IBDEI02Q ; ; 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,$J,358.3,6408,0)
;;=92133^^39^351^2^^^^1
;;^UTILITY(U,$J,358.3,6408,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6408,1,2,0)
;;=2^OCT RNFL (optic nerve)
;;^UTILITY(U,$J,358.3,6408,1,3,0)
;;=3^92133
;;^UTILITY(U,$J,358.3,6409,0)
;;=76514^^39^351^5^^^^1
;;^UTILITY(U,$J,358.3,6409,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6409,1,2,0)
;;=2^Pachymetry (corneal thickness)
;;^UTILITY(U,$J,358.3,6409,1,3,0)
;;=3^76514
;;^UTILITY(U,$J,358.3,6410,0)
;;=92083^^39^351^7^^^^1
;;^UTILITY(U,$J,358.3,6410,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6410,1,2,0)
;;=2^Visual Field (Humphrey)
;;^UTILITY(U,$J,358.3,6410,1,3,0)
;;=3^92083
;;^UTILITY(U,$J,358.3,6411,0)
;;=92082^^39^351^8^^^^1
;;^UTILITY(U,$J,358.3,6411,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6411,1,2,0)
;;=2^Visual Field (Goldmann)
;;^UTILITY(U,$J,358.3,6411,1,3,0)
;;=3^92082
;;^UTILITY(U,$J,358.3,6412,0)
;;=G0118^^39^351^10^^^^1
;;^UTILITY(U,$J,358.3,6412,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6412,1,2,0)
;;=2^Glaucoma Screen by Tech
;;^UTILITY(U,$J,358.3,6412,1,3,0)
;;=3^G0118
;;^UTILITY(U,$J,358.3,6413,0)
;;=92100^^39^351^11^^^^1
;;^UTILITY(U,$J,358.3,6413,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6413,1,2,0)
;;=2^Serial Tonometry Diurnal Curve
;;^UTILITY(U,$J,358.3,6413,1,3,0)
;;=3^92100
;;^UTILITY(U,$J,358.3,6414,0)
;;=92020^^39^351^6^^^^1
;;^UTILITY(U,$J,358.3,6414,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6414,1,2,0)
;;=2^Gonioscopy
;;^UTILITY(U,$J,358.3,6414,1,3,0)
;;=3^92020
;;^UTILITY(U,$J,358.3,6415,0)
;;=92081^^39^351^9^^^^1
;;^UTILITY(U,$J,358.3,6415,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6415,1,2,0)
;;=2^DMV Field/Visual Field Exam
;;^UTILITY(U,$J,358.3,6415,1,3,0)
;;=3^92081
;;^UTILITY(U,$J,358.3,6416,0)
;;=92132^^39^351^4^^^^1
;;^UTILITY(U,$J,358.3,6416,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6416,1,2,0)
;;=2^OCT Anterior Segment (angle)
;;^UTILITY(U,$J,358.3,6416,1,3,0)
;;=3^92132
;;^UTILITY(U,$J,358.3,6417,0)
;;=92134^^39^351^3^^^^1
;;^UTILITY(U,$J,358.3,6417,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6417,1,2,0)
;;=2^OCT Macul w/ GCA (Retina)
;;^UTILITY(U,$J,358.3,6417,1,3,0)
;;=3^92134
;;^UTILITY(U,$J,358.3,6418,0)
;;=S9150^^39^352^1^^^^1
;;^UTILITY(U,$J,358.3,6418,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6418,1,2,0)
;;=2^Evaluation by Ocularist
;;^UTILITY(U,$J,358.3,6418,1,3,0)
;;=3^S9150
;;^UTILITY(U,$J,358.3,6419,0)
;;=92065^^39^352^8^^^^1
;;^UTILITY(U,$J,358.3,6419,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6419,1,2,0)
;;=2^Orthoptic/Pleoptic Training
;;^UTILITY(U,$J,358.3,6419,1,3,0)
;;=3^92065
;;^UTILITY(U,$J,358.3,6420,0)
;;=92060^^39^352^9^^^^1
;;^UTILITY(U,$J,358.3,6420,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6420,1,2,0)
;;=2^Sensorimotor Exam w/ Mult Meas Ocular Dev
;;^UTILITY(U,$J,358.3,6420,1,3,0)
;;=3^92060
;;^UTILITY(U,$J,358.3,6421,0)
;;=92081^^39^352^14^^^^1
;;^UTILITY(U,$J,358.3,6421,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6421,1,2,0)
;;=2^Visual Field Exam w/ Interp & Rpt;Limited
;;^UTILITY(U,$J,358.3,6421,1,3,0)
;;=3^92081
;;^UTILITY(U,$J,358.3,6422,0)
;;=92499^^39^352^13^^^^1
;;^UTILITY(U,$J,358.3,6422,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6422,1,2,0)
;;=2^Unlisted Eye Serv/Proc
;;^UTILITY(U,$J,358.3,6422,1,3,0)
;;=3^92499
;;^UTILITY(U,$J,358.3,6423,0)
;;=92499^^39^352^5^^^^1
;;^UTILITY(U,$J,358.3,6423,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6423,1,2,0)
;;=2^Hertel's Exophthalmometry
;;^UTILITY(U,$J,358.3,6423,1,3,0)
;;=3^92499
;;^UTILITY(U,$J,358.3,6424,0)
;;=76512^^39^352^11^^^^1
;;^UTILITY(U,$J,358.3,6424,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6424,1,2,0)
;;=2^U/S B-Scan Only
;;^UTILITY(U,$J,358.3,6424,1,3,0)
;;=3^76512
;;^UTILITY(U,$J,358.3,6425,0)
;;=76513^^39^352^12^^^^1
;;^UTILITY(U,$J,358.3,6425,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6425,1,2,0)
;;=2^U/S B-Scan,Ant Seg,Water Immersion
;;^UTILITY(U,$J,358.3,6425,1,3,0)
;;=3^76513
;;^UTILITY(U,$J,358.3,6426,0)
;;=92136^^39^352^6^^^^1
;;^UTILITY(U,$J,358.3,6426,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6426,1,2,0)
;;=2^Ophthalmic Biometry
;;^UTILITY(U,$J,358.3,6426,1,3,0)
;;=3^92136
;;^UTILITY(U,$J,358.3,6427,0)
;;=76519^^39^352^7^^^^1
;;^UTILITY(U,$J,358.3,6427,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6427,1,2,0)
;;=2^IOL Calc w/ A-Scan U/S
;;^UTILITY(U,$J,358.3,6427,1,3,0)
;;=3^76519
;;^UTILITY(U,$J,358.3,6428,0)
;;=76511^^39^352^10^^^^1
;;^UTILITY(U,$J,358.3,6428,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6428,1,2,0)
;;=2^U/S A-Scan Only
;;^UTILITY(U,$J,358.3,6428,1,3,0)
;;=3^76511
;;^UTILITY(U,$J,358.3,6429,0)
;;=92283^^39^352^15^^^^1
;;^UTILITY(U,$J,358.3,6429,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6429,1,2,0)
;;=2^Color Testing HHR (Hue)/Farnsworth D10
;;^UTILITY(U,$J,358.3,6429,1,3,0)
;;=3^92283
;;^UTILITY(U,$J,358.3,6430,0)
;;=92201^^39^352^3^^^^1
