156^^21^193^3^^^^1
;;^UTILITY(U,$J,358.3,3194,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3194,1,2,0)
;;=2^99156
;;^UTILITY(U,$J,358.3,3194,1,3,0)
;;=3^MS by Oth MD/QHCP,1st 15 min
;;^UTILITY(U,$J,358.3,3195,0)
;;=99157^^21^193^4^^^^1
;;^UTILITY(U,$J,358.3,3195,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3195,1,2,0)
;;=2^99157
;;^UTILITY(U,$J,358.3,3195,1,3,0)
;;=3^MS by Oth MD/QHCP,Ea Addl 15 min
;;^UTILITY(U,$J,358.3,3196,0)
;;=33990^^21^194^2^^^^1
;;^UTILITY(U,$J,358.3,3196,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3196,1,2,0)
;;=2^33990
;;^UTILITY(U,$J,358.3,3196,1,3,0)
;;=3^Insert VAD,Percut,Arterial Access,Rad S&I
;;^UTILITY(U,$J,358.3,3197,0)
;;=33991^^21^194^1^^^^1
;;^UTILITY(U,$J,358.3,3197,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3197,1,2,0)
;;=2^33991
;;^UTILITY(U,$J,358.3,3197,1,3,0)
;;=3^Insert VAD,Percut,Art&Ven Access,Rad S&I
;;^UTILITY(U,$J,358.3,3198,0)
;;=33992^^21^194^5^^^^1
;;^UTILITY(U,$J,358.3,3198,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3198,1,2,0)
;;=2^33992
;;^UTILITY(U,$J,358.3,3198,1,3,0)
;;=3^Remove VAD @ Diff Session from Insert
;;^UTILITY(U,$J,358.3,3199,0)
;;=33993^^21^194^6^^^^1
;;^UTILITY(U,$J,358.3,3199,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3199,1,2,0)
;;=2^33993
;;^UTILITY(U,$J,358.3,3199,1,3,0)
;;=3^Reposition VAD @ Diff Session from Insert
;;^UTILITY(U,$J,358.3,3200,0)
;;=33999^^21^194^3^^^^1
;;^UTILITY(U,$J,358.3,3200,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3200,1,2,0)
;;=2^33999
;;^UTILITY(U,$J,358.3,3200,1,3,0)
;;=3^Insertion of Impella
;;^UTILITY(U,$J,358.3,3201,0)
;;=34812^^21^194^4^^^^1
;;^UTILITY(U,$J,358.3,3201,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3201,1,2,0)
;;=2^34812
;;^UTILITY(U,$J,358.3,3201,1,3,0)
;;=3^Open Fem Artery Exposure for Deliv of Endo Prosth
;;^UTILITY(U,$J,358.3,3202,0)
;;=92960^^21^195^1^^^^1
;;^UTILITY(U,$J,358.3,3202,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3202,1,2,0)
;;=2^92960
;;^UTILITY(U,$J,358.3,3202,1,3,0)
;;=3^Cardioversion,External
;;^UTILITY(U,$J,358.3,3203,0)
;;=92961^^21^195^2^^^^1
;;^UTILITY(U,$J,358.3,3203,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3203,1,2,0)
;;=2^92961
;;^UTILITY(U,$J,358.3,3203,1,3,0)
;;=3^Cardioversion,Internal
;;^UTILITY(U,$J,358.3,3204,0)
;;=99417^^21^196^1^^^^1
;;^UTILITY(U,$J,358.3,3204,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3204,1,2,0)
;;=2^99417
;;^UTILITY(U,$J,358.3,3204,1,3,0)
;;=3^Prolonged Svc,Ea 15min;Only with 99205 or 99215
;;^UTILITY(U,$J,358.3,3205,0)
;;=99202^^22^197^1
;;^UTILITY(U,$J,358.3,3205,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3205,1,1,0)
;;=1^SF MDM or 15-29 min
;;^UTILITY(U,$J,358.3,3205,1,2,0)
;;=2^99202
;;^UTILITY(U,$J,358.3,3206,0)
;;=99203^^22^197^2
;;^UTILITY(U,$J,358.3,3206,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3206,1,1,0)
;;=1^Low Complex MDM or 30-44 min
;;^UTILITY(U,$J,358.3,3206,1,2,0)
;;=2^99203
;;^UTILITY(U,$J,358.3,3207,0)
;;=99204^^22^197^3
;;^UTILITY(U,$J,358.3,3207,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3207,1,1,0)
;;=1^Mod Complex MDM or 45-59 min
;;^UTILITY(U,$J,358.3,3207,1,2,0)
;;=2^99204
;;^UTILITY(U,$J,358.3,3208,0)
;;=99205^^22^197^4
;;^UTILITY(U,$J,358.3,3208,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3208,1,1,0)
;;=1^High Complex MDM or 60-74 min
;;^UTILITY(U,$J,358.3,3208,1,2,0)
;;=2^99205
;;^UTILITY(U,$J,358.3,3209,0)
;;=99212^^22^198^2
;;^UTILITY(U,$J,358.3,3209,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3209,1,1,0)
;;=1^SF MDM or 10-19 min
;;^UTILITY(U,$J,358.3,3209,1,2,0)
;;=2^99212
;;^UTILITY(U,$J,358.3,3210,0)
;;=99213^^22^198^3
;;^UTILITY(U,$J,358.3,3210,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3210,1,1,0)
;;=1^Low Complex MDM or 20-29 min
;;^UTILITY(U,$J,358.3,3210,1,2,0)
