- IBDEI02P ; ; 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,$J,358.3,6324,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6324,1,2,0)
- ;;=2^Inj Treatment of Eye,Medication
- ;;^UTILITY(U,$J,358.3,6324,1,3,0)
- ;;=3^66030
- ;;^UTILITY(U,$J,358.3,6325,0)
- ;;=67028^^39^346^9^^^^1
- ;;^UTILITY(U,$J,358.3,6325,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6325,1,2,0)
- ;;=2^Intravitreal Inj of Eye Drug
- ;;^UTILITY(U,$J,358.3,6325,1,3,0)
- ;;=3^67028
- ;;^UTILITY(U,$J,358.3,6326,0)
- ;;=67500^^39^346^13^^^^1
- ;;^UTILITY(U,$J,358.3,6326,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6326,1,2,0)
- ;;=2^Retrobulbar Inj,Medication
- ;;^UTILITY(U,$J,358.3,6326,1,3,0)
- ;;=3^67500
- ;;^UTILITY(U,$J,358.3,6327,0)
- ;;=67505^^39^346^12^^^^1
- ;;^UTILITY(U,$J,358.3,6327,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6327,1,2,0)
- ;;=2^Retrobulbar Inj,Alcohol
- ;;^UTILITY(U,$J,358.3,6327,1,3,0)
- ;;=3^67505
- ;;^UTILITY(U,$J,358.3,6328,0)
- ;;=68200^^39^346^16^^^^1
- ;;^UTILITY(U,$J,358.3,6328,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6328,1,2,0)
- ;;=2^Subconjunctival Injection
- ;;^UTILITY(U,$J,358.3,6328,1,3,0)
- ;;=3^68200
- ;;^UTILITY(U,$J,358.3,6329,0)
- ;;=96372^^39^346^14^^^^1
- ;;^UTILITY(U,$J,358.3,6329,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6329,1,2,0)
- ;;=2^SC/IM Injection
- ;;^UTILITY(U,$J,358.3,6329,1,3,0)
- ;;=3^96372
- ;;^UTILITY(U,$J,358.3,6330,0)
- ;;=96402^^39^346^15^^^^1
- ;;^UTILITY(U,$J,358.3,6330,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6330,1,2,0)
- ;;=2^SQ/IM Anti-Neplastic Hormone Inj
- ;;^UTILITY(U,$J,358.3,6330,1,3,0)
- ;;=3^96402
- ;;^UTILITY(U,$J,358.3,6331,0)
- ;;=J1094^^39^346^6^^^^1
- ;;^UTILITY(U,$J,358.3,6331,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6331,1,2,0)
- ;;=2^Dexamethasone Acetate per 1mg
- ;;^UTILITY(U,$J,358.3,6331,1,3,0)
- ;;=3^J1094
- ;;^UTILITY(U,$J,358.3,6332,0)
- ;;=J3300^^39^346^18^^^^1
- ;;^UTILITY(U,$J,358.3,6332,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6332,1,2,0)
- ;;=2^Triescence per 1mg (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6332,1,3,0)
- ;;=3^J3300
- ;;^UTILITY(U,$J,358.3,6333,0)
- ;;=J3301^^39^346^10^^^^1
- ;;^UTILITY(U,$J,358.3,6333,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6333,1,2,0)
- ;;=2^Kenalog per 10mg
- ;;^UTILITY(U,$J,358.3,6333,1,3,0)
- ;;=3^J3301
- ;;^UTILITY(U,$J,358.3,6334,0)
- ;;=J3396^^39^346^20^^^^1
- ;;^UTILITY(U,$J,358.3,6334,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6334,1,2,0)
- ;;=2^Verteporfin/Visudyne per 0.1mg
- ;;^UTILITY(U,$J,358.3,6334,1,3,0)
- ;;=3^J3396
- ;;^UTILITY(U,$J,358.3,6335,0)
- ;;=J9035^^39^346^4^^^^1
- ;;^UTILITY(U,$J,358.3,6335,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6335,1,2,0)
- ;;=2^Bevacizumab 10mg (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6335,1,3,0)
- ;;=3^J9035
- ;;^UTILITY(U,$J,358.3,6336,0)
- ;;=J0178^^39^346^1^^^^1
- ;;^UTILITY(U,$J,358.3,6336,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6336,1,2,0)
- ;;=2^Aflibercept 1mg (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6336,1,3,0)
- ;;=3^J0178
- ;;^UTILITY(U,$J,358.3,6337,0)
- ;;=J7312^^39^346^7^^^^1
- ;;^UTILITY(U,$J,358.3,6337,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6337,1,2,0)
- ;;=2^Dexamethasone Intra Implant
- ;;^UTILITY(U,$J,358.3,6337,1,3,0)
- ;;=3^J7312
- ;;^UTILITY(U,$J,358.3,6338,0)
- ;;=J3301^^39^346^17^^^^1
- ;;^UTILITY(U,$J,358.3,6338,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6338,1,2,0)
- ;;=2^Triamcinolone Acetonide per 10mg (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6338,1,3,0)
- ;;=3^J3301
- ;;^UTILITY(U,$J,358.3,6339,0)
- ;;=J2778^^39^346^11^^^^1
- ;;^UTILITY(U,$J,358.3,6339,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6339,1,2,0)
- ;;=2^Ranibizumab per .01mg (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6339,1,3,0)
- ;;=3^J2778
- ;;^UTILITY(U,$J,358.3,6340,0)
- ;;=C9257^^39^346^3^^^^1
- ;;^UTILITY(U,$J,358.3,6340,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6340,1,2,0)
- ;;=2^Bevacizumab 0.25mg (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6340,1,3,0)
- ;;=3^C9257
- ;;^UTILITY(U,$J,358.3,6341,0)
- ;;=J0179^^39^346^2^^^^1
- ;;^UTILITY(U,$J,358.3,6341,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6341,1,2,0)
- ;;=2^Beovu (Brolucizumab-dbll) 1mg
- ;;^UTILITY(U,$J,358.3,6341,1,3,0)
- ;;=3^J0179
- ;;^UTILITY(U,$J,358.3,6342,0)
- ;;=Q5124^^39^346^5^^^^1
- ;;^UTILITY(U,$J,358.3,6342,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6342,1,2,0)
- ;;=2^Byooviz (Ranibizumab-nuna) 0.1mg
- ;;^UTILITY(U,$J,358.3,6342,1,3,0)
- ;;=3^Q5124
- ;;^UTILITY(U,$J,358.3,6343,0)
- ;;=J3590^^39^346^19^^^^1
- ;;^UTILITY(U,$J,358.3,6343,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6343,1,2,0)
- ;;=2^Vabysmo (faricmab-svoa)
- ;;^UTILITY(U,$J,358.3,6343,1,3,0)
- ;;=3^J3590
- ;;^UTILITY(U,$J,358.3,6344,0)
- ;;=J3299^^39^346^21^^^^1
- ;;^UTILITY(U,$J,358.3,6344,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6344,1,2,0)
- ;;=2^Xipere (Triamcinolone Acetonide Inj Suspension) 1mg
- ;;^UTILITY(U,$J,358.3,6344,1,3,0)
- ;;=3^J3299
- ;;^UTILITY(U,$J,358.3,6345,0)
- ;;=67028^^39^347^1^^^^1
- ;;^UTILITY(U,$J,358.3,6345,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6345,1,2,0)
- ;;=2^INTRAVITREAL EYE INJ-1 Eye/Unilateral
- ;;^UTILITY(U,$J,358.3,6345,1,3,0)
- ;;=3^67028
- ;;^UTILITY(U,$J,358.3,6346,0)