;;^UTILITY(U,$J,358.3,6430,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6430,1,2,0)
;;=2^Ext Ophthalmoscopy w/ Ret Drawing,Unilat/Bilat
;;^UTILITY(U,$J,358.3,6430,1,3,0)
;;=3^92201
;;^UTILITY(U,$J,358.3,6431,0)
;;=92202^^39^352^4^^^^1
;;^UTILITY(U,$J,358.3,6431,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6431,1,2,0)
;;=2^Ext Ophthalmoscopy w/ Optic Nerve/Macula Drawing
;;^UTILITY(U,$J,358.3,6431,1,3,0)
;;=3^92202
;;^UTILITY(U,$J,358.3,6432,0)
;;=92227^^39^352^16^^^^1
;;^UTILITY(U,$J,358.3,6432,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6432,1,2,0)
;;=2^Remote Imaging for DM Retinal Disease
;;^UTILITY(U,$J,358.3,6432,1,3,0)
;;=3^92227
;;^UTILITY(U,$J,358.3,6433,0)
;;=92228^^39^352^17^^^^1
;;^UTILITY(U,$J,358.3,6433,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6433,1,2,0)
;;=2^Remote Imaging for Mgmt of Retinal Dis
;;^UTILITY(U,$J,358.3,6433,1,3,0)
;;=3^92228
;;^UTILITY(U,$J,358.3,6434,0)
;;=S3000^^39^352^18^^^^1
;;^UTILITY(U,$J,358.3,6434,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6434,1,2,0)
;;=2^Diabetic Eye Exam,Dilated,Bilateral
;;^UTILITY(U,$J,358.3,6434,1,3,0)
;;=3^S3000
;;^UTILITY(U,$J,358.3,6435,0)
;;=4174F^^39^353^1^^^^1
;;^UTILITY(U,$J,358.3,6435,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6435,1,2,0)
;;=2^Couns Potent Glauc Impct
;;^UTILITY(U,$J,358.3,6435,1,3,0)
;;=3^4174F
;;^UTILITY(U,$J,358.3,6436,0)
;;=4450F^^39^353^2^^^^1
;;^UTILITY(U,$J,358.3,6436,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6436,1,2,0)
;;=2^Self-Care Ed Provided to Pt
;;^UTILITY(U,$J,358.3,6436,1,3,0)
;;=3^4450F
;;^UTILITY(U,$J,358.3,6437,0)
;;=4177F^^39^353^3^^^^1
;;^UTILITY(U,$J,358.3,6437,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6437,1,2,0)
;;=2^Talk Pt/Crgvr Re AREDS
;;^UTILITY(U,$J,358.3,6437,1,3,0)
;;=3^4177F
;;^UTILITY(U,$J,358.3,6438,0)
;;=66984^^39^354^1^^^^1
;;^UTILITY(U,$J,358.3,6438,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6438,1,2,0)
;;=2^Phacoemulsification Routine
;;^UTILITY(U,$J,358.3,6438,1,3,0)
;;=3^66984
;;^UTILITY(U,$J,358.3,6439,0)
;;=66982^^39^354^2^^^^1
;;^UTILITY(U,$J,358.3,6439,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6439,1,2,0)
;;=2^Phacoemulsification Complex (Trypan Blue or Ring)
;;^UTILITY(U,$J,358.3,6439,1,3,0)
;;=3^66982
;;^UTILITY(U,$J,358.3,6440,0)
;;=67005^^39^354^5^^^^1
;;^UTILITY(U,$J,358.3,6440,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6440,1,2,0)
;;=2^Anterior Vitrectomy;Partial
;;^UTILITY(U,$J,358.3,6440,1,3,0)
;;=3^67005
;;^UTILITY(U,$J,358.3,6441,0)
;;=15823^^39^354^6^^^^1
;;^UTILITY(U,$J,358.3,6441,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6441,1,2,0)
;;=2^Blepharoplasty,Upper Eyelid
;;^UTILITY(U,$J,358.3,6441,1,3,0)
;;=3^15823
;;^UTILITY(U,$J,358.3,6442,0)
;;=67900^^39^354^7^^^^1
;;^UTILITY(U,$J,358.3,6442,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6442,1,2,0)
;;=2^Direct Brow Lift
;;^UTILITY(U,$J,358.3,6442,1,3,0)
;;=3^67900
;;^UTILITY(U,$J,358.3,6443,0)
;;=67904^^39^354^8^^^^1
;;^UTILITY(U,$J,358.3,6443,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6443,1,2,0)
;;=2^Ptosis Repair,Levator Reset/Advance
;;^UTILITY(U,$J,358.3,6443,1,3,0)
;;=3^67904
;;^UTILITY(U,$J,358.3,6444,0)
;;=67909^^39^354^9^^^^1
;;^UTILITY(U,$J,358.3,6444,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6444,1,2,0)
;;=2^Ptosis Revision
;;^UTILITY(U,$J,358.3,6444,1,3,0)
;;=3^67909
;;^UTILITY(U,$J,358.3,6445,0)
;;=67961^^39^354^10^^^^1
;;^UTILITY(U,$J,358.3,6445,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6445,1,2,0)
;;=2^Lateral Tarsal Strip
;;^UTILITY(U,$J,358.3,6445,1,3,0)
;;=3^67961
;;^UTILITY(U,$J,358.3,6446,0)
;;=67923^^39^354^11^^^^1
;;^UTILITY(U,$J,358.3,6446,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6446,1,2,0)
;;=2^Entropion Repair,Tarsal Wedge
;;^UTILITY(U,$J,358.3,6446,1,3,0)
;;=3^67923
;;^UTILITY(U,$J,358.3,6447,0)
;;=67917^^39^354^12^^^^1
;;^UTILITY(U,$J,358.3,6447,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6447,1,2,0)
;;=2^Ectropion Repair,Extensive
;;^UTILITY(U,$J,358.3,6447,1,3,0)
;;=3^67917
;;^UTILITY(U,$J,358.3,6448,0)
;;=65426^^39^354^13^^^^1
;;^UTILITY(U,$J,358.3,6448,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6448,1,2,0)
;;=2^Pterygium Excision w/ graft
;;^UTILITY(U,$J,358.3,6448,1,3,0)
;;=3^65426
;;^UTILITY(U,$J,358.3,6449,0)
;;=92136^^39^354^15^^^^1
;;^UTILITY(U,$J,358.3,6449,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6449,1,2,0)
;;=2^IOL Calc Biometry
;;^UTILITY(U,$J,358.3,6449,1,3,0)
;;=3^92136
;;^UTILITY(U,$J,358.3,6450,0)
;;=76519^^39^354^16^^^^1
;;^UTILITY(U,$J,358.3,6450,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6450,1,2,0)
;;=2^IOL Calc w/A-Scan
;;^UTILITY(U,$J,358.3,6450,1,3,0)
;;=3^76519
;;^UTILITY(U,$J,358.3,6451,0)
;;=65420^^39^354^14^^^^1
;;^UTILITY(U,$J,358.3,6451,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6451,1,2,0)
;;=2^Pterygium Excision w/o Graft
;;^UTILITY(U,$J,358.3,6451,1,3,0)
;;=3^65420
;;^UTILITY(U,$J,358.3,6452,0)
;;=66991^^39^354^3^^^^1
;;^UTILITY(U,$J,358.3,6452,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6452,1,2,0)