;;=2^99213
;;^UTILITY(U,$J,358.3,3211,0)
;;=99214^^22^198^4
;;^UTILITY(U,$J,358.3,3211,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3211,1,1,0)
;;=1^Mod Complex MDM or 30-39 min
;;^UTILITY(U,$J,358.3,3211,1,2,0)
;;=2^99214
;;^UTILITY(U,$J,358.3,3212,0)
;;=99211^^22^198^1
;;^UTILITY(U,$J,358.3,3212,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3212,1,1,0)
;;=1^Straight-Forward
;;^UTILITY(U,$J,358.3,3212,1,2,0)
;;=2^99211
;;^UTILITY(U,$J,358.3,3213,0)
;;=99215^^22^198^5
;;^UTILITY(U,$J,358.3,3213,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3213,1,1,0)
;;=1^High Complex MDM or 40-54 min
;;^UTILITY(U,$J,358.3,3213,1,2,0)
;;=2^99215
;;^UTILITY(U,$J,358.3,3214,0)
;;=99241^^22^199^1
;;^UTILITY(U,$J,358.3,3214,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3214,1,1,0)
;;=1^Problem Focused
;;^UTILITY(U,$J,358.3,3214,1,2,0)
;;=2^99241
;;^UTILITY(U,$J,358.3,3215,0)
;;=99242^^22^199^2
;;^UTILITY(U,$J,358.3,3215,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3215,1,1,0)
;;=1^Expanded Problem Focus
;;^UTILITY(U,$J,358.3,3215,1,2,0)
;;=2^99242
;;^UTILITY(U,$J,358.3,3216,0)
;;=99243^^22^199^3
;;^UTILITY(U,$J,358.3,3216,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3216,1,1,0)
;;=1^Detailed
;;^UTILITY(U,$J,358.3,3216,1,2,0)
;;=2^99243
;;^UTILITY(U,$J,358.3,3217,0)
;;=99244^^22^199^4
;;^UTILITY(U,$J,358.3,3217,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3217,1,1,0)
;;=1^Comprehensive, Moderate
;;^UTILITY(U,$J,358.3,3217,1,2,0)
;;=2^99244
;;^UTILITY(U,$J,358.3,3218,0)
;;=99245^^22^199^5
;;^UTILITY(U,$J,358.3,3218,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,3218,1,1,0)
;;=1^Comprehensive, High
;;^UTILITY(U,$J,358.3,3218,1,2,0)
;;=2^99245
;;^UTILITY(U,$J,358.3,3219,0)
;;=97014^^23^200^4^^^^1
;;^UTILITY(U,$J,358.3,3219,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3219,1,2,0)
;;=2^Electric Stimulation Therapy (TENS),Unattended
;;^UTILITY(U,$J,358.3,3219,1,3,0)
;;=3^97014
;;^UTILITY(U,$J,358.3,3220,0)
;;=97032^^23^200^5^^^^1
;;^UTILITY(U,$J,358.3,3220,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3220,1,2,0)
;;=2^Electrical Stimulation (TENS),1+ Areas,Ea 15min
;;^UTILITY(U,$J,358.3,3220,1,3,0)
;;=3^97032
;;^UTILITY(U,$J,358.3,3221,0)
;;=97010^^23^200^7^^^^1
;;^UTILITY(U,$J,358.3,3221,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3221,1,2,0)
;;=2^Hot Or Cold Packs Therapy
;;^UTILITY(U,$J,358.3,3221,1,3,0)
;;=3^97010
;;^UTILITY(U,$J,358.3,3222,0)
;;=97036^^23^200^8^^^^1
;;^UTILITY(U,$J,358.3,3222,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3222,1,2,0)
;;=2^Hubbard Tank,Ea 15min
;;^UTILITY(U,$J,358.3,3222,1,3,0)
;;=3^97036
;;^UTILITY(U,$J,358.3,3223,0)
;;=97124^^23^200^11^^^^1
;;^UTILITY(U,$J,358.3,3223,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3223,1,2,0)
;;=2^Massage Therapy
;;^UTILITY(U,$J,358.3,3223,1,3,0)
;;=3^97124
;;^UTILITY(U,$J,358.3,3224,0)
;;=97012^^23^200^12^^^^1
;;^UTILITY(U,$J,358.3,3224,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3224,1,2,0)
;;=2^Mechanical Traction Therapy
;;^UTILITY(U,$J,358.3,3224,1,3,0)
;;=3^97012
;;^UTILITY(U,$J,358.3,3225,0)
;;=97035^^23^200^22^^^^1
;;^UTILITY(U,$J,358.3,3225,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3225,1,2,0)
;;=2^Ultrasound Therapy,Ea 15min
;;^UTILITY(U,$J,358.3,3225,1,3,0)
;;=3^97035
;;^UTILITY(U,$J,358.3,3226,0)
;;=97028^^23^200^23^^^^1
;;^UTILITY(U,$J,358.3,3226,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3226,1,2,0)
;;=2^Ultraviolet Therapy
;;^UTILITY(U,$J,358.3,3226,1,3,0)
;;=3^97028
;;^UTILITY(U,$J,358.3,3227,0)
;;=97110^^23^200^21^^^^1
;;^UTILITY(U,$J,358.3,3227,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3227,1,2,0)
;;=2^Therapeutic Exercises,1 or more regions,Ea 15min
;;^UTILITY(U,$J,358.3,3227,1,3,0)
;;=3^97110
;;^UTILITY(U,$J,358.3,3228,0)