- ;;=J3301^^39^347^7^^^^1
- ;;^UTILITY(U,$J,358.3,6346,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6346,1,2,0)
- ;;=2^Triamcinolone/KENALOG (use w/ 68200)
- ;;^UTILITY(U,$J,358.3,6346,1,3,0)
- ;;=3^J3301
- ;;^UTILITY(U,$J,358.3,6347,0)
- ;;=J0178^^39^347^2^^^^1
- ;;^UTILITY(U,$J,358.3,6347,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6347,1,2,0)
- ;;=2^Aflib/EYLEA (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6347,1,3,0)
- ;;=3^J0178
- ;;^UTILITY(U,$J,358.3,6348,0)
- ;;=J7312^^39^347^14^^^^1
- ;;^UTILITY(U,$J,358.3,6348,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6348,1,2,0)
- ;;=2^Dexameth Implant/OZURDEX
- ;;^UTILITY(U,$J,358.3,6348,1,3,0)
- ;;=3^J7312
- ;;^UTILITY(U,$J,358.3,6349,0)
- ;;=J3300^^39^347^8^^^^1
- ;;^UTILITY(U,$J,358.3,6349,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6349,1,2,0)
- ;;=2^Triamcinolone/TRIESENCE (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6349,1,3,0)
- ;;=3^J3300
- ;;^UTILITY(U,$J,358.3,6350,0)
- ;;=64612^^39^347^10^^^^1
- ;;^UTILITY(U,$J,358.3,6350,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6350,1,2,0)
- ;;=2^Chemodenervation of Muscle Inj (eg,Botox),Unilat
- ;;^UTILITY(U,$J,358.3,6350,1,3,0)
- ;;=3^64612
- ;;^UTILITY(U,$J,358.3,6351,0)
- ;;=68200^^39^347^6^^^^1
- ;;^UTILITY(U,$J,358.3,6351,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6351,1,2,0)
- ;;=2^Subtenons Injection
- ;;^UTILITY(U,$J,358.3,6351,1,3,0)
- ;;=3^68200
- ;;^UTILITY(U,$J,358.3,6352,0)
- ;;=67505^^39^347^15^^^^1
- ;;^UTILITY(U,$J,358.3,6352,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6352,1,2,0)
- ;;=2^Retrobulbar Inj,Alcohol
- ;;^UTILITY(U,$J,358.3,6352,1,3,0)
- ;;=3^67505
- ;;^UTILITY(U,$J,358.3,6353,0)
- ;;=67500^^39^347^16^^^^1
- ;;^UTILITY(U,$J,358.3,6353,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6353,1,2,0)
- ;;=2^Retrobulbar Inj,Any Medication
- ;;^UTILITY(U,$J,358.3,6353,1,3,0)
- ;;=3^67500
- ;;^UTILITY(U,$J,358.3,6354,0)
- ;;=68200^^39^347^9^^^^1
- ;;^UTILITY(U,$J,358.3,6354,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6354,1,2,0)
- ;;=2^Subconjunctival Injection
- ;;^UTILITY(U,$J,358.3,6354,1,3,0)
- ;;=3^68200
- ;;^UTILITY(U,$J,358.3,6355,0)
- ;;=J0588^^39^347^13^^^^1
- ;;^UTILITY(U,$J,358.3,6355,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6355,1,2,0)
- ;;=2^Xeomin 1 Unit (use w/ 64612)
- ;;^UTILITY(U,$J,358.3,6355,1,3,0)
- ;;=3^J0588
- ;;^UTILITY(U,$J,358.3,6356,0)
- ;;=J0587^^39^347^11^^^^1
- ;;^UTILITY(U,$J,358.3,6356,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6356,1,2,0)
- ;;=2^Myobloc 100 Units (use with 64612)
- ;;^UTILITY(U,$J,358.3,6356,1,3,0)
- ;;=3^J0587
- ;;^UTILITY(U,$J,358.3,6357,0)
- ;;=J0585^^39^347^12^^^^1
- ;;^UTILITY(U,$J,358.3,6357,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6357,1,2,0)
- ;;=2^Botox 1 Unit (use w/ 64612)
- ;;^UTILITY(U,$J,358.3,6357,1,3,0)
- ;;=3^J0585
- ;;^UTILITY(U,$J,358.3,6358,0)
- ;;=J2778^^39^347^3^^^^1
- ;;^UTILITY(U,$J,358.3,6358,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6358,1,2,0)
- ;;=2^Ranibiz/LUCENTIS (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6358,1,3,0)
- ;;=3^J2778
- ;;^UTILITY(U,$J,358.3,6359,0)
- ;;=C9257^^39^347^4^^^^1
- ;;^UTILITY(U,$J,358.3,6359,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6359,1,2,0)
- ;;=2^Bevaciz/AVASTIN (use w/ 67028)
- ;;^UTILITY(U,$J,358.3,6359,1,3,0)
- ;;=3^C9257
- ;;^UTILITY(U,$J,358.3,6360,0)
- ;;=67028^^39^347^5^^^^1
- ;;^UTILITY(U,$J,358.3,6360,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6360,1,2,0)
- ;;=2^INTRAVITREAL EYE INJ-2 Eye/Bilateral
- ;;^UTILITY(U,$J,358.3,6360,1,3,0)
- ;;=3^67028
- ;;^UTILITY(U,$J,358.3,6360,3,0)
- ;;=^357.33^1^1
- ;;^UTILITY(U,$J,358.3,6360,3,1,0)
- ;;=50
- ;;^UTILITY(U,$J,358.3,6361,0)
- ;;=92134^^39^348^4^^^^1
- ;;^UTILITY(U,$J,358.3,6361,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6361,1,2,0)
- ;;=2^OCT Macula (retina)
- ;;^UTILITY(U,$J,358.3,6361,1,3,0)
- ;;=3^92134
- ;;^UTILITY(U,$J,358.3,6362,0)
- ;;=92133^^39^348^5^^^^1
- ;;^UTILITY(U,$J,358.3,6362,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6362,1,2,0)
- ;;=2^OCT RNFL (optic nerve)
- ;;^UTILITY(U,$J,358.3,6362,1,3,0)
- ;;=3^92133
- ;;^UTILITY(U,$J,358.3,6363,0)
- ;;=92132^^39^348^6^^^^1
- ;;^UTILITY(U,$J,358.3,6363,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6363,1,2,0)
- ;;=2^OCT Anterior Segment (angle)
- ;;^UTILITY(U,$J,358.3,6363,1,3,0)
- ;;=3^92132
- ;;^UTILITY(U,$J,358.3,6364,0)
- ;;=92250^^39^348^2^^^^1
- ;;^UTILITY(U,$J,358.3,6364,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6364,1,2,0)
- ;;=2^Fundus Photos
- ;;^UTILITY(U,$J,358.3,6364,1,3,0)
- ;;=3^92250
- ;;^UTILITY(U,$J,358.3,6365,0)
- ;;=92235^^39^348^3^^^^1
- ;;^UTILITY(U,$J,358.3,6365,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6365,1,2,0)
- ;;=2^Fluorescein Angiography,Unilat or Bilat
- ;;^UTILITY(U,$J,358.3,6365,1,3,0)
- ;;=3^92235
- ;;^UTILITY(U,$J,358.3,6366,0)
- ;;=92240^^39^348^7^^^^1
- ;;^UTILITY(U,$J,358.3,6366,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6366,1,2,0)
- ;;=2^ICG Angiography,Unilat or Bilat
- ;;^UTILITY(U,$J,358.3,6366,1,3,0)
- ;;=3^92240
- ;;^UTILITY(U,$J,358.3,6367,0)
- ;;=92285^^39^348^1^^^^1
- ;;^UTILITY(U,$J,358.3,6367,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6367,1,2,0)
- ;;=2^External or Slit Lamp Photos
- ;;^UTILITY(U,$J,358.3,6367,1,3,0)
- ;;=3^92285
- ;;^UTILITY(U,$J,358.3,6368,0)