;;=2^Routine Cataract Extrac w/ IOL w/ MIGS Drainage Device
;;^UTILITY(U,$J,358.3,6452,1,3,0)
;;=3^66991
;;^UTILITY(U,$J,358.3,6453,0)
;;=66989^^39^354^4^^^^1
;;^UTILITY(U,$J,358.3,6453,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6453,1,2,0)
;;=2^Complex Cataract Extrac w/ IOL w/ MIGS Drainage Device
;;^UTILITY(U,$J,358.3,6453,1,3,0)
;;=3^66989
;;^UTILITY(U,$J,358.3,6454,0)
;;=67028^^39^355^1^^^^1
;;^UTILITY(U,$J,358.3,6454,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6454,1,2,0)
;;=2^INTRAVITREAL EYE INJ-1 Eye/Unilateral
;;^UTILITY(U,$J,358.3,6454,1,3,0)
;;=3^67028
;;^UTILITY(U,$J,358.3,6455,0)
;;=J2778^^39^355^3^^^^1
;;^UTILITY(U,$J,358.3,6455,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6455,1,2,0)
;;=2^Ranibiz/LUCENTIS (use w/ 67028)
;;^UTILITY(U,$J,358.3,6455,1,3,0)
;;=3^J2778
;;^UTILITY(U,$J,358.3,6456,0)
;;=C9257^^39^355^2^^^^1
;;^UTILITY(U,$J,358.3,6456,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6456,1,2,0)
;;=2^Bevaciz/AVASTIN (use w/ 67028)
;;^UTILITY(U,$J,358.3,6456,1,3,0)
;;=3^C9257
;;^UTILITY(U,$J,358.3,6457,0)
;;=J0178^^39^355^4^^^^1
;;^UTILITY(U,$J,358.3,6457,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6457,1,2,0)
;;=2^Aflib/EYLEA (use w/ 67028)
;;^UTILITY(U,$J,358.3,6457,1,3,0)
;;=3^J0178
;;^UTILITY(U,$J,358.3,6458,0)
;;=67028^^39^355^5^^^^1
;;^UTILITY(U,$J,358.3,6458,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6458,1,2,0)
;;=2^INTRAVITREAL EYE INJ-2 Eyes/Bilateral
;;^UTILITY(U,$J,358.3,6458,1,3,0)
;;=3^67028
;;^UTILITY(U,$J,358.3,6458,3,0)
;;=^357.33^1^1
;;^UTILITY(U,$J,358.3,6458,3,1,0)
;;=50
;;^UTILITY(U,$J,358.3,6459,0)
;;=J7312^^39^355^6^^^^1
;;^UTILITY(U,$J,358.3,6459,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6459,1,2,0)
;;=2^Dexameth Implant/OZURDEX
;;^UTILITY(U,$J,358.3,6459,1,3,0)
;;=3^J7312
;;^UTILITY(U,$J,358.3,6460,0)
;;=0509T^^39^356^1^^^^1
;;^UTILITY(U,$J,358.3,6460,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6460,1,2,0)
;;=2^ERG (pattern/pERG) w/ report
;;^UTILITY(U,$J,358.3,6460,1,3,0)
;;=3^0509T
;;^UTILITY(U,$J,358.3,6461,0)
;;=92273^^39^356^2^^^^1
;;^UTILITY(U,$J,358.3,6461,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6461,1,2,0)
;;=2^ERG (full field/ffERG) w/ report
;;^UTILITY(U,$J,358.3,6461,1,3,0)
;;=3^92273
;;^UTILITY(U,$J,358.3,6462,0)
;;=92274^^39^356^3^^^^1
;;^UTILITY(U,$J,358.3,6462,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6462,1,2,0)
;;=2^ERG (multifocal/mfERG) w/ report
;;^UTILITY(U,$J,358.3,6462,1,3,0)
;;=3^92274
;;^UTILITY(U,$J,358.3,6463,0)
;;=95930^^39^356^4^^^^1
;;^UTILITY(U,$J,358.3,6463,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6463,1,2,0)
;;=2^VEP,Checkerboard/Flash Test,CNS w/ report
;;^UTILITY(U,$J,358.3,6463,1,3,0)
;;=3^95930
;;^UTILITY(U,$J,358.3,6464,0)
;;=0333T^^39^356^5^^^^1
;;^UTILITY(U,$J,358.3,6464,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6464,1,2,0)
;;=2^VEP,Screen of Visual Acuity,automated w/ rpt
;;^UTILITY(U,$J,358.3,6464,1,3,0)
;;=3^0333T
;;^UTILITY(U,$J,358.3,6465,0)
;;=0464T^^39^356^6^^^^1
;;^UTILITY(U,$J,358.3,6465,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,6465,1,2,0)
;;=2^VEP,Testing for Glaucoma w/ report
;;^UTILITY(U,$J,358.3,6465,1,3,0)
;;=3^0464T
;;^UTILITY(U,$J,358.3,6466,0)
;;=H54.3^^40^357^2
;;^UTILITY(U,$J,358.3,6466,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6466,1,3,0)
;;=3^Visual Loss,Both Eyes,Unqualified
;;^UTILITY(U,$J,358.3,6466,1,4,0)
;;=4^H54.3
;;^UTILITY(U,$J,358.3,6466,2)
;;=^268886
;;^UTILITY(U,$J,358.3,6467,0)
;;=H54.7^^40^357^1
;;^UTILITY(U,$J,358.3,6467,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6467,1,3,0)
;;=3^Visual Loss
;;^UTILITY(U,$J,358.3,6467,1,4,0)
;;=4^H54.7
;;^UTILITY(U,$J,358.3,6467,2)
;;=^5006368
;;^UTILITY(U,$J,358.3,6468,0)
;;=H54.8^^40^357^44
;;^UTILITY(U,$J,358.3,6468,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6468,1,3,0)
;;=3^Legal Blindness,as Defined in USA
;;^UTILITY(U,$J,358.3,6468,1,4,0)
;;=4^H54.8
;;^UTILITY(U,$J,358.3,6468,2)
;;=^5006369
;;^UTILITY(U,$J,358.3,6469,0)
;;=H54.40^^40^357^6
;;^UTILITY(U,$J,358.3,6469,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6469,1,3,0)
;;=3^Monocular,Blindness in One Eye
;;^UTILITY(U,$J,358.3,6469,1,4,0)
;;=4^H54.40
;;^UTILITY(U,$J,358.3,6469,2)
;;=^5006362
;;^UTILITY(U,$J,358.3,6470,0)
;;=H53.71^^40^357^3
;;^UTILITY(U,$J,358.3,6470,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6470,1,3,0)
;;=3^Glare Sensitivity
;;^UTILITY(U,$J,358.3,6470,1,4,0)
;;=4^H53.71
;;^UTILITY(U,$J,358.3,6470,2)
;;=^5006354
;;^UTILITY(U,$J,358.3,6471,0)
;;=H53.72^^40^357^4
;;^UTILITY(U,$J,358.3,6471,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6471,1,3,0)
;;=3^Impaired Contrast Sensitivity
;;^UTILITY(U,$J,358.3,6471,1,4,0)
;;=4^H53.72
;;^UTILITY(U,$J,358.3,6471,2)
;;=^5006355
;;^UTILITY(U,$J,358.3,6472,0)
;;=Z82.1^^40^357^5
;;^UTILITY(U,$J,358.3,6472,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6472,1,3,0)
;;=3^Family Hx Blindness/Visual Loss
;;^UTILITY(U,$J,358.3,6472,1,4,0)
;;=4^Z82.1
;;^UTILITY(U,$J,358.3,6472,2)
;;=^5063365
;;^UTILITY(U,$J,358.3,6473,0)
;;=H54.7^^40^357^43