;;=97112^^23^200^13^^^^1
;;^UTILITY(U,$J,358.3,3228,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3228,1,2,0)
;;=2^Neuromuscular Re-Education
;;^UTILITY(U,$J,358.3,3228,1,3,0)
;;=3^97112
;;^UTILITY(U,$J,358.3,3229,0)
;;=97140^^23^200^10^^^^1
;;^UTILITY(U,$J,358.3,3229,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3229,1,2,0)
;;=2^Manual Therapy,1 or more regions,Ea 15min
;;^UTILITY(U,$J,358.3,3229,1,3,0)
;;=3^97140
;;^UTILITY(U,$J,358.3,3230,0)
;;=97039^^23^200^1^^^^1
;;^UTILITY(U,$J,358.3,3230,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3230,1,2,0)
;;=2^Cold Laser Therapy
;;^UTILITY(U,$J,358.3,3230,1,3,0)
;;=3^97039
;;^UTILITY(U,$J,358.3,3231,0)
;;=97026^^23^200^9^^^^1
;;^UTILITY(U,$J,358.3,3231,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3231,1,2,0)
;;=2^Infrared Heat to 1 or more areas
;;^UTILITY(U,$J,358.3,3231,1,3,0)
;;=3^97026
;;^UTILITY(U,$J,358.3,3232,0)
;;=29540^^23^200^14^^^^1
;;^UTILITY(U,$J,358.3,3232,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,3232,1,2,0)
;;=2^Strapping/Taping,Ankle and/or Foot
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI01H 19821 printed Dec 13, 2024@01:39:45 Page 2
IBDEI01H ; ; 01-AUG-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
+2 if 'DIFQR(358.3)
QUIT
FOR I=1:2
SET X=$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,358.3,3148,1,2,0)
+2 ;;=2^A9502
+3 ;;^UTILITY(U,$J,358.3,3148,1,3,0)
+4 ;;=3^TC99M Tetrofosmin
+5 ;;^UTILITY(U,$J,358.3,3149,0)
+6 ;;=J0280^^21^189^1^^^^1
+7 ;;^UTILITY(U,$J,358.3,3149,1,0)
+8 ;;=^358.31IA^3^2
+9 ;;^UTILITY(U,$J,358.3,3149,1,2,0)
+10 ;;=2^J0280
+11 ;;^UTILITY(U,$J,358.3,3149,1,3,0)
+12 ;;=3^Aminophyllin 250mg
+13 ;;^UTILITY(U,$J,358.3,3150,0)
+14 ;;=J0461^^21^189^2^^^^1
+15 ;;^UTILITY(U,$J,358.3,3150,1,0)
+16 ;;=^358.31IA^3^2
+17 ;;^UTILITY(U,$J,358.3,3150,1,2,0)
+18 ;;=2^J0461
+19 ;;^UTILITY(U,$J,358.3,3150,1,3,0)
+20 ;;=3^Atropine Sulfate 0.01mg
+21 ;;^UTILITY(U,$J,358.3,3151,0)
+22 ;;=J1245^^21^189^4^^^^1
+23 ;;^UTILITY(U,$J,358.3,3151,1,0)
+24 ;;=^358.31IA^3^2
+25 ;;^UTILITY(U,$J,358.3,3151,1,2,0)
+26 ;;=2^J1245
+27 ;;^UTILITY(U,$J,358.3,3151,1,3,0)
+28 ;;=3^Dipyridamole per 10mg
+29 ;;^UTILITY(U,$J,358.3,3152,0)
+30 ;;=J2785^^21^189^25^^^^1
+31 ;;^UTILITY(U,$J,358.3,3152,1,0)
+32 ;;=^358.31IA^3^2
+33 ;;^UTILITY(U,$J,358.3,3152,1,2,0)
+34 ;;=2^J2785
+35 ;;^UTILITY(U,$J,358.3,3152,1,3,0)
+36 ;;=3^Regadenoson 0.1mg
+37 ;;^UTILITY(U,$J,358.3,3153,0)
+38 ;;=J7030^^21^189^18^^^^1
+39 ;;^UTILITY(U,$J,358.3,3153,1,0)
+40 ;;=^358.31IA^3^2
+41 ;;^UTILITY(U,$J,358.3,3153,1,2,0)
+42 ;;=2^J7030
+43 ;;^UTILITY(U,$J,358.3,3153,1,3,0)
+44 ;;=3^NS Solution Infusion 1000ml
+45 ;;^UTILITY(U,$J,358.3,3154,0)
+46 ;;=J7050^^21^189^19^^^^1
+47 ;;^UTILITY(U,$J,358.3,3154,1,0)
+48 ;;=^358.31IA^3^2
+49 ;;^UTILITY(U,$J,358.3,3154,1,2,0)
+50 ;;=2^J7050
+51 ;;^UTILITY(U,$J,358.3,3154,1,3,0)
+52 ;;=3^NS Solution Infusion 250ml
+53 ;;^UTILITY(U,$J,358.3,3155,0)
+54 ;;=J7040^^21^189^20^^^^1
+55 ;;^UTILITY(U,$J,358.3,3155,1,0)
+56 ;;=^358.31IA^3^2
+57 ;;^UTILITY(U,$J,358.3,3155,1,2,0)
+58 ;;=2^J7040
+59 ;;^UTILITY(U,$J,358.3,3155,1,3,0)
+60 ;;=3^NS Solution Infusion 500ml
+61 ;;^UTILITY(U,$J,358.3,3156,0)
+62 ;;=J3240^^21^189^31^^^^1
+63 ;;^UTILITY(U,$J,358.3,3156,1,0)
+64 ;;=^358.31IA^3^2
+65 ;;^UTILITY(U,$J,358.3,3156,1,2,0)
+66 ;;=2^J3240
+67 ;;^UTILITY(U,$J,358.3,3156,1,3,0)
+68 ;;=3^Thyrotropin Alpha 0.9mg
+69 ;;^UTILITY(U,$J,358.3,3157,0)
+70 ;;=Q9957^^21^189^3^^^^1
+71 ;;^UTILITY(U,$J,358.3,3157,1,0)
+72 ;;=^358.31IA^3^2
+73 ;;^UTILITY(U,$J,358.3,3157,1,2,0)
+74 ;;=2^Q9957
+75 ;;^UTILITY(U,$J,358.3,3157,1,3,0)
+76 ;;=3^Definity per ML
+77 ;;^UTILITY(U,$J,358.3,3158,0)
+78 ;;=J1444^^21^189^8^^^^1
+79 ;;^UTILITY(U,$J,358.3,3158,1,0)
+80 ;;=^358.31IA^3^2
+81 ;;^UTILITY(U,$J,358.3,3158,1,2,0)
+82 ;;=2^J1444
+83 ;;^UTILITY(U,$J,358.3,3158,1,3,0)