- ;;=76514^^39^348^9^^^^1
- ;;^UTILITY(U,$J,358.3,6368,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6368,1,2,0)
- ;;=2^Pachymetry (corneal thickness)
- ;;^UTILITY(U,$J,358.3,6368,1,3,0)
- ;;=3^76514
- ;;^UTILITY(U,$J,358.3,6369,0)
- ;;=92025^^39^348^10^^^^1
- ;;^UTILITY(U,$J,358.3,6369,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6369,1,2,0)
- ;;=2^Topography (cornea),Unilat or Bilat
- ;;^UTILITY(U,$J,358.3,6369,1,3,0)
- ;;=3^92025
- ;;^UTILITY(U,$J,358.3,6370,0)
- ;;=92242^^39^348^8^^^^1
- ;;^UTILITY(U,$J,358.3,6370,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6370,1,2,0)
- ;;=2^Fluorescein & ICG Angiography,Unilat or Bilat
- ;;^UTILITY(U,$J,358.3,6370,1,3,0)
- ;;=3^92242
- ;;^UTILITY(U,$J,358.3,6371,0)
- ;;=92286^^39^348^11^^^^1
- ;;^UTILITY(U,$J,358.3,6371,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6371,1,2,0)
- ;;=2^Specular Microscopy
- ;;^UTILITY(U,$J,358.3,6371,1,3,0)
- ;;=3^92286
- ;;^UTILITY(U,$J,358.3,6372,0)
- ;;=S3000^^39^348^12^^^^1
- ;;^UTILITY(U,$J,358.3,6372,1,0)
- ;;=^358.31IA^3^1
- ;;^UTILITY(U,$J,358.3,6372,1,3,0)
- ;;=3^S3000
- ;;^UTILITY(U,$J,358.3,6373,0)
- ;;=92311^^39^349^11^^^^1
- ;;^UTILITY(U,$J,358.3,6373,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6373,1,2,0)
- ;;=2^Contact Lens-Aphakia OD/OS
- ;;^UTILITY(U,$J,358.3,6373,1,3,0)
- ;;=3^92311
- ;;^UTILITY(U,$J,358.3,6374,0)
- ;;=92312^^39^349^12^^^^1
- ;;^UTILITY(U,$J,358.3,6374,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6374,1,2,0)
- ;;=2^Contact Lens-Aphakia OU
- ;;^UTILITY(U,$J,358.3,6374,1,3,0)
- ;;=3^92312
- ;;^UTILITY(U,$J,358.3,6375,0)
- ;;=92340^^39^349^5^^^^1
- ;;^UTILITY(U,$J,358.3,6375,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6375,1,2,0)
- ;;=2^Glasses Fitting, Monofocal
- ;;^UTILITY(U,$J,358.3,6375,1,3,0)
- ;;=3^92340
- ;;^UTILITY(U,$J,358.3,6376,0)
- ;;=92341^^39^349^4^^^^1
- ;;^UTILITY(U,$J,358.3,6376,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6376,1,2,0)
- ;;=2^Glasses Fitting, Bifocal
- ;;^UTILITY(U,$J,358.3,6376,1,3,0)
- ;;=3^92341
- ;;^UTILITY(U,$J,358.3,6377,0)
- ;;=92342^^39^349^7^^^^1
- ;;^UTILITY(U,$J,358.3,6377,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6377,1,2,0)
- ;;=2^Glasses Fitting, Multifocal
- ;;^UTILITY(U,$J,358.3,6377,1,3,0)
- ;;=3^92342
- ;;^UTILITY(U,$J,358.3,6378,0)
- ;;=92352^^39^349^6^^^^1
- ;;^UTILITY(U,$J,358.3,6378,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6378,1,2,0)
- ;;=2^Glasses Fitting, Monofocal for Aphakia
- ;;^UTILITY(U,$J,358.3,6378,1,3,0)
- ;;=3^92352
- ;;^UTILITY(U,$J,358.3,6379,0)
- ;;=92353^^39^349^8^^^^1
- ;;^UTILITY(U,$J,358.3,6379,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6379,1,2,0)
- ;;=2^Glasses Fitting, Multifocal, for Aphakia
- ;;^UTILITY(U,$J,358.3,6379,1,3,0)
- ;;=3^92353
- ;;^UTILITY(U,$J,358.3,6380,0)
- ;;=92354^^39^349^13^^^^1
- ;;^UTILITY(U,$J,358.3,6380,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6380,1,2,0)
- ;;=2^Low Vision Aid Fitting, Single Element
- ;;^UTILITY(U,$J,358.3,6380,1,3,0)
- ;;=3^92354
- ;;^UTILITY(U,$J,358.3,6381,0)
- ;;=92355^^39^349^14^^^^1
- ;;^UTILITY(U,$J,358.3,6381,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6381,1,2,0)
- ;;=2^Low Vision Aid Fitting, Telescopic/Compound Lens
- ;;^UTILITY(U,$J,358.3,6381,1,3,0)
- ;;=3^92355
- ;;^UTILITY(U,$J,358.3,6382,0)
- ;;=92370^^39^349^3^^^^1
- ;;^UTILITY(U,$J,358.3,6382,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6382,1,2,0)
- ;;=2^Repair/Refit Glasses
- ;;^UTILITY(U,$J,358.3,6382,1,3,0)
- ;;=3^92370
- ;;^UTILITY(U,$J,358.3,6383,0)
- ;;=92371^^39^349^9^^^^1
- ;;^UTILITY(U,$J,358.3,6383,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6383,1,2,0)
- ;;=2^Repair/Refit Glasses for Aphakia
- ;;^UTILITY(U,$J,358.3,6383,1,3,0)
- ;;=3^92371
- ;;^UTILITY(U,$J,358.3,6384,0)
- ;;=92071^^39^349^10^^^^1
- ;;^UTILITY(U,$J,358.3,6384,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6384,1,2,0)
- ;;=2^Contact Lens Tx for Ocular Disease
- ;;^UTILITY(U,$J,358.3,6384,1,3,0)
- ;;=3^92071
- ;;^UTILITY(U,$J,358.3,6385,0)
- ;;=92072^^39^349^15^^^^1
- ;;^UTILITY(U,$J,358.3,6385,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6385,1,2,0)
- ;;=2^Contact Lens Mgmt Keratoconus,Init
- ;;^UTILITY(U,$J,358.3,6385,1,3,0)
- ;;=3^92072
- ;;^UTILITY(U,$J,358.3,6386,0)
- ;;=92015^^39^349^1^^^^1
- ;;^UTILITY(U,$J,358.3,6386,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6386,1,2,0)
- ;;=2^Refraction
- ;;^UTILITY(U,$J,358.3,6386,1,3,0)
- ;;=3^92015
- ;;^UTILITY(U,$J,358.3,6387,0)
- ;;=99174^^39^349^2^^^^1
- ;;^UTILITY(U,$J,358.3,6387,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6387,1,2,0)
- ;;=2^Autorefraction,Bilateral
- ;;^UTILITY(U,$J,358.3,6387,1,3,0)
- ;;=3^99174
- ;;^UTILITY(U,$J,358.3,6388,0)
- ;;=92310^^39^349^16^^^^1
- ;;^UTILITY(U,$J,358.3,6388,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6388,1,2,0)
- ;;=2^Contact Lens Fitting,OD/OS
- ;;^UTILITY(U,$J,358.3,6388,1,3,0)
- ;;=3^92310
- ;;^UTILITY(U,$J,358.3,6389,0)
- ;;=99070^^39^349^17^^^^1
- ;;^UTILITY(U,$J,358.3,6389,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6389,1,2,0)
- ;;=2^Special Supplies by Phys
- ;;^UTILITY(U,$J,358.3,6389,1,3,0)
- ;;=3^99070
- ;;^UTILITY(U,$J,358.3,6390,0)
- ;;=V2513^^39^349^18^^^^1
- ;;^UTILITY(U,$J,358.3,6390,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6390,1,2,0)
- ;;=2^Gas-Permeable Lens,Ext Wear,Per Lens
- ;;^UTILITY(U,$J,358.3,6390,1,3,0)