;;^UTILITY(U,$J,358.3,6473,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6473,1,3,0)
;;=3^Visual Loss,Unspec
;;^UTILITY(U,$J,358.3,6473,1,4,0)
;;=4^H54.7
;;^UTILITY(U,$J,358.3,6473,2)
;;=^5006368
;;^UTILITY(U,$J,358.3,6474,0)
;;=H54.1213^^40^357^7
;;^UTILITY(U,$J,358.3,6474,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6474,1,3,0)
;;=3^Low Vision Rt Eye Category 1,Blindness Lt Eye Category 3
;;^UTILITY(U,$J,358.3,6474,1,4,0)
;;=4^H54.1213
;;^UTILITY(U,$J,358.3,6474,2)
;;=^5151353
;;^UTILITY(U,$J,358.3,6475,0)
;;=H54.1214^^40^357^8
;;^UTILITY(U,$J,358.3,6475,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6475,1,3,0)
;;=3^Low Vision Rt Eye Category 1,Blindness Lt Eye Category 4
;;^UTILITY(U,$J,358.3,6475,1,4,0)
;;=4^H54.1214
;;^UTILITY(U,$J,358.3,6475,2)
;;=^5151354
;;^UTILITY(U,$J,358.3,6476,0)
;;=H54.1215^^40^357^9
;;^UTILITY(U,$J,358.3,6476,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6476,1,3,0)
;;=3^Low Vision Rt Eye Category 1,Blindness Lt Eye Category 5
;;^UTILITY(U,$J,358.3,6476,1,4,0)
;;=4^H54.1215
;;^UTILITY(U,$J,358.3,6476,2)
;;=^5151355
;;^UTILITY(U,$J,358.3,6477,0)
;;=H54.1223^^40^357^10
;;^UTILITY(U,$J,358.3,6477,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6477,1,3,0)
;;=3^Low Vision Rt Eye Category 2,Blindness Lt Eye Category 3
;;^UTILITY(U,$J,358.3,6477,1,4,0)
;;=4^H54.1223
;;^UTILITY(U,$J,358.3,6477,2)
;;=^5151356
;;^UTILITY(U,$J,358.3,6478,0)
;;=H54.1224^^40^357^11
;;^UTILITY(U,$J,358.3,6478,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6478,1,3,0)
;;=3^Low Vision Rt Eye Category 2,Blindness Lt Eye Category 4
;;^UTILITY(U,$J,358.3,6478,1,4,0)
;;=4^H54.1224
;;^UTILITY(U,$J,358.3,6478,2)
;;=^5151357
;;^UTILITY(U,$J,358.3,6479,0)
;;=H54.1225^^40^357^12
;;^UTILITY(U,$J,358.3,6479,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6479,1,3,0)
;;=3^Low Vision Rt Eye Category 2,Blindness Lt Eye Category 5
;;^UTILITY(U,$J,358.3,6479,1,4,0)
;;=4^H54.1225
;;^UTILITY(U,$J,358.3,6479,2)
;;=^5151358
;;^UTILITY(U,$J,358.3,6480,0)
;;=H54.2X12^^40^357^13
;;^UTILITY(U,$J,358.3,6480,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6480,1,3,0)
;;=3^Low Vision Rt Eye Category 1,Low Vision Lt Eye Category 2
;;^UTILITY(U,$J,358.3,6480,1,4,0)
;;=4^H54.2X12
;;^UTILITY(U,$J,358.3,6480,2)
;;=^5151360
;;^UTILITY(U,$J,358.3,6481,0)
;;=H54.2X21^^40^357^14
;;^UTILITY(U,$J,358.3,6481,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6481,1,3,0)
;;=3^Low Vision Rt Eye Category 2,Low Vision Lt Eye Category 1
;;^UTILITY(U,$J,358.3,6481,1,4,0)
;;=4^H54.2X21
;;^UTILITY(U,$J,358.3,6481,2)
;;=^5151361
;;^UTILITY(U,$J,358.3,6482,0)
;;=H54.2X22^^40^357^15
;;^UTILITY(U,$J,358.3,6482,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6482,1,3,0)
;;=3^Low Vision Rt Eye Category 2,Low Vision Lt Eye Category 2
;;^UTILITY(U,$J,358.3,6482,1,4,0)
;;=4^H54.2X22
;;^UTILITY(U,$J,358.3,6482,2)
;;=^5151362
;;^UTILITY(U,$J,358.3,6483,0)
;;=H54.511A^^40^357^16
;;^UTILITY(U,$J,358.3,6483,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6483,1,3,0)
;;=3^Low Vision Rt Eye Category 1,Normal Vision Lt Eye
;;^UTILITY(U,$J,358.3,6483,1,4,0)
;;=4^H54.511A
;;^UTILITY(U,$J,358.3,6483,2)
;;=^5151369
;;^UTILITY(U,$J,358.3,6484,0)
;;=H54.512A^^40^357^17
;;^UTILITY(U,$J,358.3,6484,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6484,1,3,0)
;;=3^Low Vision Rt Eye Category 2,Normal Vision Lt Eye
;;^UTILITY(U,$J,358.3,6484,1,4,0)
;;=4^H54.512A
;;^UTILITY(U,$J,358.3,6484,2)
;;=^5151370
;;^UTILITY(U,$J,358.3,6485,0)
;;=H54.52A1^^40^357^18
;;^UTILITY(U,$J,358.3,6485,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,6485,1,3,0)
;;=3^Low Vision Lt Eye Category 1,Normal Vision Rt Eye
;;^UTILITY(U,$J,358.3,6485,1,4,0)
;;=4^H54.52A1
;;^UTILITY(U,$J,358.3,6485,2)
;;=^5151371
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI02Q 19749 printed Sep 23, 2025@19:16:27 Page 2
IBDEI02Q ; ; 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,358.3,6408,0)
+2 ;;=92133^^39^351^2^^^^1
+3 ;;^UTILITY(U,$J,358.3,6408,1,0)
+4 ;;=^358.31IA^3^2
+5 ;;^UTILITY(U,$J,358.3,6408,1,2,0)
+6 ;;=2^OCT RNFL (optic nerve)
+7 ;;^UTILITY(U,$J,358.3,6408,1,3,0)
+8 ;;=3^92133
+9 ;;^UTILITY(U,$J,358.3,6409,0)
+10 ;;=76514^^39^351^5^^^^1
+11 ;;^UTILITY(U,$J,358.3,6409,1,0)
+12 ;;=^358.31IA^3^2
+13 ;;^UTILITY(U,$J,358.3,6409,1,2,0)
+14 ;;=2^Pachymetry (corneal thickness)
+15 ;;^UTILITY(U,$J,358.3,6409,1,3,0)
+16 ;;=3^76514
+17 ;;^UTILITY(U,$J,358.3,6410,0)
+18 ;;=92083^^39^351^7^^^^1
+19 ;;^UTILITY(U,$J,358.3,6410,1,0)
+20 ;;=^358.31IA^3^2
+21 ;;^UTILITY(U,$J,358.3,6410,1,2,0)
+22 ;;=2^Visual Field (Humphrey)
+23 ;;^UTILITY(U,$J,358.3,6410,1,3,0)
+24 ;;=3^92083
+25 ;;^UTILITY(U,$J,358.3,6411,0)
+26 ;;=92082^^39^351^8^^^^1
+27 ;;^UTILITY(U,$J,358.3,6411,1,0)
+28 ;;=^358.31IA^3^2
+29 ;;^UTILITY(U,$J,358.3,6411,1,2,0)
+30 ;;=2^Visual Field (Goldmann)
+31 ;;^UTILITY(U,$J,358.3,6411,1,3,0)
+32 ;;=3^92082
+33 ;;^UTILITY(U,$J,358.3,6412,0)
+34 ;;=G0118^^39^351^10^^^^1
+35 ;;^UTILITY(U,$J,358.3,6412,1,0)
+36 ;;=^358.31IA^3^2
+37 ;;^UTILITY(U,$J,358.3,6412,1,2,0)
+38 ;;=2^Glaucoma Screen by Tech