+84 ;;=3^Ferric Pyrophosphate Citrate Powder 0.1mg
+85 ;;^UTILITY(U,$J,358.3,3159,0)
+86 ;;=A9700^^21^189^6^^^^1
+87 ;;^UTILITY(U,$J,358.3,3159,1,0)
+88 ;;=^358.31IA^3^2
+89 ;;^UTILITY(U,$J,358.3,3159,1,2,0)
+90 ;;=2^A9700
+91 ;;^UTILITY(U,$J,358.3,3159,1,3,0)
+92 ;;=3^Echocardiography Contrast
+93 ;;^UTILITY(U,$J,358.3,3160,0)
+94 ;;=90694^^21^189^9^^^^1
+95 ;;^UTILITY(U,$J,358.3,3160,1,0)
+96 ;;=^358.31IA^3^2
+97 ;;^UTILITY(U,$J,358.3,3160,1,2,0)
+98 ;;=2^90694
+99 ;;^UTILITY(U,$J,358.3,3160,1,3,0)
+100 ;;=3^Flu Vax,Quadvlt,Inactive Prsrv Free,65+ yrs
+101 ;;^UTILITY(U,$J,358.3,3161,0)
+102 ;;=93015^^21^190^7
+103 ;;^UTILITY(U,$J,358.3,3161,1,0)
+104 ;;=^358.31IA^3^2
+105 ;;^UTILITY(U,$J,358.3,3161,1,2,0)
+106 ;;=2^93015
+107 ;;^UTILITY(U,$J,358.3,3161,1,3,0)
+108 ;;=3^Cardiovascular Stress Test
+109 ;;^UTILITY(U,$J,358.3,3162,0)
+110 ;;=93660^^21^190^16
+111 ;;^UTILITY(U,$J,358.3,3162,1,0)
+112 ;;=^358.31IA^3^2
+113 ;;^UTILITY(U,$J,358.3,3162,1,2,0)
+114 ;;=2^93660
+115 ;;^UTILITY(U,$J,358.3,3162,1,3,0)
+116 ;;=3^Tilt Test Study
+117 ;;^UTILITY(U,$J,358.3,3163,0)
+118 ;;=78472^^21^190^2^^^^1
+119 ;;^UTILITY(U,$J,358.3,3163,1,0)
+120 ;;=^358.31IA^3^2
+121 ;;^UTILITY(U,$J,358.3,3163,1,2,0)
+122 ;;=2^78472
+123 ;;^UTILITY(U,$J,358.3,3163,1,3,0)
+124 ;;=3^Cardiac Blood Pool Gate+EF
+125 ;;^UTILITY(U,$J,358.3,3164,0)
+126 ;;=78473^^21^190^1^^^^1
+127 ;;^UTILITY(U,$J,358.3,3164,1,0)
+128 ;;=^358.31IA^3^2
+129 ;;^UTILITY(U,$J,358.3,3164,1,2,0)
+130 ;;=2^78473
+131 ;;^UTILITY(U,$J,358.3,3164,1,3,0)
+132 ;;=3^Cardiac Blood Pool Gate Mult,Add-on
+133 ;;^UTILITY(U,$J,358.3,3165,0)
+134 ;;=78481^^21^190^3^^^^1
+135 ;;^UTILITY(U,$J,358.3,3165,1,0)
+136 ;;=^358.31IA^3^2
+137 ;;^UTILITY(U,$J,358.3,3165,1,2,0)
+138 ;;=2^78481
+139 ;;^UTILITY(U,$J,358.3,3165,1,3,0)
+140 ;;=3^Cardiac Blood Pool Imag
+141 ;;^UTILITY(U,$J,358.3,3166,0)
+142 ;;=78483^^21^190^5^^^^1
+143 ;;^UTILITY(U,$J,358.3,3166,1,0)
+144 ;;=^358.31IA^3^2
+145 ;;^UTILITY(U,$J,358.3,3166,1,2,0)
+146 ;;=2^78483
+147 ;;^UTILITY(U,$J,358.3,3166,1,3,0)
+148 ;;=3^Cardiac Blood Pool Imag Mult,Add-On
+149 ;;^UTILITY(U,$J,358.3,3167,0)
+150 ;;=78491^^21^190^14^^^^1
+151 ;;^UTILITY(U,$J,358.3,3167,1,0)
+152 ;;=^358.31IA^3^2
+153 ;;^UTILITY(U,$J,358.3,3167,1,2,0)
+154 ;;=2^78491
+155 ;;^UTILITY(U,$J,358.3,3167,1,3,0)
+156 ;;=3^PET, Single, Rest or stress
+157 ;;^UTILITY(U,$J,358.3,3168,0)
+158 ;;=78492^^21^190^15^^^^1
+159 ;;^UTILITY(U,$J,358.3,3168,1,0)
+160 ;;=^358.31IA^3^2
+161 ;;^UTILITY(U,$J,358.3,3168,1,2,0)
+162 ;;=2^78492
+163 ;;^UTILITY(U,$J,358.3,3168,1,3,0)
+164 ;;=3^PET, multiple, rest or stress
+165 ;;^UTILITY(U,$J,358.3,3169,0)
+166 ;;=78496^^21^190^4^^^^1
+167 ;;^UTILITY(U,$J,358.3,3169,1,0)
+168 ;;=^358.31IA^3^2
+169 ;;^UTILITY(U,$J,358.3,3169,1,2,0)
+170 ;;=2^78496
+171 ;;^UTILITY(U,$J,358.3,3169,1,3,0)
+172 ;;=3^Cardiac Blood Pool Imag Gate sgl+EF,Add-On
+173 ;;^UTILITY(U,$J,358.3,3170,0)
+174 ;;=78451^^21^190^11^^^^1
+175 ;;^UTILITY(U,$J,358.3,3170,1,0)
+176 ;;=^358.31IA^3^2
+177 ;;^UTILITY(U,$J,358.3,3170,1,2,0)
+178 ;;=2^78451
+179 ;;^UTILITY(U,$J,358.3,3170,1,3,0)
+180 ;;=3^HT Muscle Image Spect,Single
+181 ;;^UTILITY(U,$J,358.3,3171,0)
+182 ;;=78452^^21^190^10^^^^1
+183 ;;^UTILITY(U,$J,358.3,3171,1,0)
+184 ;;=^358.31IA^3^2
+185 ;;^UTILITY(U,$J,358.3,3171,1,2,0)
+186 ;;=2^78452
+187 ;;^UTILITY(U,$J,358.3,3171,1,3,0)
+188 ;;=3^HT Muscle Image Spect,Multi,Add-On
+189 ;;^UTILITY(U,$J,358.3,3172,0)
+190 ;;=78453^^21^190^13^^^^1
+191 ;;^UTILITY(U,$J,358.3,3172,1,0)
+192 ;;=^358.31IA^3^2
+193 ;;^UTILITY(U,$J,358.3,3172,1,2,0)
+194 ;;=2^78453
+195 ;;^UTILITY(U,$J,358.3,3172,1,3,0)
+196 ;;=3^HT Muscle Image,Planar,Single
+197 ;;^UTILITY(U,$J,358.3,3173,0)
+198 ;;=78454^^21^190^12^^^^1
+199 ;;^UTILITY(U,$J,358.3,3173,1,0)
+200 ;;=^358.31IA^3^2