- ;;=3^V2513
- ;;^UTILITY(U,$J,358.3,6391,0)
- ;;=V2523^^39^349^19^^^^1
- ;;^UTILITY(U,$J,358.3,6391,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6391,1,2,0)
- ;;=2^Hydrophilic Contact Lens,Ext Wear,Per Lens
- ;;^UTILITY(U,$J,358.3,6391,1,3,0)
- ;;=3^V2523
- ;;^UTILITY(U,$J,358.3,6392,0)
- ;;=V2530^^39^349^20^^^^1
- ;;^UTILITY(U,$J,358.3,6392,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6392,1,2,0)
- ;;=2^Hybrid Contact Lens,Per Lens
- ;;^UTILITY(U,$J,358.3,6392,1,3,0)
- ;;=3^V2530
- ;;^UTILITY(U,$J,358.3,6393,0)
- ;;=V2531^^39^349^21^^^^1
- ;;^UTILITY(U,$J,358.3,6393,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6393,1,2,0)
- ;;=2^Gas-Permeable Scleral Lens,Per Lens
- ;;^UTILITY(U,$J,358.3,6393,1,3,0)
- ;;=3^V2531
- ;;^UTILITY(U,$J,358.3,6394,0)
- ;;=V2599^^39^349^22^^^^1
- ;;^UTILITY(U,$J,358.3,6394,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6394,1,2,0)
- ;;=2^Contact Lens,Oth Type,Per Lens
- ;;^UTILITY(U,$J,358.3,6394,1,3,0)
- ;;=3^V2599
- ;;^UTILITY(U,$J,358.3,6395,0)
- ;;=92015^^39^350^2^^^^1
- ;;^UTILITY(U,$J,358.3,6395,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6395,1,2,0)
- ;;=2^Refraction
- ;;^UTILITY(U,$J,358.3,6395,1,3,0)
- ;;=3^92015
- ;;^UTILITY(U,$J,358.3,6396,0)
- ;;=92025^^39^350^3^^^^1
- ;;^UTILITY(U,$J,358.3,6396,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6396,1,2,0)
- ;;=2^Topography (cornea)
- ;;^UTILITY(U,$J,358.3,6396,1,3,0)
- ;;=3^92025
- ;;^UTILITY(U,$J,358.3,6397,0)
- ;;=76511^^39^350^6^^^^1
- ;;^UTILITY(U,$J,358.3,6397,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6397,1,2,0)
- ;;=2^U/S A-Scan Only
- ;;^UTILITY(U,$J,358.3,6397,1,3,0)
- ;;=3^76511
- ;;^UTILITY(U,$J,358.3,6398,0)
- ;;=76512^^39^350^7^^^^1
- ;;^UTILITY(U,$J,358.3,6398,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6398,1,2,0)
- ;;=2^U/S B-Scan Only
- ;;^UTILITY(U,$J,358.3,6398,1,3,0)
- ;;=3^76512
- ;;^UTILITY(U,$J,358.3,6399,0)
- ;;=76513^^39^350^8^^^^1
- ;;^UTILITY(U,$J,358.3,6399,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6399,1,2,0)
- ;;=2^U/S B-Scan,Ant Seg,Water Immersion
- ;;^UTILITY(U,$J,358.3,6399,1,3,0)
- ;;=3^76513
- ;;^UTILITY(U,$J,358.3,6400,0)
- ;;=92020^^39^350^11^^^^1
- ;;^UTILITY(U,$J,358.3,6400,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6400,1,2,0)
- ;;=2^Gonioscopy
- ;;^UTILITY(U,$J,358.3,6400,1,3,0)
- ;;=3^92020
- ;;^UTILITY(U,$J,358.3,6401,0)
- ;;=92499^^39^350^12^^^^1
- ;;^UTILITY(U,$J,358.3,6401,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6401,1,2,0)
- ;;=2^Hertel's Exophthalmometry
- ;;^UTILITY(U,$J,358.3,6401,1,3,0)
- ;;=3^92499
- ;;^UTILITY(U,$J,358.3,6402,0)
- ;;=99174^^39^350^1^^^^1
- ;;^UTILITY(U,$J,358.3,6402,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6402,1,2,0)
- ;;=2^Autorefraction,Bilateral
- ;;^UTILITY(U,$J,358.3,6402,1,3,0)
- ;;=3^99174
- ;;^UTILITY(U,$J,358.3,6403,0)
- ;;=92136^^39^350^4^^^^1
- ;;^UTILITY(U,$J,358.3,6403,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6403,1,2,0)
- ;;=2^IOL Calc Biometry-Optical
- ;;^UTILITY(U,$J,358.3,6403,1,3,0)
- ;;=3^92136
- ;;^UTILITY(U,$J,358.3,6404,0)
- ;;=76519^^39^350^5^^^^1
- ;;^UTILITY(U,$J,358.3,6404,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6404,1,2,0)
- ;;=2^IOL Calc w/ A-Scan U/S
- ;;^UTILITY(U,$J,358.3,6404,1,3,0)
- ;;=3^76519
- ;;^UTILITY(U,$J,358.3,6405,0)
- ;;=92132^^39^350^9^^^^1
- ;;^UTILITY(U,$J,358.3,6405,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6405,1,2,0)
- ;;=2^OCT Anterior Segment (angle or cornea)
- ;;^UTILITY(U,$J,358.3,6405,1,3,0)
- ;;=3^92132
- ;;^UTILITY(U,$J,358.3,6406,0)
- ;;=92286^^39^350^10^^^^1
- ;;^UTILITY(U,$J,358.3,6406,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6406,1,2,0)
- ;;=2^Specular Microscopy
- ;;^UTILITY(U,$J,358.3,6406,1,3,0)
- ;;=3^92286
- ;;^UTILITY(U,$J,358.3,6407,0)
- ;;=92250^^39^351^1^^^^1
- ;;^UTILITY(U,$J,358.3,6407,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,6407,1,2,0)
- ;;=2^Fundus Photos
- ;;^UTILITY(U,$J,358.3,6407,1,3,0)
- ;;=3^92250
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI02P 19785 printed Jan 18, 2025@02:41:40 Page 2
- IBDEI02P ; ; 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,358.3,6324,1,0)
- +2 ;;=^358.31IA^3^2
- +3 ;;^UTILITY(U,$J,358.3,6324,1,2,0)
- +4 ;;=2^Inj Treatment of Eye,Medication
- +5 ;;^UTILITY(U,$J,358.3,6324,1,3,0)
- +6 ;;=3^66030
- +7 ;;^UTILITY(U,$J,358.3,6325,0)
- +8 ;;=67028^^39^346^9^^^^1
- +9 ;;^UTILITY(U,$J,358.3,6325,1,0)
- +10 ;;=^358.31IA^3^2
- +11 ;;^UTILITY(U,$J,358.3,6325,1,2,0)
- +12 ;;=2^Intravitreal Inj of Eye Drug
- +13 ;;^UTILITY(U,$J,358.3,6325,1,3,0)
- +14 ;;=3^67028
- +15 ;;^UTILITY(U,$J,358.3,6326,0)
- +16 ;;=67500^^39^346^13^^^^1
- +17 ;;^UTILITY(U,$J,358.3,6326,1,0)
- +18 ;;=^358.31IA^3^2
- +19 ;;^UTILITY(U,$J,358.3,6326,1,2,0)
- +20 ;;=2^Retrobulbar Inj,Medication
- +21 ;;^UTILITY(U,$J,358.3,6326,1,3,0)
- +22 ;;=3^67500
- +23 ;;^UTILITY(U,$J,358.3,6327,0)
- +24 ;;=67505^^39^346^12^^^^1
- +25 ;;^UTILITY(U,$J,358.3,6327,1,0)
- +26 ;;=^358.31IA^3^2
- +27 ;;^UTILITY(U,$J,358.3,6327,1,2,0)
- +28 ;;=2^Retrobulbar Inj,Alcohol
- +29 ;;^UTILITY(U,$J,358.3,6327,1,3,0)
- +30 ;;=3^67505
- +31 ;;^UTILITY(U,$J,358.3,6328,0)
- +32 ;;=68200^^39^346^16^^^^1
- +33 ;;^UTILITY(U,$J,358.3,6328,1,0)
- +34 ;;=^358.31IA^3^2
- +35 ;;^UTILITY(U,$J,358.3,6328,1,2,0)
- +36 ;;=2^Subconjunctival Injection
- +37 ;;^UTILITY(U,$J,358.3,6328,1,3,0)
- +38 ;;=3^68200