+39 ;;^UTILITY(U,$J,358.3,6412,1,3,0)
+40 ;;=3^G0118
+41 ;;^UTILITY(U,$J,358.3,6413,0)
+42 ;;=92100^^39^351^11^^^^1
+43 ;;^UTILITY(U,$J,358.3,6413,1,0)
+44 ;;=^358.31IA^3^2
+45 ;;^UTILITY(U,$J,358.3,6413,1,2,0)
+46 ;;=2^Serial Tonometry Diurnal Curve
+47 ;;^UTILITY(U,$J,358.3,6413,1,3,0)
+48 ;;=3^92100
+49 ;;^UTILITY(U,$J,358.3,6414,0)
+50 ;;=92020^^39^351^6^^^^1
+51 ;;^UTILITY(U,$J,358.3,6414,1,0)
+52 ;;=^358.31IA^3^2
+53 ;;^UTILITY(U,$J,358.3,6414,1,2,0)
+54 ;;=2^Gonioscopy
+55 ;;^UTILITY(U,$J,358.3,6414,1,3,0)
+56 ;;=3^92020
+57 ;;^UTILITY(U,$J,358.3,6415,0)
+58 ;;=92081^^39^351^9^^^^1
+59 ;;^UTILITY(U,$J,358.3,6415,1,0)
+60 ;;=^358.31IA^3^2
+61 ;;^UTILITY(U,$J,358.3,6415,1,2,0)
+62 ;;=2^DMV Field/Visual Field Exam
+63 ;;^UTILITY(U,$J,358.3,6415,1,3,0)
+64 ;;=3^92081
+65 ;;^UTILITY(U,$J,358.3,6416,0)
+66 ;;=92132^^39^351^4^^^^1
+67 ;;^UTILITY(U,$J,358.3,6416,1,0)
+68 ;;=^358.31IA^3^2
+69 ;;^UTILITY(U,$J,358.3,6416,1,2,0)
+70 ;;=2^OCT Anterior Segment (angle)
+71 ;;^UTILITY(U,$J,358.3,6416,1,3,0)
+72 ;;=3^92132
+73 ;;^UTILITY(U,$J,358.3,6417,0)
+74 ;;=92134^^39^351^3^^^^1
+75 ;;^UTILITY(U,$J,358.3,6417,1,0)
+76 ;;=^358.31IA^3^2
+77 ;;^UTILITY(U,$J,358.3,6417,1,2,0)
+78 ;;=2^OCT Macul w/ GCA (Retina)
+79 ;;^UTILITY(U,$J,358.3,6417,1,3,0)
+80 ;;=3^92134
+81 ;;^UTILITY(U,$J,358.3,6418,0)
+82 ;;=S9150^^39^352^1^^^^1
+83 ;;^UTILITY(U,$J,358.3,6418,1,0)
+84 ;;=^358.31IA^3^2
+85 ;;^UTILITY(U,$J,358.3,6418,1,2,0)
+86 ;;=2^Evaluation by Ocularist
+87 ;;^UTILITY(U,$J,358.3,6418,1,3,0)
+88 ;;=3^S9150
+89 ;;^UTILITY(U,$J,358.3,6419,0)
+90 ;;=92065^^39^352^8^^^^1
+91 ;;^UTILITY(U,$J,358.3,6419,1,0)
+92 ;;=^358.31IA^3^2
+93 ;;^UTILITY(U,$J,358.3,6419,1,2,0)
+94 ;;=2^Orthoptic/Pleoptic Training
+95 ;;^UTILITY(U,$J,358.3,6419,1,3,0)
+96 ;;=3^92065
+97 ;;^UTILITY(U,$J,358.3,6420,0)
+98 ;;=92060^^39^352^9^^^^1
+99 ;;^UTILITY(U,$J,358.3,6420,1,0)
+100 ;;=^358.31IA^3^2
+101 ;;^UTILITY(U,$J,358.3,6420,1,2,0)
+102 ;;=2^Sensorimotor Exam w/ Mult Meas Ocular Dev
+103 ;;^UTILITY(U,$J,358.3,6420,1,3,0)
+104 ;;=3^92060
+105 ;;^UTILITY(U,$J,358.3,6421,0)
+106 ;;=92081^^39^352^14^^^^1
+107 ;;^UTILITY(U,$J,358.3,6421,1,0)
+108 ;;=^358.31IA^3^2
+109 ;;^UTILITY(U,$J,358.3,6421,1,2,0)
+110 ;;=2^Visual Field Exam w/ Interp & Rpt;Limited
+111 ;;^UTILITY(U,$J,358.3,6421,1,3,0)
+112 ;;=3^92081
+113 ;;^UTILITY(U,$J,358.3,6422,0)
+114 ;;=92499^^39^352^13^^^^1
+115 ;;^UTILITY(U,$J,358.3,6422,1,0)
+116 ;;=^358.31IA^3^2
+117 ;;^UTILITY(U,$J,358.3,6422,1,2,0)
+118 ;;=2^Unlisted Eye Serv/Proc
+119 ;;^UTILITY(U,$J,358.3,6422,1,3,0)
+120 ;;=3^92499
+121 ;;^UTILITY(U,$J,358.3,6423,0)
+122 ;;=92499^^39^352^5^^^^1
+123 ;;^UTILITY(U,$J,358.3,6423,1,0)
+124 ;;=^358.31IA^3^2
+125 ;;^UTILITY(U,$J,358.3,6423,1,2,0)
+126 ;;=2^Hertel's Exophthalmometry
+127 ;;^UTILITY(U,$J,358.3,6423,1,3,0)
+128 ;;=3^92499
+129 ;;^UTILITY(U,$J,358.3,6424,0)
+130 ;;=76512^^39^352^11^^^^1
+131 ;;^UTILITY(U,$J,358.3,6424,1,0)
+132 ;;=^358.31IA^3^2
+133 ;;^UTILITY(U,$J,358.3,6424,1,2,0)
+134 ;;=2^U/S B-Scan Only
+135 ;;^UTILITY(U,$J,358.3,6424,1,3,0)
+136 ;;=3^76512
+137 ;;^UTILITY(U,$J,358.3,6425,0)
+138 ;;=76513^^39^352^12^^^^1
+139 ;;^UTILITY(U,$J,358.3,6425,1,0)
+140 ;;=^358.31IA^3^2
+141 ;;^UTILITY(U,$J,358.3,6425,1,2,0)
+142 ;;=2^U/S B-Scan,Ant Seg,Water Immersion
+143 ;;^UTILITY(U,$J,358.3,6425,1,3,0)
+144 ;;=3^76513
+145 ;;^UTILITY(U,$J,358.3,6426,0)
+146 ;;=92136^^39^352^6^^^^1
+147 ;;^UTILITY(U,$J,358.3,6426,1,0)
+148 ;;=^358.31IA^3^2
+149 ;;^UTILITY(U,$J,358.3,6426,1,2,0)
+150 ;;=2^Ophthalmic Biometry
+151 ;;^UTILITY(U,$J,358.3,6426,1,3,0)
+152 ;;=3^92136
+153 ;;^UTILITY(U,$J,358.3,6427,0)
+154 ;;=76519^^39^352^7^^^^1
+155 ;;^UTILITY(U,$J,358.3,6427,1,0)
+156 ;;=^358.31IA^3^2
+157 ;;^UTILITY(U,$J,358.3,6427,1,2,0)
+158 ;;=2^IOL Calc w/ A-Scan U/S
+159 ;;^UTILITY(U,$J,358.3,6427,1,3,0)
+160 ;;=3^76519
+161 ;;^UTILITY(U,$J,358.3,6428,0)
+162 ;;=76511^^39^352^10^^^^1
+163 ;;^UTILITY(U,$J,358.3,6428,1,0)
+164 ;;=^358.31IA^3^2
+165 ;;^UTILITY(U,$J,358.3,6428,1,2,0)
+166 ;;=2^U/S A-Scan Only
+167 ;;^UTILITY(U,$J,358.3,6428,1,3,0)
+168 ;;=3^76511
+169 ;;^UTILITY(U,$J,358.3,6429,0)
+170 ;;=92283^^39^352^15^^^^1
+171 ;;^UTILITY(U,$J,358.3,6429,1,0)
+172 ;;=^358.31IA^3^2
+173 ;;^UTILITY(U,$J,358.3,6429,1,2,0)
+174 ;;=2^Color Testing HHR (Hue)/Farnsworth D10
+175 ;;^UTILITY(U,$J,358.3,6429,1,3,0)
+176 ;;=3^92283
+177 ;;^UTILITY(U,$J,358.3,6430,0)
+178 ;;=92201^^39^352^3^^^^1
+179 ;;^UTILITY(U,$J,358.3,6430,1,0)
+180 ;;=^358.31IA^3^2
+181 ;;^UTILITY(U,$J,358.3,6430,1,2,0)
+182 ;;=2^Ext Ophthalmoscopy w/ Ret Drawing,Unilat/Bilat
+183 ;;^UTILITY(U,$J,358.3,6430,1,3,0)
+184 ;;=3^92201
+185 ;;^UTILITY(U,$J,358.3,6431,0)
+186 ;;=92202^^39^352^4^^^^1
+187 ;;^UTILITY(U,$J,358.3,6431,1,0)
+188 ;;=^358.31IA^3^2
+189 ;;^UTILITY(U,$J,358.3,6431,1,2,0)
+190 ;;=2^Ext Ophthalmoscopy w/ Optic Nerve/Macula Drawing
+191 ;;^UTILITY(U,$J,358.3,6431,1,3,0)
+192 ;;=3^92202
+193 ;;^UTILITY(U,$J,358.3,6432,0)
+194 ;;=92227^^39^352^16^^^^1
+195 ;;^UTILITY(U,$J,358.3,6432,1,0)
+196 ;;=^358.31IA^3^2
+197 ;;^UTILITY(U,$J,358.3,6432,1,2,0)
+198 ;;=2^Remote Imaging for DM Retinal Disease