+201 ;;^UTILITY(U,$J,358.3,3173,1,2,0)
+202 ;;=2^78454
+203 ;;^UTILITY(U,$J,358.3,3173,1,3,0)
+204 ;;=3^HT Muscle Image,Planar,Multi,Add-On
+205 ;;^UTILITY(U,$J,358.3,3174,0)
+206 ;;=93641^^21^190^8^^^^1
+207 ;;^UTILITY(U,$J,358.3,3174,1,0)
+208 ;;=^358.31IA^3^2
+209 ;;^UTILITY(U,$J,358.3,3174,1,2,0)
+210 ;;=2^93641
+211 ;;^UTILITY(U,$J,358.3,3174,1,3,0)
+212 ;;=3^Electrophysiology Eval,Pulse Generator
+213 ;;^UTILITY(U,$J,358.3,3175,0)
+214 ;;=93642^^21^190^9^^^^1
+215 ;;^UTILITY(U,$J,358.3,3175,1,0)
+216 ;;=^358.31IA^3^2
+217 ;;^UTILITY(U,$J,358.3,3175,1,2,0)
+218 ;;=2^93642
+219 ;;^UTILITY(U,$J,358.3,3175,1,3,0)
+220 ;;=3^Electrophysiology Eval,Sensing/Therapeutic Parameters
+221 ;;^UTILITY(U,$J,358.3,3176,0)
+222 ;;=93797^^21^190^6^^^^1
+223 ;;^UTILITY(U,$J,358.3,3176,1,0)
+224 ;;=^358.31IA^3^2
+225 ;;^UTILITY(U,$J,358.3,3176,1,2,0)
+226 ;;=2^93797
+227 ;;^UTILITY(U,$J,358.3,3176,1,3,0)
+228 ;;=3^Cardiac Rehab w/o ECG Monitoring
+229 ;;^UTILITY(U,$J,358.3,3177,0)
+230 ;;=93799^^21^190^17^^^^1
+231 ;;^UTILITY(U,$J,358.3,3177,1,0)
+232 ;;=^358.31IA^3^2
+233 ;;^UTILITY(U,$J,358.3,3177,1,2,0)
+234 ;;=2^93799
+235 ;;^UTILITY(U,$J,358.3,3177,1,3,0)
+236 ;;=3^Unlisted Cardiovascular Procedure
+237 ;;^UTILITY(U,$J,358.3,3178,0)
+238 ;;=93015^^21^191^1^^^^1
+239 ;;^UTILITY(U,$J,358.3,3178,1,0)
+240 ;;=^358.31IA^3^2
+241 ;;^UTILITY(U,$J,358.3,3178,1,2,0)
+242 ;;=2^93015
+243 ;;^UTILITY(U,$J,358.3,3178,1,3,0)
+244 ;;=3^Cardiovascular Stress Test
+245 ;;^UTILITY(U,$J,358.3,3179,0)
+246 ;;=93016^^21^191^7^^^^1
+247 ;;^UTILITY(U,$J,358.3,3179,1,0)
+248 ;;=^358.31IA^3^2
+249 ;;^UTILITY(U,$J,358.3,3179,1,2,0)
+250 ;;=2^93016
+251 ;;^UTILITY(U,$J,358.3,3179,1,3,0)
+252 ;;=3^Stress Test, Phy Super Only No Report
+253 ;;^UTILITY(U,$J,358.3,3180,0)
+254 ;;=93017^^21^191^8^^^^1
+255 ;;^UTILITY(U,$J,358.3,3180,1,0)
+256 ;;=^358.31IA^3^2
+257 ;;^UTILITY(U,$J,358.3,3180,1,2,0)
+258 ;;=2^93017
+259 ;;^UTILITY(U,$J,358.3,3180,1,3,0)
+260 ;;=3^Stress Test, Tracing Only
+261 ;;^UTILITY(U,$J,358.3,3181,0)
+262 ;;=93018^^21^191^6^^^^1
+263 ;;^UTILITY(U,$J,358.3,3181,1,0)
+264 ;;=^358.31IA^3^2
+265 ;;^UTILITY(U,$J,358.3,3181,1,2,0)
+266 ;;=2^93018
+267 ;;^UTILITY(U,$J,358.3,3181,1,3,0)
+268 ;;=3^Stress Test, Interr & Report Only
+269 ;;^UTILITY(U,$J,358.3,3182,0)
+270 ;;=78451^^21^191^4^^^^1
+271 ;;^UTILITY(U,$J,358.3,3182,1,0)
+272 ;;=^358.31IA^3^2
+273 ;;^UTILITY(U,$J,358.3,3182,1,2,0)
+274 ;;=2^78451
+275 ;;^UTILITY(U,$J,358.3,3182,1,3,0)
+276 ;;=3^SPECT,Single Study
+277 ;;^UTILITY(U,$J,358.3,3183,0)
+278 ;;=93350^^21^191^5^^^^1
+279 ;;^UTILITY(U,$J,358.3,3183,1,0)
+280 ;;=^358.31IA^3^2
+281 ;;^UTILITY(U,$J,358.3,3183,1,2,0)
+282 ;;=2^93350
+283 ;;^UTILITY(U,$J,358.3,3183,1,3,0)
+284 ;;=3^Stress TTE Only
+285 ;;^UTILITY(U,$J,358.3,3184,0)
+286 ;;=J2785^^21^191^3^^^^1
+287 ;;^UTILITY(U,$J,358.3,3184,1,0)
+288 ;;=^358.31IA^3^2
+289 ;;^UTILITY(U,$J,358.3,3184,1,2,0)
+290 ;;=2^J2785
+291 ;;^UTILITY(U,$J,358.3,3184,1,3,0)
+292 ;;=3^Regadenoson 0.1mg (Lexiscan)
+293 ;;^UTILITY(U,$J,358.3,3185,0)
+294 ;;=J1250^^21^191^2^^^^1
+295 ;;^UTILITY(U,$J,358.3,3185,1,0)
+296 ;;=^358.31IA^3^2
+297 ;;^UTILITY(U,$J,358.3,3185,1,2,0)
+298 ;;=2^J1250
+299 ;;^UTILITY(U,$J,358.3,3185,1,3,0)
+300 ;;=3^Dobutamin Hydrochloride per 250mg
+301 ;;^UTILITY(U,$J,358.3,3186,0)
+302 ;;=99401^^21^192^1^^^^1
+303 ;;^UTILITY(U,$J,358.3,3186,1,0)
+304 ;;=^358.31IA^3^2
+305 ;;^UTILITY(U,$J,358.3,3186,1,2,0)
+306 ;;=2^99401
+307 ;;^UTILITY(U,$J,358.3,3186,1,3,0)
+308 ;;=3^Preventive Counseling,15 min
+309 ;;^UTILITY(U,$J,358.3,3187,0)
+310 ;;=99402^^21^192^2^^^^1
+311 ;;^UTILITY(U,$J,358.3,3187,1,0)
+312 ;;=^358.31IA^3^2
+313 ;;^UTILITY(U,$J,358.3,3187,1,2,0)
+314 ;;=2^99402
+315 ;;^UTILITY(U,$J,358.3,3187,1,3,0)
+316 ;;=3^Preventive Counseling,30 min
+317 ;;^UTILITY(U,$J,358.3,3188,0)
+318 ;;=99403^^21^192^3^^^^1