- +39 ;;^UTILITY(U,$J,358.3,6329,0)
- +40 ;;=96372^^39^346^14^^^^1
- +41 ;;^UTILITY(U,$J,358.3,6329,1,0)
- +42 ;;=^358.31IA^3^2
- +43 ;;^UTILITY(U,$J,358.3,6329,1,2,0)
- +44 ;;=2^SC/IM Injection
- +45 ;;^UTILITY(U,$J,358.3,6329,1,3,0)
- +46 ;;=3^96372
- +47 ;;^UTILITY(U,$J,358.3,6330,0)
- +48 ;;=96402^^39^346^15^^^^1
- +49 ;;^UTILITY(U,$J,358.3,6330,1,0)
- +50 ;;=^358.31IA^3^2
- +51 ;;^UTILITY(U,$J,358.3,6330,1,2,0)
- +52 ;;=2^SQ/IM Anti-Neplastic Hormone Inj
- +53 ;;^UTILITY(U,$J,358.3,6330,1,3,0)
- +54 ;;=3^96402
- +55 ;;^UTILITY(U,$J,358.3,6331,0)
- +56 ;;=J1094^^39^346^6^^^^1
- +57 ;;^UTILITY(U,$J,358.3,6331,1,0)
- +58 ;;=^358.31IA^3^2
- +59 ;;^UTILITY(U,$J,358.3,6331,1,2,0)
- +60 ;;=2^Dexamethasone Acetate per 1mg
- +61 ;;^UTILITY(U,$J,358.3,6331,1,3,0)
- +62 ;;=3^J1094
- +63 ;;^UTILITY(U,$J,358.3,6332,0)
- +64 ;;=J3300^^39^346^18^^^^1
- +65 ;;^UTILITY(U,$J,358.3,6332,1,0)
- +66 ;;=^358.31IA^3^2
- +67 ;;^UTILITY(U,$J,358.3,6332,1,2,0)
- +68 ;;=2^Triescence per 1mg (use w/ 67028)
- +69 ;;^UTILITY(U,$J,358.3,6332,1,3,0)
- +70 ;;=3^J3300
- +71 ;;^UTILITY(U,$J,358.3,6333,0)
- +72 ;;=J3301^^39^346^10^^^^1
- +73 ;;^UTILITY(U,$J,358.3,6333,1,0)
- +74 ;;=^358.31IA^3^2
- +75 ;;^UTILITY(U,$J,358.3,6333,1,2,0)
- +76 ;;=2^Kenalog per 10mg
- +77 ;;^UTILITY(U,$J,358.3,6333,1,3,0)
- +78 ;;=3^J3301
- +79 ;;^UTILITY(U,$J,358.3,6334,0)
- +80 ;;=J3396^^39^346^20^^^^1
- +81 ;;^UTILITY(U,$J,358.3,6334,1,0)
- +82 ;;=^358.31IA^3^2
- +83 ;;^UTILITY(U,$J,358.3,6334,1,2,0)
- +84 ;;=2^Verteporfin/Visudyne per 0.1mg
- +85 ;;^UTILITY(U,$J,358.3,6334,1,3,0)
- +86 ;;=3^J3396
- +87 ;;^UTILITY(U,$J,358.3,6335,0)
- +88 ;;=J9035^^39^346^4^^^^1
- +89 ;;^UTILITY(U,$J,358.3,6335,1,0)
- +90 ;;=^358.31IA^3^2
- +91 ;;^UTILITY(U,$J,358.3,6335,1,2,0)
- +92 ;;=2^Bevacizumab 10mg (use w/ 67028)
- +93 ;;^UTILITY(U,$J,358.3,6335,1,3,0)
- +94 ;;=3^J9035
- +95 ;;^UTILITY(U,$J,358.3,6336,0)
- +96 ;;=J0178^^39^346^1^^^^1
- +97 ;;^UTILITY(U,$J,358.3,6336,1,0)
- +98 ;;=^358.31IA^3^2
- +99 ;;^UTILITY(U,$J,358.3,6336,1,2,0)
- +100 ;;=2^Aflibercept 1mg (use w/ 67028)
- +101 ;;^UTILITY(U,$J,358.3,6336,1,3,0)
- +102 ;;=3^J0178
- +103 ;;^UTILITY(U,$J,358.3,6337,0)
- +104 ;;=J7312^^39^346^7^^^^1
- +105 ;;^UTILITY(U,$J,358.3,6337,1,0)
- +106 ;;=^358.31IA^3^2
- +107 ;;^UTILITY(U,$J,358.3,6337,1,2,0)
- +108 ;;=2^Dexamethasone Intra Implant
- +109 ;;^UTILITY(U,$J,358.3,6337,1,3,0)
- +110 ;;=3^J7312
- +111 ;;^UTILITY(U,$J,358.3,6338,0)
- +112 ;;=J3301^^39^346^17^^^^1
- +113 ;;^UTILITY(U,$J,358.3,6338,1,0)
- +114 ;;=^358.31IA^3^2
- +115 ;;^UTILITY(U,$J,358.3,6338,1,2,0)
- +116 ;;=2^Triamcinolone Acetonide per 10mg (use w/ 67028)
- +117 ;;^UTILITY(U,$J,358.3,6338,1,3,0)
- +118 ;;=3^J3301
- +119 ;;^UTILITY(U,$J,358.3,6339,0)
- +120 ;;=J2778^^39^346^11^^^^1
- +121 ;;^UTILITY(U,$J,358.3,6339,1,0)
- +122 ;;=^358.31IA^3^2
- +123 ;;^UTILITY(U,$J,358.3,6339,1,2,0)
- +124 ;;=2^Ranibizumab per .01mg (use w/ 67028)
- +125 ;;^UTILITY(U,$J,358.3,6339,1,3,0)
- +126 ;;=3^J2778
- +127 ;;^UTILITY(U,$J,358.3,6340,0)
- +128 ;;=C9257^^39^346^3^^^^1
- +129 ;;^UTILITY(U,$J,358.3,6340,1,0)
- +130 ;;=^358.31IA^3^2
- +131 ;;^UTILITY(U,$J,358.3,6340,1,2,0)
- +132 ;;=2^Bevacizumab 0.25mg (use w/ 67028)
- +133 ;;^UTILITY(U,$J,358.3,6340,1,3,0)
- +134 ;;=3^C9257
- +135 ;;^UTILITY(U,$J,358.3,6341,0)
- +136 ;;=J0179^^39^346^2^^^^1
- +137 ;;^UTILITY(U,$J,358.3,6341,1,0)
- +138 ;;=^358.31IA^3^2
- +139 ;;^UTILITY(U,$J,358.3,6341,1,2,0)
- +140 ;;=2^Beovu (Brolucizumab-dbll) 1mg
- +141 ;;^UTILITY(U,$J,358.3,6341,1,3,0)
- +142 ;;=3^J0179
- +143 ;;^UTILITY(U,$J,358.3,6342,0)
- +144 ;;=Q5124^^39^346^5^^^^1
- +145 ;;^UTILITY(U,$J,358.3,6342,1,0)
- +146 ;;=^358.31IA^3^2
- +147 ;;^UTILITY(U,$J,358.3,6342,1,2,0)
- +148 ;;=2^Byooviz (Ranibizumab-nuna) 0.1mg
- +149 ;;^UTILITY(U,$J,358.3,6342,1,3,0)
- +150 ;;=3^Q5124
- +151 ;;^UTILITY(U,$J,358.3,6343,0)
- +152 ;;=J3590^^39^346^19^^^^1
- +153 ;;^UTILITY(U,$J,358.3,6343,1,0)
- +154 ;;=^358.31IA^3^2
- +155 ;;^UTILITY(U,$J,358.3,6343,1,2,0)
- +156 ;;=2^Vabysmo (faricmab-svoa)
- +157 ;;^UTILITY(U,$J,358.3,6343,1,3,0)
- +158 ;;=3^J3590
- +159 ;;^UTILITY(U,$J,358.3,6344,0)
- +160 ;;=J3299^^39^346^21^^^^1
- +161 ;;^UTILITY(U,$J,358.3,6344,1,0)
- +162 ;;=^358.31IA^3^2
- +163 ;;^UTILITY(U,$J,358.3,6344,1,2,0)
- +164 ;;=2^Xipere (Triamcinolone Acetonide Inj Suspension) 1mg
- +165 ;;^UTILITY(U,$J,358.3,6344,1,3,0)
- +166 ;;=3^J3299
- +167 ;;^UTILITY(U,$J,358.3,6345,0)
- +168 ;;=67028^^39^347^1^^^^1
- +169 ;;^UTILITY(U,$J,358.3,6345,1,0)
- +170 ;;=^358.31IA^3^2
- +171 ;;^UTILITY(U,$J,358.3,6345,1,2,0)
- +172 ;;=2^INTRAVITREAL EYE INJ-1 Eye/Unilateral
- +173 ;;^UTILITY(U,$J,358.3,6345,1,3,0)
- +174 ;;=3^67028
- +175 ;;^UTILITY(U,$J,358.3,6346,0)
- +176 ;;=J3301^^39^347^7^^^^1
- +177 ;;^UTILITY(U,$J,358.3,6346,1,0)
- +178 ;;=^358.31IA^3^2
- +179 ;;^UTILITY(U,$J,358.3,6346,1,2,0)
- +180 ;;=2^Triamcinolone/KENALOG (use w/ 68200)
- +181 ;;^UTILITY(U,$J,358.3,6346,1,3,0)
- +182 ;;=3^J3301
- +183 ;;^UTILITY(U,$J,358.3,6347,0)
- +184 ;;=J0178^^39^347^2^^^^1
- +185 ;;^UTILITY(U,$J,358.3,6347,1,0)
- +186 ;;=^358.31IA^3^2
- +187 ;;^UTILITY(U,$J,358.3,6347,1,2,0)
- +188 ;;=2^Aflib/EYLEA (use w/ 67028)
- +189 ;;^UTILITY(U,$J,358.3,6347,1,3,0)
- +190 ;;=3^J0178
- +191 ;;^UTILITY(U,$J,358.3,6348,0)
- +192 ;;=J7312^^39^347^14^^^^1
- +193 ;;^UTILITY(U,$J,358.3,6348,1,0)
- +194 ;;=^358.31IA^3^2
- +195 ;;^UTILITY(U,$J,358.3,6348,1,2,0)
- +196 ;;=2^Dexameth Implant/OZURDEX