+199 ;;^UTILITY(U,$J,358.3,6432,1,3,0)
+200 ;;=3^92227
+201 ;;^UTILITY(U,$J,358.3,6433,0)
+202 ;;=92228^^39^352^17^^^^1
+203 ;;^UTILITY(U,$J,358.3,6433,1,0)
+204 ;;=^358.31IA^3^2
+205 ;;^UTILITY(U,$J,358.3,6433,1,2,0)
+206 ;;=2^Remote Imaging for Mgmt of Retinal Dis
+207 ;;^UTILITY(U,$J,358.3,6433,1,3,0)
+208 ;;=3^92228
+209 ;;^UTILITY(U,$J,358.3,6434,0)
+210 ;;=S3000^^39^352^18^^^^1
+211 ;;^UTILITY(U,$J,358.3,6434,1,0)
+212 ;;=^358.31IA^3^2
+213 ;;^UTILITY(U,$J,358.3,6434,1,2,0)
+214 ;;=2^Diabetic Eye Exam,Dilated,Bilateral
+215 ;;^UTILITY(U,$J,358.3,6434,1,3,0)
+216 ;;=3^S3000
+217 ;;^UTILITY(U,$J,358.3,6435,0)
+218 ;;=4174F^^39^353^1^^^^1
+219 ;;^UTILITY(U,$J,358.3,6435,1,0)
+220 ;;=^358.31IA^3^2
+221 ;;^UTILITY(U,$J,358.3,6435,1,2,0)
+222 ;;=2^Couns Potent Glauc Impct
+223 ;;^UTILITY(U,$J,358.3,6435,1,3,0)
+224 ;;=3^4174F
+225 ;;^UTILITY(U,$J,358.3,6436,0)
+226 ;;=4450F^^39^353^2^^^^1
+227 ;;^UTILITY(U,$J,358.3,6436,1,0)
+228 ;;=^358.31IA^3^2
+229 ;;^UTILITY(U,$J,358.3,6436,1,2,0)
+230 ;;=2^Self-Care Ed Provided to Pt
+231 ;;^UTILITY(U,$J,358.3,6436,1,3,0)
+232 ;;=3^4450F
+233 ;;^UTILITY(U,$J,358.3,6437,0)
+234 ;;=4177F^^39^353^3^^^^1
+235 ;;^UTILITY(U,$J,358.3,6437,1,0)
+236 ;;=^358.31IA^3^2
+237 ;;^UTILITY(U,$J,358.3,6437,1,2,0)
+238 ;;=2^Talk Pt/Crgvr Re AREDS
+239 ;;^UTILITY(U,$J,358.3,6437,1,3,0)
+240 ;;=3^4177F
+241 ;;^UTILITY(U,$J,358.3,6438,0)
+242 ;;=66984^^39^354^1^^^^1
+243 ;;^UTILITY(U,$J,358.3,6438,1,0)
+244 ;;=^358.31IA^3^2
+245 ;;^UTILITY(U,$J,358.3,6438,1,2,0)
+246 ;;=2^Phacoemulsification Routine
+247 ;;^UTILITY(U,$J,358.3,6438,1,3,0)
+248 ;;=3^66984
+249 ;;^UTILITY(U,$J,358.3,6439,0)
+250 ;;=66982^^39^354^2^^^^1
+251 ;;^UTILITY(U,$J,358.3,6439,1,0)
+252 ;;=^358.31IA^3^2
+253 ;;^UTILITY(U,$J,358.3,6439,1,2,0)
+254 ;;=2^Phacoemulsification Complex (Trypan Blue or Ring)
+255 ;;^UTILITY(U,$J,358.3,6439,1,3,0)
+256 ;;=3^66982
+257 ;;^UTILITY(U,$J,358.3,6440,0)
+258 ;;=67005^^39^354^5^^^^1
+259 ;;^UTILITY(U,$J,358.3,6440,1,0)
+260 ;;=^358.31IA^3^2
+261 ;;^UTILITY(U,$J,358.3,6440,1,2,0)
+262 ;;=2^Anterior Vitrectomy;Partial
+263 ;;^UTILITY(U,$J,358.3,6440,1,3,0)
+264 ;;=3^67005
+265 ;;^UTILITY(U,$J,358.3,6441,0)
+266 ;;=15823^^39^354^6^^^^1
+267 ;;^UTILITY(U,$J,358.3,6441,1,0)
+268 ;;=^358.31IA^3^2
+269 ;;^UTILITY(U,$J,358.3,6441,1,2,0)
+270 ;;=2^Blepharoplasty,Upper Eyelid
+271 ;;^UTILITY(U,$J,358.3,6441,1,3,0)
+272 ;;=3^15823
+273 ;;^UTILITY(U,$J,358.3,6442,0)
+274 ;;=67900^^39^354^7^^^^1
+275 ;;^UTILITY(U,$J,358.3,6442,1,0)
+276 ;;=^358.31IA^3^2
+277 ;;^UTILITY(U,$J,358.3,6442,1,2,0)
+278 ;;=2^Direct Brow Lift
+279 ;;^UTILITY(U,$J,358.3,6442,1,3,0)
+280 ;;=3^67900
+281 ;;^UTILITY(U,$J,358.3,6443,0)
+282 ;;=67904^^39^354^8^^^^1
+283 ;;^UTILITY(U,$J,358.3,6443,1,0)
+284 ;;=^358.31IA^3^2
+285 ;;^UTILITY(U,$J,358.3,6443,1,2,0)
+286 ;;=2^Ptosis Repair,Levator Reset/Advance
+287 ;;^UTILITY(U,$J,358.3,6443,1,3,0)
+288 ;;=3^67904
+289 ;;^UTILITY(U,$J,358.3,6444,0)
+290 ;;=67909^^39^354^9^^^^1
+291 ;;^UTILITY(U,$J,358.3,6444,1,0)
+292 ;;=^358.31IA^3^2
+293 ;;^UTILITY(U,$J,358.3,6444,1,2,0)
+294 ;;=2^Ptosis Revision
+295 ;;^UTILITY(U,$J,358.3,6444,1,3,0)
+296 ;;=3^67909
+297 ;;^UTILITY(U,$J,358.3,6445,0)
+298 ;;=67961^^39^354^10^^^^1
+299 ;;^UTILITY(U,$J,358.3,6445,1,0)
+300 ;;=^358.31IA^3^2
+301 ;;^UTILITY(U,$J,358.3,6445,1,2,0)
+302 ;;=2^Lateral Tarsal Strip
+303 ;;^UTILITY(U,$J,358.3,6445,1,3,0)
+304 ;;=3^67961
+305 ;;^UTILITY(U,$J,358.3,6446,0)
+306 ;;=67923^^39^354^11^^^^1
+307 ;;^UTILITY(U,$J,358.3,6446,1,0)
+308 ;;=^358.31IA^3^2
+309 ;;^UTILITY(U,$J,358.3,6446,1,2,0)
+310 ;;=2^Entropion Repair,Tarsal Wedge
+311 ;;^UTILITY(U,$J,358.3,6446,1,3,0)
+312 ;;=3^67923
+313 ;;^UTILITY(U,$J,358.3,6447,0)
+314 ;;=67917^^39^354^12^^^^1
+315 ;;^UTILITY(U,$J,358.3,6447,1,0)
+316 ;;=^358.31IA^3^2
+317 ;;^UTILITY(U,$J,358.3,6447,1,2,0)
+318 ;;=2^Ectropion Repair,Extensive
+319 ;;^UTILITY(U,$J,358.3,6447,1,3,0)
+320 ;;=3^67917
+321 ;;^UTILITY(U,$J,358.3,6448,0)
+322 ;;=65426^^39^354^13^^^^1
+323 ;;^UTILITY(U,$J,358.3,6448,1,0)
+324 ;;=^358.31IA^3^2
+325 ;;^UTILITY(U,$J,358.3,6448,1,2,0)
+326 ;;=2^Pterygium Excision w/ graft
+327 ;;^UTILITY(U,$J,358.3,6448,1,3,0)
+328 ;;=3^65426
+329 ;;^UTILITY(U,$J,358.3,6449,0)
+330 ;;=92136^^39^354^15^^^^1
+331 ;;^UTILITY(U,$J,358.3,6449,1,0)
+332 ;;=^358.31IA^3^2
+333 ;;^UTILITY(U,$J,358.3,6449,1,2,0)
+334 ;;=2^IOL Calc Biometry
+335 ;;^UTILITY(U,$J,358.3,6449,1,3,0)
+336 ;;=3^92136
+337 ;;^UTILITY(U,$J,358.3,6450,0)
+338 ;;=76519^^39^354^16^^^^1
+339 ;;^UTILITY(U,$J,358.3,6450,1,0)
+340 ;;=^358.31IA^3^2
+341 ;;^UTILITY(U,$J,358.3,6450,1,2,0)
+342 ;;=2^IOL Calc w/A-Scan
+343 ;;^UTILITY(U,$J,358.3,6450,1,3,0)
+344 ;;=3^76519
+345 ;;^UTILITY(U,$J,358.3,6451,0)
+346 ;;=65420^^39^354^14^^^^1
+347 ;;^UTILITY(U,$J,358.3,6451,1,0)
+348 ;;=^358.31IA^3^2
+349 ;;^UTILITY(U,$J,358.3,6451,1,2,0)
+350 ;;=2^Pterygium Excision w/o Graft
+351 ;;^UTILITY(U,$J,358.3,6451,1,3,0)
+352 ;;=3^65420
+353 ;;^UTILITY(U,$J,358.3,6452,0)
+354 ;;=66991^^39^354^3^^^^1
+355 ;;^UTILITY(U,$J,358.3,6452,1,0)
+356 ;;=^358.31IA^3^2