+319 ;;^UTILITY(U,$J,358.3,3188,1,0)
+320 ;;=^358.31IA^3^2
+321 ;;^UTILITY(U,$J,358.3,3188,1,2,0)
+322 ;;=2^99403
+323 ;;^UTILITY(U,$J,358.3,3188,1,3,0)
+324 ;;=3^Preventive Counseling,45 min
+325 ;;^UTILITY(U,$J,358.3,3189,0)
+326 ;;=99404^^21^192^4^^^^1
+327 ;;^UTILITY(U,$J,358.3,3189,1,0)
+328 ;;=^358.31IA^3^2
+329 ;;^UTILITY(U,$J,358.3,3189,1,2,0)
+330 ;;=2^99404
+331 ;;^UTILITY(U,$J,358.3,3189,1,3,0)
+332 ;;=3^Preventive Counseling,60 min
+333 ;;^UTILITY(U,$J,358.3,3190,0)
+334 ;;=99411^^21^192^5^^^^1
+335 ;;^UTILITY(U,$J,358.3,3190,1,0)
+336 ;;=^358.31IA^3^2
+337 ;;^UTILITY(U,$J,358.3,3190,1,2,0)
+338 ;;=2^99411
+339 ;;^UTILITY(U,$J,358.3,3190,1,3,0)
+340 ;;=3^Preventive Counseling,Grp,30 Min
+341 ;;^UTILITY(U,$J,358.3,3191,0)
+342 ;;=99412^^21^192^6^^^^1
+343 ;;^UTILITY(U,$J,358.3,3191,1,0)
+344 ;;=^358.31IA^3^2
+345 ;;^UTILITY(U,$J,358.3,3191,1,2,0)
+346 ;;=2^99412
+347 ;;^UTILITY(U,$J,358.3,3191,1,3,0)
+348 ;;=3^Preventive Counseling,Grp,60 Min
+349 ;;^UTILITY(U,$J,358.3,3192,0)
+350 ;;=99152^^21^193^1^^^^1
+351 ;;^UTILITY(U,$J,358.3,3192,1,0)
+352 ;;=^358.31IA^3^2
+353 ;;^UTILITY(U,$J,358.3,3192,1,2,0)
+354 ;;=2^99152
+355 ;;^UTILITY(U,$J,358.3,3192,1,3,0)
+356 ;;=3^MS by Same/Supr MD/QHCP,1st 15 min
+357 ;;^UTILITY(U,$J,358.3,3193,0)
+358 ;;=99153^^21^193^2^^^^1
+359 ;;^UTILITY(U,$J,358.3,3193,1,0)
+360 ;;=^358.31IA^3^2
+361 ;;^UTILITY(U,$J,358.3,3193,1,2,0)
+362 ;;=2^99153
+363 ;;^UTILITY(U,$J,358.3,3193,1,3,0)
+364 ;;=3^MS by Same/Supr MD/QHCP,Ea Addl 15 min
+365 ;;^UTILITY(U,$J,358.3,3194,0)
+366 ;;=99156^^21^193^3^^^^1
+367 ;;^UTILITY(U,$J,358.3,3194,1,0)
+368 ;;=^358.31IA^3^2
+369 ;;^UTILITY(U,$J,358.3,3194,1,2,0)
+370 ;;=2^99156
+371 ;;^UTILITY(U,$J,358.3,3194,1,3,0)
+372 ;;=3^MS by Oth MD/QHCP,1st 15 min
+373 ;;^UTILITY(U,$J,358.3,3195,0)
+374 ;;=99157^^21^193^4^^^^1
+375 ;;^UTILITY(U,$J,358.3,3195,1,0)
+376 ;;=^358.31IA^3^2
+377 ;;^UTILITY(U,$J,358.3,3195,1,2,0)
+378 ;;=2^99157
+379 ;;^UTILITY(U,$J,358.3,3195,1,3,0)
+380 ;;=3^MS by Oth MD/QHCP,Ea Addl 15 min
+381 ;;^UTILITY(U,$J,358.3,3196,0)
+382 ;;=33990^^21^194^2^^^^1
+383 ;;^UTILITY(U,$J,358.3,3196,1,0)
+384 ;;=^358.31IA^3^2
+385 ;;^UTILITY(U,$J,358.3,3196,1,2,0)
+386 ;;=2^33990
+387 ;;^UTILITY(U,$J,358.3,3196,1,3,0)
+388 ;;=3^Insert VAD,Percut,Arterial Access,Rad S&I
+389 ;;^UTILITY(U,$J,358.3,3197,0)
+390 ;;=33991^^21^194^1^^^^1
+391 ;;^UTILITY(U,$J,358.3,3197,1,0)
+392 ;;=^358.31IA^3^2
+393 ;;^UTILITY(U,$J,358.3,3197,1,2,0)
+394 ;;=2^33991
+395 ;;^UTILITY(U,$J,358.3,3197,1,3,0)
+396 ;;=3^Insert VAD,Percut,Art&Ven Access,Rad S&I
+397 ;;^UTILITY(U,$J,358.3,3198,0)
+398 ;;=33992^^21^194^5^^^^1
+399 ;;^UTILITY(U,$J,358.3,3198,1,0)
+400 ;;=^358.31IA^3^2
+401 ;;^UTILITY(U,$J,358.3,3198,1,2,0)
+402 ;;=2^33992
+403 ;;^UTILITY(U,$J,358.3,3198,1,3,0)
+404 ;;=3^Remove VAD @ Diff Session from Insert
+405 ;;^UTILITY(U,$J,358.3,3199,0)
+406 ;;=33993^^21^194^6^^^^1
+407 ;;^UTILITY(U,$J,358.3,3199,1,0)
+408 ;;=^358.31IA^3^2
+409 ;;^UTILITY(U,$J,358.3,3199,1,2,0)
+410 ;;=2^33993
+411 ;;^UTILITY(U,$J,358.3,3199,1,3,0)
+412 ;;=3^Reposition VAD @ Diff Session from Insert
+413 ;;^UTILITY(U,$J,358.3,3200,0)
+414 ;;=33999^^21^194^3^^^^1
+415 ;;^UTILITY(U,$J,358.3,3200,1,0)
+416 ;;=^358.31IA^3^2
+417 ;;^UTILITY(U,$J,358.3,3200,1,2,0)
+418 ;;=2^33999
+419 ;;^UTILITY(U,$J,358.3,3200,1,3,0)
+420 ;;=3^Insertion of Impella
+421 ;;^UTILITY(U,$J,358.3,3201,0)
+422 ;;=34812^^21^194^4^^^^1
+423 ;;^UTILITY(U,$J,358.3,3201,1,0)
+424 ;;=^358.31IA^3^2
+425 ;;^UTILITY(U,$J,358.3,3201,1,2,0)
+426 ;;=2^34812
+427 ;;^UTILITY(U,$J,358.3,3201,1,3,0)
+428 ;;=3^Open Fem Artery Exposure for Deliv of Endo Prosth
+429 ;;^UTILITY(U,$J,358.3,3202,0)
+430 ;;=92960^^21^195^1^^^^1
+431 ;;^UTILITY(U,$J,358.3,3202,1,0)
+432 ;;=^358.31IA^3^2
+433 ;;^UTILITY(U,$J,358.3,3202,1,2,0)
+434 ;;=2^92960