- +197 ;;^UTILITY(U,$J,358.3,6348,1,3,0)
- +198 ;;=3^J7312
- +199 ;;^UTILITY(U,$J,358.3,6349,0)
- +200 ;;=J3300^^39^347^8^^^^1
- +201 ;;^UTILITY(U,$J,358.3,6349,1,0)
- +202 ;;=^358.31IA^3^2
- +203 ;;^UTILITY(U,$J,358.3,6349,1,2,0)
- +204 ;;=2^Triamcinolone/TRIESENCE (use w/ 67028)
- +205 ;;^UTILITY(U,$J,358.3,6349,1,3,0)
- +206 ;;=3^J3300
- +207 ;;^UTILITY(U,$J,358.3,6350,0)
- +208 ;;=64612^^39^347^10^^^^1
- +209 ;;^UTILITY(U,$J,358.3,6350,1,0)
- +210 ;;=^358.31IA^3^2
- +211 ;;^UTILITY(U,$J,358.3,6350,1,2,0)
- +212 ;;=2^Chemodenervation of Muscle Inj (eg,Botox),Unilat
- +213 ;;^UTILITY(U,$J,358.3,6350,1,3,0)
- +214 ;;=3^64612
- +215 ;;^UTILITY(U,$J,358.3,6351,0)
- +216 ;;=68200^^39^347^6^^^^1
- +217 ;;^UTILITY(U,$J,358.3,6351,1,0)
- +218 ;;=^358.31IA^3^2
- +219 ;;^UTILITY(U,$J,358.3,6351,1,2,0)
- +220 ;;=2^Subtenons Injection
- +221 ;;^UTILITY(U,$J,358.3,6351,1,3,0)
- +222 ;;=3^68200
- +223 ;;^UTILITY(U,$J,358.3,6352,0)
- +224 ;;=67505^^39^347^15^^^^1
- +225 ;;^UTILITY(U,$J,358.3,6352,1,0)
- +226 ;;=^358.31IA^3^2
- +227 ;;^UTILITY(U,$J,358.3,6352,1,2,0)
- +228 ;;=2^Retrobulbar Inj,Alcohol
- +229 ;;^UTILITY(U,$J,358.3,6352,1,3,0)
- +230 ;;=3^67505
- +231 ;;^UTILITY(U,$J,358.3,6353,0)
- +232 ;;=67500^^39^347^16^^^^1
- +233 ;;^UTILITY(U,$J,358.3,6353,1,0)
- +234 ;;=^358.31IA^3^2
- +235 ;;^UTILITY(U,$J,358.3,6353,1,2,0)
- +236 ;;=2^Retrobulbar Inj,Any Medication
- +237 ;;^UTILITY(U,$J,358.3,6353,1,3,0)
- +238 ;;=3^67500
- +239 ;;^UTILITY(U,$J,358.3,6354,0)
- +240 ;;=68200^^39^347^9^^^^1
- +241 ;;^UTILITY(U,$J,358.3,6354,1,0)
- +242 ;;=^358.31IA^3^2
- +243 ;;^UTILITY(U,$J,358.3,6354,1,2,0)
- +244 ;;=2^Subconjunctival Injection
- +245 ;;^UTILITY(U,$J,358.3,6354,1,3,0)
- +246 ;;=3^68200
- +247 ;;^UTILITY(U,$J,358.3,6355,0)
- +248 ;;=J0588^^39^347^13^^^^1
- +249 ;;^UTILITY(U,$J,358.3,6355,1,0)
- +250 ;;=^358.31IA^3^2
- +251 ;;^UTILITY(U,$J,358.3,6355,1,2,0)
- +252 ;;=2^Xeomin 1 Unit (use w/ 64612)
- +253 ;;^UTILITY(U,$J,358.3,6355,1,3,0)
- +254 ;;=3^J0588
- +255 ;;^UTILITY(U,$J,358.3,6356,0)
- +256 ;;=J0587^^39^347^11^^^^1
- +257 ;;^UTILITY(U,$J,358.3,6356,1,0)
- +258 ;;=^358.31IA^3^2
- +259 ;;^UTILITY(U,$J,358.3,6356,1,2,0)
- +260 ;;=2^Myobloc 100 Units (use with 64612)
- +261 ;;^UTILITY(U,$J,358.3,6356,1,3,0)
- +262 ;;=3^J0587
- +263 ;;^UTILITY(U,$J,358.3,6357,0)
- +264 ;;=J0585^^39^347^12^^^^1
- +265 ;;^UTILITY(U,$J,358.3,6357,1,0)
- +266 ;;=^358.31IA^3^2
- +267 ;;^UTILITY(U,$J,358.3,6357,1,2,0)
- +268 ;;=2^Botox 1 Unit (use w/ 64612)
- +269 ;;^UTILITY(U,$J,358.3,6357,1,3,0)
- +270 ;;=3^J0585
- +271 ;;^UTILITY(U,$J,358.3,6358,0)
- +272 ;;=J2778^^39^347^3^^^^1
- +273 ;;^UTILITY(U,$J,358.3,6358,1,0)
- +274 ;;=^358.31IA^3^2
- +275 ;;^UTILITY(U,$J,358.3,6358,1,2,0)
- +276 ;;=2^Ranibiz/LUCENTIS (use w/ 67028)
- +277 ;;^UTILITY(U,$J,358.3,6358,1,3,0)
- +278 ;;=3^J2778
- +279 ;;^UTILITY(U,$J,358.3,6359,0)
- +280 ;;=C9257^^39^347^4^^^^1
- +281 ;;^UTILITY(U,$J,358.3,6359,1,0)
- +282 ;;=^358.31IA^3^2
- +283 ;;^UTILITY(U,$J,358.3,6359,1,2,0)
- +284 ;;=2^Bevaciz/AVASTIN (use w/ 67028)
- +285 ;;^UTILITY(U,$J,358.3,6359,1,3,0)
- +286 ;;=3^C9257
- +287 ;;^UTILITY(U,$J,358.3,6360,0)
- +288 ;;=67028^^39^347^5^^^^1
- +289 ;;^UTILITY(U,$J,358.3,6360,1,0)
- +290 ;;=^358.31IA^3^2
- +291 ;;^UTILITY(U,$J,358.3,6360,1,2,0)
- +292 ;;=2^INTRAVITREAL EYE INJ-2 Eye/Bilateral
- +293 ;;^UTILITY(U,$J,358.3,6360,1,3,0)
- +294 ;;=3^67028
- +295 ;;^UTILITY(U,$J,358.3,6360,3,0)
- +296 ;;=^357.33^1^1
- +297 ;;^UTILITY(U,$J,358.3,6360,3,1,0)
- +298 ;;=50
- +299 ;;^UTILITY(U,$J,358.3,6361,0)
- +300 ;;=92134^^39^348^4^^^^1
- +301 ;;^UTILITY(U,$J,358.3,6361,1,0)
- +302 ;;=^358.31IA^3^2
- +303 ;;^UTILITY(U,$J,358.3,6361,1,2,0)
- +304 ;;=2^OCT Macula (retina)
- +305 ;;^UTILITY(U,$J,358.3,6361,1,3,0)
- +306 ;;=3^92134
- +307 ;;^UTILITY(U,$J,358.3,6362,0)
- +308 ;;=92133^^39^348^5^^^^1
- +309 ;;^UTILITY(U,$J,358.3,6362,1,0)
- +310 ;;=^358.31IA^3^2
- +311 ;;^UTILITY(U,$J,358.3,6362,1,2,0)
- +312 ;;=2^OCT RNFL (optic nerve)
- +313 ;;^UTILITY(U,$J,358.3,6362,1,3,0)
- +314 ;;=3^92133
- +315 ;;^UTILITY(U,$J,358.3,6363,0)
- +316 ;;=92132^^39^348^6^^^^1
- +317 ;;^UTILITY(U,$J,358.3,6363,1,0)
- +318 ;;=^358.31IA^3^2
- +319 ;;^UTILITY(U,$J,358.3,6363,1,2,0)
- +320 ;;=2^OCT Anterior Segment (angle)
- +321 ;;^UTILITY(U,$J,358.3,6363,1,3,0)
- +322 ;;=3^92132
- +323 ;;^UTILITY(U,$J,358.3,6364,0)
- +324 ;;=92250^^39^348^2^^^^1
- +325 ;;^UTILITY(U,$J,358.3,6364,1,0)
- +326 ;;=^358.31IA^3^2
- +327 ;;^UTILITY(U,$J,358.3,6364,1,2,0)
- +328 ;;=2^Fundus Photos
- +329 ;;^UTILITY(U,$J,358.3,6364,1,3,0)
- +330 ;;=3^92250
- +331 ;;^UTILITY(U,$J,358.3,6365,0)
- +332 ;;=92235^^39^348^3^^^^1
- +333 ;;^UTILITY(U,$J,358.3,6365,1,0)
- +334 ;;=^358.31IA^3^2
- +335 ;;^UTILITY(U,$J,358.3,6365,1,2,0)
- +336 ;;=2^Fluorescein Angiography,Unilat or Bilat
- +337 ;;^UTILITY(U,$J,358.3,6365,1,3,0)
- +338 ;;=3^92235
- +339 ;;^UTILITY(U,$J,358.3,6366,0)
- +340 ;;=92240^^39^348^7^^^^1
- +341 ;;^UTILITY(U,$J,358.3,6366,1,0)
- +342 ;;=^358.31IA^3^2
- +343 ;;^UTILITY(U,$J,358.3,6366,1,2,0)
- +344 ;;=2^ICG Angiography,Unilat or Bilat
- +345 ;;^UTILITY(U,$J,358.3,6366,1,3,0)
- +346 ;;=3^92240
- +347 ;;^UTILITY(U,$J,358.3,6367,0)
- +348 ;;=92285^^39^348^1^^^^1
- +349 ;;^UTILITY(U,$J,358.3,6367,1,0)
- +350 ;;=^358.31IA^3^2
- +351 ;;^UTILITY(U,$J,358.3,6367,1,2,0)
- +352 ;;=2^External or Slit Lamp Photos
- +353 ;;^UTILITY(U,$J,358.3,6367,1,3,0)
- +354 ;;=3^92285
- +355 ;;^UTILITY(U,$J,358.3,6368,0)