+357 ;;^UTILITY(U,$J,358.3,6452,1,2,0)
+358 ;;=2^Routine Cataract Extrac w/ IOL w/ MIGS Drainage Device
+359 ;;^UTILITY(U,$J,358.3,6452,1,3,0)
+360 ;;=3^66991
+361 ;;^UTILITY(U,$J,358.3,6453,0)
+362 ;;=66989^^39^354^4^^^^1
+363 ;;^UTILITY(U,$J,358.3,6453,1,0)
+364 ;;=^358.31IA^3^2
+365 ;;^UTILITY(U,$J,358.3,6453,1,2,0)
+366 ;;=2^Complex Cataract Extrac w/ IOL w/ MIGS Drainage Device
+367 ;;^UTILITY(U,$J,358.3,6453,1,3,0)
+368 ;;=3^66989
+369 ;;^UTILITY(U,$J,358.3,6454,0)
+370 ;;=67028^^39^355^1^^^^1
+371 ;;^UTILITY(U,$J,358.3,6454,1,0)
+372 ;;=^358.31IA^3^2
+373 ;;^UTILITY(U,$J,358.3,6454,1,2,0)
+374 ;;=2^INTRAVITREAL EYE INJ-1 Eye/Unilateral
+375 ;;^UTILITY(U,$J,358.3,6454,1,3,0)
+376 ;;=3^67028
+377 ;;^UTILITY(U,$J,358.3,6455,0)
+378 ;;=J2778^^39^355^3^^^^1
+379 ;;^UTILITY(U,$J,358.3,6455,1,0)
+380 ;;=^358.31IA^3^2
+381 ;;^UTILITY(U,$J,358.3,6455,1,2,0)
+382 ;;=2^Ranibiz/LUCENTIS (use w/ 67028)
+383 ;;^UTILITY(U,$J,358.3,6455,1,3,0)
+384 ;;=3^J2778
+385 ;;^UTILITY(U,$J,358.3,6456,0)
+386 ;;=C9257^^39^355^2^^^^1
+387 ;;^UTILITY(U,$J,358.3,6456,1,0)
+388 ;;=^358.31IA^3^2
+389 ;;^UTILITY(U,$J,358.3,6456,1,2,0)
+390 ;;=2^Bevaciz/AVASTIN (use w/ 67028)
+391 ;;^UTILITY(U,$J,358.3,6456,1,3,0)
+392 ;;=3^C9257
+393 ;;^UTILITY(U,$J,358.3,6457,0)
+394 ;;=J0178^^39^355^4^^^^1
+395 ;;^UTILITY(U,$J,358.3,6457,1,0)
+396 ;;=^358.31IA^3^2
+397 ;;^UTILITY(U,$J,358.3,6457,1,2,0)
+398 ;;=2^Aflib/EYLEA (use w/ 67028)
+399 ;;^UTILITY(U,$J,358.3,6457,1,3,0)
+400 ;;=3^J0178
+401 ;;^UTILITY(U,$J,358.3,6458,0)
+402 ;;=67028^^39^355^5^^^^1
+403 ;;^UTILITY(U,$J,358.3,6458,1,0)
+404 ;;=^358.31IA^3^2
+405 ;;^UTILITY(U,$J,358.3,6458,1,2,0)
+406 ;;=2^INTRAVITREAL EYE INJ-2 Eyes/Bilateral
+407 ;;^UTILITY(U,$J,358.3,6458,1,3,0)
+408 ;;=3^67028
+409 ;;^UTILITY(U,$J,358.3,6458,3,0)
+410 ;;=^357.33^1^1
+411 ;;^UTILITY(U,$J,358.3,6458,3,1,0)
+412 ;;=50
+413 ;;^UTILITY(U,$J,358.3,6459,0)
+414 ;;=J7312^^39^355^6^^^^1
+415 ;;^UTILITY(U,$J,358.3,6459,1,0)
+416 ;;=^358.31IA^3^2
+417 ;;^UTILITY(U,$J,358.3,6459,1,2,0)
+418 ;;=2^Dexameth Implant/OZURDEX
+419 ;;^UTILITY(U,$J,358.3,6459,1,3,0)
+420 ;;=3^J7312
+421 ;;^UTILITY(U,$J,358.3,6460,0)
+422 ;;=0509T^^39^356^1^^^^1
+423 ;;^UTILITY(U,$J,358.3,6460,1,0)
+424 ;;=^358.31IA^3^2
+425 ;;^UTILITY(U,$J,358.3,6460,1,2,0)
+426 ;;=2^ERG (pattern/pERG) w/ report
+427 ;;^UTILITY(U,$J,358.3,6460,1,3,0)
+428 ;;=3^0509T
+429 ;;^UTILITY(U,$J,358.3,6461,0)
+430 ;;=92273^^39^356^2^^^^1
+431 ;;^UTILITY(U,$J,358.3,6461,1,0)
+432 ;;=^358.31IA^3^2
+433 ;;^UTILITY(U,$J,358.3,6461,1,2,0)
+434 ;;=2^ERG (full field/ffERG) w/ report
+435 ;;^UTILITY(U,$J,358.3,6461,1,3,0)
+436 ;;=3^92273
+437 ;;^UTILITY(U,$J,358.3,6462,0)
+438 ;;=92274^^39^356^3^^^^1
+439 ;;^UTILITY(U,$J,358.3,6462,1,0)
+440 ;;=^358.31IA^3^2
+441 ;;^UTILITY(U,$J,358.3,6462,1,2,0)
+442 ;;=2^ERG (multifocal/mfERG) w/ report
+443 ;;^UTILITY(U,$J,358.3,6462,1,3,0)
+444 ;;=3^92274
+445 ;;^UTILITY(U,$J,358.3,6463,0)
+446 ;;=95930^^39^356^4^^^^1
+447 ;;^UTILITY(U,$J,358.3,6463,1,0)
+448 ;;=^358.31IA^3^2
+449 ;;^UTILITY(U,$J,358.3,6463,1,2,0)
+450 ;;=2^VEP,Checkerboard/Flash Test,CNS w/ report
+451 ;;^UTILITY(U,$J,358.3,6463,1,3,0)
+452 ;;=3^95930
+453 ;;^UTILITY(U,$J,358.3,6464,0)
+454 ;;=0333T^^39^356^5^^^^1
+455 ;;^UTILITY(U,$J,358.3,6464,1,0)
+456 ;;=^358.31IA^3^2
+457 ;;^UTILITY(U,$J,358.3,6464,1,2,0)
+458 ;;=2^VEP,Screen of Visual Acuity,automated w/ rpt
+459 ;;^UTILITY(U,$J,358.3,6464,1,3,0)
+460 ;;=3^0333T
+461 ;;^UTILITY(U,$J,358.3,6465,0)
+462 ;;=0464T^^39^356^6^^^^1
+463 ;;^UTILITY(U,$J,358.3,6465,1,0)
+464 ;;=^358.31IA^3^2
+465 ;;^UTILITY(U,$J,358.3,6465,1,2,0)
+466 ;;=2^VEP,Testing for Glaucoma w/ report
+467 ;;^UTILITY(U,$J,358.3,6465,1,3,0)
+468 ;;=3^0464T
+469 ;;^UTILITY(U,$J,358.3,6466,0)
+470 ;;=H54.3^^40^357^2
+471 ;;^UTILITY(U,$J,358.3,6466,1,0)
+472 ;;=^358.31IA^4^2
+473 ;;^UTILITY(U,$J,358.3,6466,1,3,0)
+474 ;;=3^Visual Loss,Both Eyes,Unqualified
+475 ;;^UTILITY(U,$J,358.3,6466,1,4,0)
+476 ;;=4^H54.3
+477 ;;^UTILITY(U,$J,358.3,6466,2)
+478 ;;=^268886
+479 ;;^UTILITY(U,$J,358.3,6467,0)
+480 ;;=H54.7^^40^357^1
+481 ;;^UTILITY(U,$J,358.3,6467,1,0)
+482 ;;=^358.31IA^4^2
+483 ;;^UTILITY(U,$J,358.3,6467,1,3,0)
+484 ;;=3^Visual Loss
+485 ;;^UTILITY(U,$J,358.3,6467,1,4,0)
+486 ;;=4^H54.7
+487 ;;^UTILITY(U,$J,358.3,6467,2)
+488 ;;=^5006368
+489 ;;^UTILITY(U,$J,358.3,6468,0)
+490 ;;=H54.8^^40^357^44
+491 ;;^UTILITY(U,$J,358.3,6468,1,0)
+492 ;;=^358.31IA^4^2
+493 ;;^UTILITY(U,$J,358.3,6468,1,3,0)
+494 ;;=3^Legal Blindness,as Defined in USA
+495 ;;^UTILITY(U,$J,358.3,6468,1,4,0)
+496 ;;=4^H54.8
+497 ;;^UTILITY(U,$J,358.3,6468,2)
+498 ;;=^5006369
+499 ;;^UTILITY(U,$J,358.3,6469,0)
+500 ;;=H54.40^^40^357^6
+501 ;;^UTILITY(U,$J,358.3,6469,1,0)
+502 ;;=^358.31IA^4^2
+503 ;;^UTILITY(U,$J,358.3,6469,1,3,0)
+504 ;;=3^Monocular,Blindness in One Eye
+505 ;;^UTILITY(U,$J,358.3,6469,1,4,0)
+506 ;;=4^H54.40
+507 ;;^UTILITY(U,$J,358.3,6469,2)
+508 ;;=^5006362
+509 ;;^UTILITY(U,$J,358.3,6470,0)
+510 ;;=H53.71^^40^357^3
+511 ;;^UTILITY(U,$J,358.3,6470,1,0)
+512 ;;=^358.31IA^4^2
+513 ;;^UTILITY(U,$J,358.3,6470,1,3,0)
+514 ;;=3^Glare Sensitivity