+435 ;;^UTILITY(U,$J,358.3,3202,1,3,0)
+436 ;;=3^Cardioversion,External
+437 ;;^UTILITY(U,$J,358.3,3203,0)
+438 ;;=92961^^21^195^2^^^^1
+439 ;;^UTILITY(U,$J,358.3,3203,1,0)
+440 ;;=^358.31IA^3^2
+441 ;;^UTILITY(U,$J,358.3,3203,1,2,0)
+442 ;;=2^92961
+443 ;;^UTILITY(U,$J,358.3,3203,1,3,0)
+444 ;;=3^Cardioversion,Internal
+445 ;;^UTILITY(U,$J,358.3,3204,0)
+446 ;;=99417^^21^196^1^^^^1
+447 ;;^UTILITY(U,$J,358.3,3204,1,0)
+448 ;;=^358.31IA^3^2
+449 ;;^UTILITY(U,$J,358.3,3204,1,2,0)
+450 ;;=2^99417
+451 ;;^UTILITY(U,$J,358.3,3204,1,3,0)
+452 ;;=3^Prolonged Svc,Ea 15min;Only with 99205 or 99215
+453 ;;^UTILITY(U,$J,358.3,3205,0)
+454 ;;=99202^^22^197^1
+455 ;;^UTILITY(U,$J,358.3,3205,1,0)
+456 ;;=^358.31IA^2^2
+457 ;;^UTILITY(U,$J,358.3,3205,1,1,0)
+458 ;;=1^SF MDM or 15-29 min
+459 ;;^UTILITY(U,$J,358.3,3205,1,2,0)
+460 ;;=2^99202
+461 ;;^UTILITY(U,$J,358.3,3206,0)
+462 ;;=99203^^22^197^2
+463 ;;^UTILITY(U,$J,358.3,3206,1,0)
+464 ;;=^358.31IA^2^2
+465 ;;^UTILITY(U,$J,358.3,3206,1,1,0)
+466 ;;=1^Low Complex MDM or 30-44 min
+467 ;;^UTILITY(U,$J,358.3,3206,1,2,0)
+468 ;;=2^99203
+469 ;;^UTILITY(U,$J,358.3,3207,0)
+470 ;;=99204^^22^197^3
+471 ;;^UTILITY(U,$J,358.3,3207,1,0)
+472 ;;=^358.31IA^2^2
+473 ;;^UTILITY(U,$J,358.3,3207,1,1,0)
+474 ;;=1^Mod Complex MDM or 45-59 min
+475 ;;^UTILITY(U,$J,358.3,3207,1,2,0)
+476 ;;=2^99204
+477 ;;^UTILITY(U,$J,358.3,3208,0)
+478 ;;=99205^^22^197^4
+479 ;;^UTILITY(U,$J,358.3,3208,1,0)
+480 ;;=^358.31IA^2^2
+481 ;;^UTILITY(U,$J,358.3,3208,1,1,0)
+482 ;;=1^High Complex MDM or 60-74 min
+483 ;;^UTILITY(U,$J,358.3,3208,1,2,0)
+484 ;;=2^99205
+485 ;;^UTILITY(U,$J,358.3,3209,0)
+486 ;;=99212^^22^198^2
+487 ;;^UTILITY(U,$J,358.3,3209,1,0)
+488 ;;=^358.31IA^2^2
+489 ;;^UTILITY(U,$J,358.3,3209,1,1,0)
+490 ;;=1^SF MDM or 10-19 min
+491 ;;^UTILITY(U,$J,358.3,3209,1,2,0)
+492 ;;=2^99212
+493 ;;^UTILITY(U,$J,358.3,3210,0)
+494 ;;=99213^^22^198^3
+495 ;;^UTILITY(U,$J,358.3,3210,1,0)
+496 ;;=^358.31IA^2^2
+497 ;;^UTILITY(U,$J,358.3,3210,1,1,0)
+498 ;;=1^Low Complex MDM or 20-29 min
+499 ;;^UTILITY(U,$J,358.3,3210,1,2,0)
+500 ;;=2^99213
+501 ;;^UTILITY(U,$J,358.3,3211,0)
+502 ;;=99214^^22^198^4
+503 ;;^UTILITY(U,$J,358.3,3211,1,0)
+504 ;;=^358.31IA^2^2
+505 ;;^UTILITY(U,$J,358.3,3211,1,1,0)
+506 ;;=1^Mod Complex MDM or 30-39 min
+507 ;;^UTILITY(U,$J,358.3,3211,1,2,0)
+508 ;;=2^99214
+509 ;;^UTILITY(U,$J,358.3,3212,0)
+510 ;;=99211^^22^198^1
+511 ;;^UTILITY(U,$J,358.3,3212,1,0)
+512 ;;=^358.31IA^2^2
+513 ;;^UTILITY(U,$J,358.3,3212,1,1,0)
+514 ;;=1^Straight-Forward
+515 ;;^UTILITY(U,$J,358.3,3212,1,2,0)
+516 ;;=2^99211
+517 ;;^UTILITY(U,$J,358.3,3213,0)
+518 ;;=99215^^22^198^5
+519 ;;^UTILITY(U,$J,358.3,3213,1,0)
+520 ;;=^358.31IA^2^2
+521 ;;^UTILITY(U,$J,358.3,3213,1,1,0)
+522 ;;=1^High Complex MDM or 40-54 min
+523 ;;^UTILITY(U,$J,358.3,3213,1,2,0)
+524 ;;=2^99215
+525 ;;^UTILITY(U,$J,358.3,3214,0)
+526 ;;=99241^^22^199^1
+527 ;;^UTILITY(U,$J,358.3,3214,1,0)
+528 ;;=^358.31IA^2^2
+529 ;;^UTILITY(U,$J,358.3,3214,1,1,0)
+530 ;;=1^Problem Focused
+531 ;;^UTILITY(U,$J,358.3,3214,1,2,0)
+532 ;;=2^99241
+533 ;;^UTILITY(U,$J,358.3,3215,0)
+534 ;;=99242^^22^199^2
+535 ;;^UTILITY(U,$J,358.3,3215,1,0)
+536 ;;=^358.31IA^2^2
+537 ;;^UTILITY(U,$J,358.3,3215,1,1,0)
+538 ;;=1^Expanded Problem Focus
+539 ;;^UTILITY(U,$J,358.3,3215,1,2,0)
+540 ;;=2^99242
+541 ;;^UTILITY(U,$J,358.3,3216,0)
+542 ;;=99243^^22^199^3
+543 ;;^UTILITY(U,$J,358.3,3216,1,0)
+544 ;;=^358.31IA^2^2
+545 ;;^UTILITY(U,$J,358.3,3216,1,1,0)
+546 ;;=1^Detailed
+547 ;;^UTILITY(U,$J,358.3,3216,1,2,0)
+548 ;;=2^99243
+549 ;;^UTILITY(U,$J,358.3,3217,0)
+550 ;;=99244^^22^199^4
+551 ;;^UTILITY(U,$J,358.3,3217,1,0)
+552 ;;=^358.31IA^2^2
+553 ;;^UTILITY(U,$J,358.3,3217,1,1,0)
+554 ;;=1^Comprehensive, Moderate
+555 ;;^UTILITY(U,$J,358.3,3217,1,2,0)
+556 ;;=2^99244