- +356 ;;=76514^^39^348^9^^^^1
- +357 ;;^UTILITY(U,$J,358.3,6368,1,0)
- +358 ;;=^358.31IA^3^2
- +359 ;;^UTILITY(U,$J,358.3,6368,1,2,0)
- +360 ;;=2^Pachymetry (corneal thickness)
- +361 ;;^UTILITY(U,$J,358.3,6368,1,3,0)
- +362 ;;=3^76514
- +363 ;;^UTILITY(U,$J,358.3,6369,0)
- +364 ;;=92025^^39^348^10^^^^1
- +365 ;;^UTILITY(U,$J,358.3,6369,1,0)
- +366 ;;=^358.31IA^3^2
- +367 ;;^UTILITY(U,$J,358.3,6369,1,2,0)
- +368 ;;=2^Topography (cornea),Unilat or Bilat
- +369 ;;^UTILITY(U,$J,358.3,6369,1,3,0)
- +370 ;;=3^92025
- +371 ;;^UTILITY(U,$J,358.3,6370,0)
- +372 ;;=92242^^39^348^8^^^^1
- +373 ;;^UTILITY(U,$J,358.3,6370,1,0)
- +374 ;;=^358.31IA^3^2
- +375 ;;^UTILITY(U,$J,358.3,6370,1,2,0)
- +376 ;;=2^Fluorescein & ICG Angiography,Unilat or Bilat
- +377 ;;^UTILITY(U,$J,358.3,6370,1,3,0)
- +378 ;;=3^92242
- +379 ;;^UTILITY(U,$J,358.3,6371,0)
- +380 ;;=92286^^39^348^11^^^^1
- +381 ;;^UTILITY(U,$J,358.3,6371,1,0)
- +382 ;;=^358.31IA^3^2
- +383 ;;^UTILITY(U,$J,358.3,6371,1,2,0)
- +384 ;;=2^Specular Microscopy
- +385 ;;^UTILITY(U,$J,358.3,6371,1,3,0)
- +386 ;;=3^92286
- +387 ;;^UTILITY(U,$J,358.3,6372,0)
- +388 ;;=S3000^^39^348^12^^^^1
- +389 ;;^UTILITY(U,$J,358.3,6372,1,0)
- +390 ;;=^358.31IA^3^1
- +391 ;;^UTILITY(U,$J,358.3,6372,1,3,0)
- +392 ;;=3^S3000
- +393 ;;^UTILITY(U,$J,358.3,6373,0)
- +394 ;;=92311^^39^349^11^^^^1
- +395 ;;^UTILITY(U,$J,358.3,6373,1,0)
- +396 ;;=^358.31IA^3^2
- +397 ;;^UTILITY(U,$J,358.3,6373,1,2,0)
- +398 ;;=2^Contact Lens-Aphakia OD/OS
- +399 ;;^UTILITY(U,$J,358.3,6373,1,3,0)
- +400 ;;=3^92311
- +401 ;;^UTILITY(U,$J,358.3,6374,0)
- +402 ;;=92312^^39^349^12^^^^1
- +403 ;;^UTILITY(U,$J,358.3,6374,1,0)
- +404 ;;=^358.31IA^3^2
- +405 ;;^UTILITY(U,$J,358.3,6374,1,2,0)
- +406 ;;=2^Contact Lens-Aphakia OU
- +407 ;;^UTILITY(U,$J,358.3,6374,1,3,0)
- +408 ;;=3^92312
- +409 ;;^UTILITY(U,$J,358.3,6375,0)
- +410 ;;=92340^^39^349^5^^^^1
- +411 ;;^UTILITY(U,$J,358.3,6375,1,0)
- +412 ;;=^358.31IA^3^2
- +413 ;;^UTILITY(U,$J,358.3,6375,1,2,0)
- +414 ;;=2^Glasses Fitting, Monofocal
- +415 ;;^UTILITY(U,$J,358.3,6375,1,3,0)
- +416 ;;=3^92340
- +417 ;;^UTILITY(U,$J,358.3,6376,0)
- +418 ;;=92341^^39^349^4^^^^1
- +419 ;;^UTILITY(U,$J,358.3,6376,1,0)
- +420 ;;=^358.31IA^3^2
- +421 ;;^UTILITY(U,$J,358.3,6376,1,2,0)
- +422 ;;=2^Glasses Fitting, Bifocal
- +423 ;;^UTILITY(U,$J,358.3,6376,1,3,0)
- +424 ;;=3^92341
- +425 ;;^UTILITY(U,$J,358.3,6377,0)
- +426 ;;=92342^^39^349^7^^^^1
- +427 ;;^UTILITY(U,$J,358.3,6377,1,0)
- +428 ;;=^358.31IA^3^2
- +429 ;;^UTILITY(U,$J,358.3,6377,1,2,0)
- +430 ;;=2^Glasses Fitting, Multifocal
- +431 ;;^UTILITY(U,$J,358.3,6377,1,3,0)
- +432 ;;=3^92342
- +433 ;;^UTILITY(U,$J,358.3,6378,0)
- +434 ;;=92352^^39^349^6^^^^1
- +435 ;;^UTILITY(U,$J,358.3,6378,1,0)
- +436 ;;=^358.31IA^3^2
- +437 ;;^UTILITY(U,$J,358.3,6378,1,2,0)
- +438 ;;=2^Glasses Fitting, Monofocal for Aphakia
- +439 ;;^UTILITY(U,$J,358.3,6378,1,3,0)
- +440 ;;=3^92352
- +441 ;;^UTILITY(U,$J,358.3,6379,0)
- +442 ;;=92353^^39^349^8^^^^1
- +443 ;;^UTILITY(U,$J,358.3,6379,1,0)
- +444 ;;=^358.31IA^3^2
- +445 ;;^UTILITY(U,$J,358.3,6379,1,2,0)
- +446 ;;=2^Glasses Fitting, Multifocal, for Aphakia
- +447 ;;^UTILITY(U,$J,358.3,6379,1,3,0)
- +448 ;;=3^92353
- +449 ;;^UTILITY(U,$J,358.3,6380,0)
- +450 ;;=92354^^39^349^13^^^^1
- +451 ;;^UTILITY(U,$J,358.3,6380,1,0)
- +452 ;;=^358.31IA^3^2
- +453 ;;^UTILITY(U,$J,358.3,6380,1,2,0)
- +454 ;;=2^Low Vision Aid Fitting, Single Element
- +455 ;;^UTILITY(U,$J,358.3,6380,1,3,0)
- +456 ;;=3^92354
- +457 ;;^UTILITY(U,$J,358.3,6381,0)
- +458 ;;=92355^^39^349^14^^^^1
- +459 ;;^UTILITY(U,$J,358.3,6381,1,0)
- +460 ;;=^358.31IA^3^2
- +461 ;;^UTILITY(U,$J,358.3,6381,1,2,0)
- +462 ;;=2^Low Vision Aid Fitting, Telescopic/Compound Lens
- +463 ;;^UTILITY(U,$J,358.3,6381,1,3,0)
- +464 ;;=3^92355
- +465 ;;^UTILITY(U,$J,358.3,6382,0)
- +466 ;;=92370^^39^349^3^^^^1
- +467 ;;^UTILITY(U,$J,358.3,6382,1,0)
- +468 ;;=^358.31IA^3^2
- +469 ;;^UTILITY(U,$J,358.3,6382,1,2,0)
- +470 ;;=2^Repair/Refit Glasses
- +471 ;;^UTILITY(U,$J,358.3,6382,1,3,0)
- +472 ;;=3^92370
- +473 ;;^UTILITY(U,$J,358.3,6383,0)
- +474 ;;=92371^^39^349^9^^^^1
- +475 ;;^UTILITY(U,$J,358.3,6383,1,0)
- +476 ;;=^358.31IA^3^2
- +477 ;;^UTILITY(U,$J,358.3,6383,1,2,0)
- +478 ;;=2^Repair/Refit Glasses for Aphakia
- +479 ;;^UTILITY(U,$J,358.3,6383,1,3,0)
- +480 ;;=3^92371
- +481 ;;^UTILITY(U,$J,358.3,6384,0)
- +482 ;;=92071^^39^349^10^^^^1
- +483 ;;^UTILITY(U,$J,358.3,6384,1,0)
- +484 ;;=^358.31IA^3^2
- +485 ;;^UTILITY(U,$J,358.3,6384,1,2,0)
- +486 ;;=2^Contact Lens Tx for Ocular Disease
- +487 ;;^UTILITY(U,$J,358.3,6384,1,3,0)
- +488 ;;=3^92071
- +489 ;;^UTILITY(U,$J,358.3,6385,0)
- +490 ;;=92072^^39^349^15^^^^1
- +491 ;;^UTILITY(U,$J,358.3,6385,1,0)
- +492 ;;=^358.31IA^3^2
- +493 ;;^UTILITY(U,$J,358.3,6385,1,2,0)
- +494 ;;=2^Contact Lens Mgmt Keratoconus,Init
- +495 ;;^UTILITY(U,$J,358.3,6385,1,3,0)
- +496 ;;=3^92072
- +497 ;;^UTILITY(U,$J,358.3,6386,0)
- +498 ;;=92015^^39^349^1^^^^1
- +499 ;;^UTILITY(U,$J,358.3,6386,1,0)
- +500 ;;=^358.31IA^3^2
- +501 ;;^UTILITY(U,$J,358.3,6386,1,2,0)
- +502 ;;=2^Refraction
- +503 ;;^UTILITY(U,$J,358.3,6386,1,3,0)
- +504 ;;=3^92015
- +505 ;;^UTILITY(U,$J,358.3,6387,0)
- +506 ;;=99174^^39^349^2^^^^1
- +507 ;;^UTILITY(U,$J,358.3,6387,1,0)
- +508 ;;=^358.31IA^3^2
- +509 ;;^UTILITY(U,$J,358.3,6387,1,2,0)
- +510 ;;=2^Autorefraction,Bilateral
- +511 ;;^UTILITY(U,$J,358.3,6387,1,3,0)
- +512 ;;=3^99174