+515 ;;^UTILITY(U,$J,358.3,6470,1,4,0)
+516 ;;=4^H53.71
+517 ;;^UTILITY(U,$J,358.3,6470,2)
+518 ;;=^5006354
+519 ;;^UTILITY(U,$J,358.3,6471,0)
+520 ;;=H53.72^^40^357^4
+521 ;;^UTILITY(U,$J,358.3,6471,1,0)
+522 ;;=^358.31IA^4^2
+523 ;;^UTILITY(U,$J,358.3,6471,1,3,0)
+524 ;;=3^Impaired Contrast Sensitivity
+525 ;;^UTILITY(U,$J,358.3,6471,1,4,0)
+526 ;;=4^H53.72
+527 ;;^UTILITY(U,$J,358.3,6471,2)
+528 ;;=^5006355
+529 ;;^UTILITY(U,$J,358.3,6472,0)
+530 ;;=Z82.1^^40^357^5
+531 ;;^UTILITY(U,$J,358.3,6472,1,0)
+532 ;;=^358.31IA^4^2
+533 ;;^UTILITY(U,$J,358.3,6472,1,3,0)
+534 ;;=3^Family Hx Blindness/Visual Loss
+535 ;;^UTILITY(U,$J,358.3,6472,1,4,0)
+536 ;;=4^Z82.1
+537 ;;^UTILITY(U,$J,358.3,6472,2)
+538 ;;=^5063365
+539 ;;^UTILITY(U,$J,358.3,6473,0)
+540 ;;=H54.7^^40^357^43
+541 ;;^UTILITY(U,$J,358.3,6473,1,0)
+542 ;;=^358.31IA^4^2
+543 ;;^UTILITY(U,$J,358.3,6473,1,3,0)
+544 ;;=3^Visual Loss,Unspec
+545 ;;^UTILITY(U,$J,358.3,6473,1,4,0)
+546 ;;=4^H54.7
+547 ;;^UTILITY(U,$J,358.3,6473,2)
+548 ;;=^5006368
+549 ;;^UTILITY(U,$J,358.3,6474,0)
+550 ;;=H54.1213^^40^357^7
+551 ;;^UTILITY(U,$J,358.3,6474,1,0)
+552 ;;=^358.31IA^4^2
+553 ;;^UTILITY(U,$J,358.3,6474,1,3,0)
+554 ;;=3^Low Vision Rt Eye Category 1,Blindness Lt Eye Category 3
+555 ;;^UTILITY(U,$J,358.3,6474,1,4,0)
+556 ;;=4^H54.1213
+557 ;;^UTILITY(U,$J,358.3,6474,2)
+558 ;;=^5151353
+559 ;;^UTILITY(U,$J,358.3,6475,0)
+560 ;;=H54.1214^^40^357^8
+561 ;;^UTILITY(U,$J,358.3,6475,1,0)
+562 ;;=^358.31IA^4^2
+563 ;;^UTILITY(U,$J,358.3,6475,1,3,0)
+564 ;;=3^Low Vision Rt Eye Category 1,Blindness Lt Eye Category 4
+565 ;;^UTILITY(U,$J,358.3,6475,1,4,0)
+566 ;;=4^H54.1214
+567 ;;^UTILITY(U,$J,358.3,6475,2)
+568 ;;=^5151354
+569 ;;^UTILITY(U,$J,358.3,6476,0)
+570 ;;=H54.1215^^40^357^9
+571 ;;^UTILITY(U,$J,358.3,6476,1,0)
+572 ;;=^358.31IA^4^2
+573 ;;^UTILITY(U,$J,358.3,6476,1,3,0)
+574 ;;=3^Low Vision Rt Eye Category 1,Blindness Lt Eye Category 5
+575 ;;^UTILITY(U,$J,358.3,6476,1,4,0)
+576 ;;=4^H54.1215
+577 ;;^UTILITY(U,$J,358.3,6476,2)
+578 ;;=^5151355
+579 ;;^UTILITY(U,$J,358.3,6477,0)
+580 ;;=H54.1223^^40^357^10
+581 ;;^UTILITY(U,$J,358.3,6477,1,0)
+582 ;;=^358.31IA^4^2
+583 ;;^UTILITY(U,$J,358.3,6477,1,3,0)
+584 ;;=3^Low Vision Rt Eye Category 2,Blindness Lt Eye Category 3
+585 ;;^UTILITY(U,$J,358.3,6477,1,4,0)
+586 ;;=4^H54.1223
+587 ;;^UTILITY(U,$J,358.3,6477,2)
+588 ;;=^5151356
+589 ;;^UTILITY(U,$J,358.3,6478,0)
+590 ;;=H54.1224^^40^357^11
+591 ;;^UTILITY(U,$J,358.3,6478,1,0)
+592 ;;=^358.31IA^4^2
+593 ;;^UTILITY(U,$J,358.3,6478,1,3,0)
+594 ;;=3^Low Vision Rt Eye Category 2,Blindness Lt Eye Category 4
+595 ;;^UTILITY(U,$J,358.3,6478,1,4,0)
+596 ;;=4^H54.1224
+597 ;;^UTILITY(U,$J,358.3,6478,2)
+598 ;;=^5151357
+599 ;;^UTILITY(U,$J,358.3,6479,0)
+600 ;;=H54.1225^^40^357^12
+601 ;;^UTILITY(U,$J,358.3,6479,1,0)
+602 ;;=^358.31IA^4^2
+603 ;;^UTILITY(U,$J,358.3,6479,1,3,0)
+604 ;;=3^Low Vision Rt Eye Category 2,Blindness Lt Eye Category 5
+605 ;;^UTILITY(U,$J,358.3,6479,1,4,0)
+606 ;;=4^H54.1225
+607 ;;^UTILITY(U,$J,358.3,6479,2)
+608 ;;=^5151358
+609 ;;^UTILITY(U,$J,358.3,6480,0)
+610 ;;=H54.2X12^^40^357^13
+611 ;;^UTILITY(U,$J,358.3,6480,1,0)
+612 ;;=^358.31IA^4^2
+613 ;;^UTILITY(U,$J,358.3,6480,1,3,0)
+614 ;;=3^Low Vision Rt Eye Category 1,Low Vision Lt Eye Category 2
+615 ;;^UTILITY(U,$J,358.3,6480,1,4,0)
+616 ;;=4^H54.2X12
+617 ;;^UTILITY(U,$J,358.3,6480,2)
+618 ;;=^5151360
+619 ;;^UTILITY(U,$J,358.3,6481,0)
+620 ;;=H54.2X21^^40^357^14
+621 ;;^UTILITY(U,$J,358.3,6481,1,0)
+622 ;;=^358.31IA^4^2
+623 ;;^UTILITY(U,$J,358.3,6481,1,3,0)
+624 ;;=3^Low Vision Rt Eye Category 2,Low Vision Lt Eye Category 1
+625 ;;^UTILITY(U,$J,358.3,6481,1,4,0)
+626 ;;=4^H54.2X21
+627 ;;^UTILITY(U,$J,358.3,6481,2)
+628 ;;=^5151361
+629 ;;^UTILITY(U,$J,358.3,6482,0)
+630 ;;=H54.2X22^^40^357^15
+631 ;;^UTILITY(U,$J,358.3,6482,1,0)
+632 ;;=^358.31IA^4^2
+633 ;;^UTILITY(U,$J,358.3,6482,1,3,0)
+634 ;;=3^Low Vision Rt Eye Category 2,Low Vision Lt Eye Category 2
+635 ;;^UTILITY(U,$J,358.3,6482,1,4,0)
+636 ;;=4^H54.2X22
+637 ;;^UTILITY(U,$J,358.3,6482,2)
+638 ;;=^5151362
+639 ;;^UTILITY(U,$J,358.3,6483,0)
+640 ;;=H54.511A^^40^357^16
+641 ;;^UTILITY(U,$J,358.3,6483,1,0)
+642 ;;=^358.31IA^4^2
+643 ;;^UTILITY(U,$J,358.3,6483,1,3,0)
+644 ;;=3^Low Vision Rt Eye Category 1,Normal Vision Lt Eye
+645 ;;^UTILITY(U,$J,358.3,6483,1,4,0)
+646 ;;=4^H54.511A
+647 ;;^UTILITY(U,$J,358.3,6483,2)
+648 ;;=^5151369
+649 ;;^UTILITY(U,$J,358.3,6484,0)
+650 ;;=H54.512A^^40^357^17
+651 ;;^UTILITY(U,$J,358.3,6484,1,0)
+652 ;;=^358.31IA^4^2
+653 ;;^UTILITY(U,$J,358.3,6484,1,3,0)
+654 ;;=3^Low Vision Rt Eye Category 2,Normal Vision Lt Eye
+655 ;;^UTILITY(U,$J,358.3,6484,1,4,0)
+656 ;;=4^H54.512A
+657 ;;^UTILITY(U,$J,358.3,6484,2)
+658 ;;=^5151370
+659 ;;^UTILITY(U,$J,358.3,6485,0)
+660 ;;=H54.52A1^^40^357^18
+661 ;;^UTILITY(U,$J,358.3,6485,1,0)
+662 ;;=^358.31IA^4^2
+663 ;;^UTILITY(U,$J,358.3,6485,1,3,0)
+664 ;;=3^Low Vision Lt Eye Category 1,Normal Vision Rt Eye
+665 ;;^UTILITY(U,$J,358.3,6485,1,4,0)
+666 ;;=4^H54.52A1
+667 ;;^UTILITY(U,$J,358.3,6485,2)
+668 ;;=^5151371