+557 ;;^UTILITY(U,$J,358.3,3218,0)
+558 ;;=99245^^22^199^5
+559 ;;^UTILITY(U,$J,358.3,3218,1,0)
+560 ;;=^358.31IA^2^2
+561 ;;^UTILITY(U,$J,358.3,3218,1,1,0)
+562 ;;=1^Comprehensive, High
+563 ;;^UTILITY(U,$J,358.3,3218,1,2,0)
+564 ;;=2^99245
+565 ;;^UTILITY(U,$J,358.3,3219,0)
+566 ;;=97014^^23^200^4^^^^1
+567 ;;^UTILITY(U,$J,358.3,3219,1,0)
+568 ;;=^358.31IA^3^2
+569 ;;^UTILITY(U,$J,358.3,3219,1,2,0)
+570 ;;=2^Electric Stimulation Therapy (TENS),Unattended
+571 ;;^UTILITY(U,$J,358.3,3219,1,3,0)
+572 ;;=3^97014
+573 ;;^UTILITY(U,$J,358.3,3220,0)
+574 ;;=97032^^23^200^5^^^^1
+575 ;;^UTILITY(U,$J,358.3,3220,1,0)
+576 ;;=^358.31IA^3^2
+577 ;;^UTILITY(U,$J,358.3,3220,1,2,0)
+578 ;;=2^Electrical Stimulation (TENS),1+ Areas,Ea 15min
+579 ;;^UTILITY(U,$J,358.3,3220,1,3,0)
+580 ;;=3^97032
+581 ;;^UTILITY(U,$J,358.3,3221,0)
+582 ;;=97010^^23^200^7^^^^1
+583 ;;^UTILITY(U,$J,358.3,3221,1,0)
+584 ;;=^358.31IA^3^2
+585 ;;^UTILITY(U,$J,358.3,3221,1,2,0)
+586 ;;=2^Hot Or Cold Packs Therapy
+587 ;;^UTILITY(U,$J,358.3,3221,1,3,0)
+588 ;;=3^97010
+589 ;;^UTILITY(U,$J,358.3,3222,0)
+590 ;;=97036^^23^200^8^^^^1
+591 ;;^UTILITY(U,$J,358.3,3222,1,0)
+592 ;;=^358.31IA^3^2
+593 ;;^UTILITY(U,$J,358.3,3222,1,2,0)
+594 ;;=2^Hubbard Tank,Ea 15min
+595 ;;^UTILITY(U,$J,358.3,3222,1,3,0)
+596 ;;=3^97036
+597 ;;^UTILITY(U,$J,358.3,3223,0)
+598 ;;=97124^^23^200^11^^^^1
+599 ;;^UTILITY(U,$J,358.3,3223,1,0)
+600 ;;=^358.31IA^3^2
+601 ;;^UTILITY(U,$J,358.3,3223,1,2,0)
+602 ;;=2^Massage Therapy
+603 ;;^UTILITY(U,$J,358.3,3223,1,3,0)
+604 ;;=3^97124
+605 ;;^UTILITY(U,$J,358.3,3224,0)
+606 ;;=97012^^23^200^12^^^^1
+607 ;;^UTILITY(U,$J,358.3,3224,1,0)
+608 ;;=^358.31IA^3^2
+609 ;;^UTILITY(U,$J,358.3,3224,1,2,0)
+610 ;;=2^Mechanical Traction Therapy
+611 ;;^UTILITY(U,$J,358.3,3224,1,3,0)
+612 ;;=3^97012
+613 ;;^UTILITY(U,$J,358.3,3225,0)
+614 ;;=97035^^23^200^22^^^^1
+615 ;;^UTILITY(U,$J,358.3,3225,1,0)
+616 ;;=^358.31IA^3^2
+617 ;;^UTILITY(U,$J,358.3,3225,1,2,0)
+618 ;;=2^Ultrasound Therapy,Ea 15min
+619 ;;^UTILITY(U,$J,358.3,3225,1,3,0)
+620 ;;=3^97035
+621 ;;^UTILITY(U,$J,358.3,3226,0)
+622 ;;=97028^^23^200^23^^^^1
+623 ;;^UTILITY(U,$J,358.3,3226,1,0)
+624 ;;=^358.31IA^3^2
+625 ;;^UTILITY(U,$J,358.3,3226,1,2,0)
+626 ;;=2^Ultraviolet Therapy
+627 ;;^UTILITY(U,$J,358.3,3226,1,3,0)
+628 ;;=3^97028
+629 ;;^UTILITY(U,$J,358.3,3227,0)
+630 ;;=97110^^23^200^21^^^^1
+631 ;;^UTILITY(U,$J,358.3,3227,1,0)
+632 ;;=^358.31IA^3^2
+633 ;;^UTILITY(U,$J,358.3,3227,1,2,0)
+634 ;;=2^Therapeutic Exercises,1 or more regions,Ea 15min
+635 ;;^UTILITY(U,$J,358.3,3227,1,3,0)
+636 ;;=3^97110
+637 ;;^UTILITY(U,$J,358.3,3228,0)
+638 ;;=97112^^23^200^13^^^^1
+639 ;;^UTILITY(U,$J,358.3,3228,1,0)
+640 ;;=^358.31IA^3^2
+641 ;;^UTILITY(U,$J,358.3,3228,1,2,0)
+642 ;;=2^Neuromuscular Re-Education
+643 ;;^UTILITY(U,$J,358.3,3228,1,3,0)
+644 ;;=3^97112
+645 ;;^UTILITY(U,$J,358.3,3229,0)
+646 ;;=97140^^23^200^10^^^^1
+647 ;;^UTILITY(U,$J,358.3,3229,1,0)
+648 ;;=^358.31IA^3^2
+649 ;;^UTILITY(U,$J,358.3,3229,1,2,0)
+650 ;;=2^Manual Therapy,1 or more regions,Ea 15min
+651 ;;^UTILITY(U,$J,358.3,3229,1,3,0)
+652 ;;=3^97140
+653 ;;^UTILITY(U,$J,358.3,3230,0)
+654 ;;=97039^^23^200^1^^^^1
+655 ;;^UTILITY(U,$J,358.3,3230,1,0)
+656 ;;=^358.31IA^3^2
+657 ;;^UTILITY(U,$J,358.3,3230,1,2,0)
+658 ;;=2^Cold Laser Therapy
+659 ;;^UTILITY(U,$J,358.3,3230,1,3,0)
+660 ;;=3^97039
+661 ;;^UTILITY(U,$J,358.3,3231,0)
+662 ;;=97026^^23^200^9^^^^1
+663 ;;^UTILITY(U,$J,358.3,3231,1,0)
+664 ;;=^358.31IA^3^2
+665 ;;^UTILITY(U,$J,358.3,3231,1,2,0)
+666 ;;=2^Infrared Heat to 1 or more areas
+667 ;;^UTILITY(U,$J,358.3,3231,1,3,0)
+668 ;;=3^97026
+669 ;;^UTILITY(U,$J,358.3,3232,0)
+670 ;;=29540^^23^200^14^^^^1
+671 ;;^UTILITY(U,$J,358.3,3232,1,0)
+672 ;;=^358.31IA^3^2
+673 ;;^UTILITY(U,$J,358.3,3232,1,2,0)
+674 ;;=2^Strapping/Taping,Ankle and/or Foot