- +513 ;;^UTILITY(U,$J,358.3,6388,0)
- +514 ;;=92310^^39^349^16^^^^1
- +515 ;;^UTILITY(U,$J,358.3,6388,1,0)
- +516 ;;=^358.31IA^3^2
- +517 ;;^UTILITY(U,$J,358.3,6388,1,2,0)
- +518 ;;=2^Contact Lens Fitting,OD/OS
- +519 ;;^UTILITY(U,$J,358.3,6388,1,3,0)
- +520 ;;=3^92310
- +521 ;;^UTILITY(U,$J,358.3,6389,0)
- +522 ;;=99070^^39^349^17^^^^1
- +523 ;;^UTILITY(U,$J,358.3,6389,1,0)
- +524 ;;=^358.31IA^3^2
- +525 ;;^UTILITY(U,$J,358.3,6389,1,2,0)
- +526 ;;=2^Special Supplies by Phys
- +527 ;;^UTILITY(U,$J,358.3,6389,1,3,0)
- +528 ;;=3^99070
- +529 ;;^UTILITY(U,$J,358.3,6390,0)
- +530 ;;=V2513^^39^349^18^^^^1
- +531 ;;^UTILITY(U,$J,358.3,6390,1,0)
- +532 ;;=^358.31IA^3^2
- +533 ;;^UTILITY(U,$J,358.3,6390,1,2,0)
- +534 ;;=2^Gas-Permeable Lens,Ext Wear,Per Lens
- +535 ;;^UTILITY(U,$J,358.3,6390,1,3,0)
- +536 ;;=3^V2513
- +537 ;;^UTILITY(U,$J,358.3,6391,0)
- +538 ;;=V2523^^39^349^19^^^^1
- +539 ;;^UTILITY(U,$J,358.3,6391,1,0)
- +540 ;;=^358.31IA^3^2
- +541 ;;^UTILITY(U,$J,358.3,6391,1,2,0)
- +542 ;;=2^Hydrophilic Contact Lens,Ext Wear,Per Lens
- +543 ;;^UTILITY(U,$J,358.3,6391,1,3,0)
- +544 ;;=3^V2523
- +545 ;;^UTILITY(U,$J,358.3,6392,0)
- +546 ;;=V2530^^39^349^20^^^^1
- +547 ;;^UTILITY(U,$J,358.3,6392,1,0)
- +548 ;;=^358.31IA^3^2
- +549 ;;^UTILITY(U,$J,358.3,6392,1,2,0)
- +550 ;;=2^Hybrid Contact Lens,Per Lens
- +551 ;;^UTILITY(U,$J,358.3,6392,1,3,0)
- +552 ;;=3^V2530
- +553 ;;^UTILITY(U,$J,358.3,6393,0)
- +554 ;;=V2531^^39^349^21^^^^1
- +555 ;;^UTILITY(U,$J,358.3,6393,1,0)
- +556 ;;=^358.31IA^3^2
- +557 ;;^UTILITY(U,$J,358.3,6393,1,2,0)
- +558 ;;=2^Gas-Permeable Scleral Lens,Per Lens
- +559 ;;^UTILITY(U,$J,358.3,6393,1,3,0)
- +560 ;;=3^V2531
- +561 ;;^UTILITY(U,$J,358.3,6394,0)
- +562 ;;=V2599^^39^349^22^^^^1
- +563 ;;^UTILITY(U,$J,358.3,6394,1,0)
- +564 ;;=^358.31IA^3^2
- +565 ;;^UTILITY(U,$J,358.3,6394,1,2,0)
- +566 ;;=2^Contact Lens,Oth Type,Per Lens
- +567 ;;^UTILITY(U,$J,358.3,6394,1,3,0)
- +568 ;;=3^V2599
- +569 ;;^UTILITY(U,$J,358.3,6395,0)
- +570 ;;=92015^^39^350^2^^^^1
- +571 ;;^UTILITY(U,$J,358.3,6395,1,0)
- +572 ;;=^358.31IA^3^2
- +573 ;;^UTILITY(U,$J,358.3,6395,1,2,0)
- +574 ;;=2^Refraction
- +575 ;;^UTILITY(U,$J,358.3,6395,1,3,0)
- +576 ;;=3^92015
- +577 ;;^UTILITY(U,$J,358.3,6396,0)
- +578 ;;=92025^^39^350^3^^^^1
- +579 ;;^UTILITY(U,$J,358.3,6396,1,0)
- +580 ;;=^358.31IA^3^2
- +581 ;;^UTILITY(U,$J,358.3,6396,1,2,0)
- +582 ;;=2^Topography (cornea)
- +583 ;;^UTILITY(U,$J,358.3,6396,1,3,0)
- +584 ;;=3^92025
- +585 ;;^UTILITY(U,$J,358.3,6397,0)
- +586 ;;=76511^^39^350^6^^^^1
- +587 ;;^UTILITY(U,$J,358.3,6397,1,0)
- +588 ;;=^358.31IA^3^2
- +589 ;;^UTILITY(U,$J,358.3,6397,1,2,0)
- +590 ;;=2^U/S A-Scan Only
- +591 ;;^UTILITY(U,$J,358.3,6397,1,3,0)
- +592 ;;=3^76511
- +593 ;;^UTILITY(U,$J,358.3,6398,0)
- +594 ;;=76512^^39^350^7^^^^1
- +595 ;;^UTILITY(U,$J,358.3,6398,1,0)
- +596 ;;=^358.31IA^3^2
- +597 ;;^UTILITY(U,$J,358.3,6398,1,2,0)
- +598 ;;=2^U/S B-Scan Only
- +599 ;;^UTILITY(U,$J,358.3,6398,1,3,0)
- +600 ;;=3^76512
- +601 ;;^UTILITY(U,$J,358.3,6399,0)
- +602 ;;=76513^^39^350^8^^^^1
- +603 ;;^UTILITY(U,$J,358.3,6399,1,0)
- +604 ;;=^358.31IA^3^2
- +605 ;;^UTILITY(U,$J,358.3,6399,1,2,0)
- +606 ;;=2^U/S B-Scan,Ant Seg,Water Immersion
- +607 ;;^UTILITY(U,$J,358.3,6399,1,3,0)
- +608 ;;=3^76513
- +609 ;;^UTILITY(U,$J,358.3,6400,0)
- +610 ;;=92020^^39^350^11^^^^1
- +611 ;;^UTILITY(U,$J,358.3,6400,1,0)
- +612 ;;=^358.31IA^3^2
- +613 ;;^UTILITY(U,$J,358.3,6400,1,2,0)
- +614 ;;=2^Gonioscopy
- +615 ;;^UTILITY(U,$J,358.3,6400,1,3,0)
- +616 ;;=3^92020
- +617 ;;^UTILITY(U,$J,358.3,6401,0)
- +618 ;;=92499^^39^350^12^^^^1
- +619 ;;^UTILITY(U,$J,358.3,6401,1,0)
- +620 ;;=^358.31IA^3^2
- +621 ;;^UTILITY(U,$J,358.3,6401,1,2,0)
- +622 ;;=2^Hertel's Exophthalmometry
- +623 ;;^UTILITY(U,$J,358.3,6401,1,3,0)
- +624 ;;=3^92499
- +625 ;;^UTILITY(U,$J,358.3,6402,0)
- +626 ;;=99174^^39^350^1^^^^1
- +627 ;;^UTILITY(U,$J,358.3,6402,1,0)
- +628 ;;=^358.31IA^3^2
- +629 ;;^UTILITY(U,$J,358.3,6402,1,2,0)
- +630 ;;=2^Autorefraction,Bilateral
- +631 ;;^UTILITY(U,$J,358.3,6402,1,3,0)
- +632 ;;=3^99174
- +633 ;;^UTILITY(U,$J,358.3,6403,0)
- +634 ;;=92136^^39^350^4^^^^1
- +635 ;;^UTILITY(U,$J,358.3,6403,1,0)
- +636 ;;=^358.31IA^3^2
- +637 ;;^UTILITY(U,$J,358.3,6403,1,2,0)
- +638 ;;=2^IOL Calc Biometry-Optical
- +639 ;;^UTILITY(U,$J,358.3,6403,1,3,0)
- +640 ;;=3^92136
- +641 ;;^UTILITY(U,$J,358.3,6404,0)
- +642 ;;=76519^^39^350^5^^^^1
- +643 ;;^UTILITY(U,$J,358.3,6404,1,0)
- +644 ;;=^358.31IA^3^2
- +645 ;;^UTILITY(U,$J,358.3,6404,1,2,0)
- +646 ;;=2^IOL Calc w/ A-Scan U/S
- +647 ;;^UTILITY(U,$J,358.3,6404,1,3,0)
- +648 ;;=3^76519
- +649 ;;^UTILITY(U,$J,358.3,6405,0)
- +650 ;;=92132^^39^350^9^^^^1
- +651 ;;^UTILITY(U,$J,358.3,6405,1,0)
- +652 ;;=^358.31IA^3^2
- +653 ;;^UTILITY(U,$J,358.3,6405,1,2,0)
- +654 ;;=2^OCT Anterior Segment (angle or cornea)
- +655 ;;^UTILITY(U,$J,358.3,6405,1,3,0)
- +656 ;;=3^92132
- +657 ;;^UTILITY(U,$J,358.3,6406,0)
- +658 ;;=92286^^39^350^10^^^^1
- +659 ;;^UTILITY(U,$J,358.3,6406,1,0)
- +660 ;;=^358.31IA^3^2
- +661 ;;^UTILITY(U,$J,358.3,6406,1,2,0)
- +662 ;;=2^Specular Microscopy
- +663 ;;^UTILITY(U,$J,358.3,6406,1,3,0)
- +664 ;;=3^92286
- +665 ;;^UTILITY(U,$J,358.3,6407,0)
- +666 ;;=92250^^39^351^1^^^^1
- +667 ;;^UTILITY(U,$J,358.3,6407,1,0)
- +668 ;;=^358.31IA^3^2
- +669 ;;^UTILITY(U,$J,358.3,6407,1,2,0)
- +670 ;;=2^Fundus Photos
- +671 ;;^UTILITY(U,$J,358.3,6407,1,3,0)
- +672 ;;=3^92250