- IBDEI04H ; ; 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,$J,358.3,10803,1,2,0)
- ;;=2^PNEUMOCOCCAL VACCINE 23 VALENT
- ;;^UTILITY(U,$J,358.3,10803,1,3,0)
- ;;=3^90732
- ;;^UTILITY(U,$J,358.3,10804,0)
- ;;=90662^^46^471^5^^^^1
- ;;^UTILITY(U,$J,358.3,10804,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10804,1,2,0)
- ;;=2^FLU VACC HIGH DOSE SYR (FLUZONE)
- ;;^UTILITY(U,$J,358.3,10804,1,3,0)
- ;;=3^90662
- ;;^UTILITY(U,$J,358.3,10805,0)
- ;;=90736^^46^471^30^^^^1
- ;;^UTILITY(U,$J,358.3,10805,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10805,1,2,0)
- ;;=2^ZOSTER (SHINGLES) VACCINE
- ;;^UTILITY(U,$J,358.3,10805,1,3,0)
- ;;=3^90736
- ;;^UTILITY(U,$J,358.3,10806,0)
- ;;=90670^^46^471^25^^^^1
- ;;^UTILITY(U,$J,358.3,10806,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10806,1,2,0)
- ;;=2^PREVNAR 13
- ;;^UTILITY(U,$J,358.3,10806,1,3,0)
- ;;=3^90670
- ;;^UTILITY(U,$J,358.3,10807,0)
- ;;=90686^^46^471^7^^^^1
- ;;^UTILITY(U,$J,358.3,10807,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10807,1,2,0)
- ;;=2^FLU VACC SGLE DOSE SYR (FLUARIX)
- ;;^UTILITY(U,$J,358.3,10807,1,3,0)
- ;;=3^90686
- ;;^UTILITY(U,$J,358.3,10808,0)
- ;;=90688^^46^471^6^^^^1
- ;;^UTILITY(U,$J,358.3,10808,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10808,1,2,0)
- ;;=2^FLU VACC MULT DOSE SYN (AFLURIA)
- ;;^UTILITY(U,$J,358.3,10808,1,3,0)
- ;;=3^90688
- ;;^UTILITY(U,$J,358.3,10809,0)
- ;;=90723^^46^471^1^^^^1
- ;;^UTILITY(U,$J,358.3,10809,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10809,1,2,0)
- ;;=2^DTAP-HEP B-IPV VACCINE IM
- ;;^UTILITY(U,$J,358.3,10809,1,3,0)
- ;;=3^90723
- ;;^UTILITY(U,$J,358.3,10810,0)
- ;;=90698^^46^471^2^^^^1
- ;;^UTILITY(U,$J,358.3,10810,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10810,1,2,0)
- ;;=2^DTAP-HIB-IP VACCINE IM
- ;;^UTILITY(U,$J,358.3,10810,1,3,0)
- ;;=3^90698
- ;;^UTILITY(U,$J,358.3,10811,0)
- ;;=90697^^46^471^3^^^^1
- ;;^UTILITY(U,$J,358.3,10811,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10811,1,2,0)
- ;;=2^DTAP-IPV-HIB-HEPB VACCINE IM
- ;;^UTILITY(U,$J,358.3,10811,1,3,0)
- ;;=3^90697
- ;;^UTILITY(U,$J,358.3,10812,0)
- ;;=90749^^46^471^4^^^^1
- ;;^UTILITY(U,$J,358.3,10812,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10812,1,2,0)
- ;;=2^DTP VACCINE IM
- ;;^UTILITY(U,$J,358.3,10812,1,3,0)
- ;;=3^90749
- ;;^UTILITY(U,$J,358.3,10813,0)
- ;;=90672^^46^471^8^^^^1
- ;;^UTILITY(U,$J,358.3,10813,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10813,1,2,0)
- ;;=2^FLU VACCINE INTRANASAL,QUADRIVALENT,LIVE
- ;;^UTILITY(U,$J,358.3,10813,1,3,0)
- ;;=3^90672
- ;;^UTILITY(U,$J,358.3,10814,0)
- ;;=90649^^46^471^9^^^^1
- ;;^UTILITY(U,$J,358.3,10814,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10814,1,2,0)
- ;;=2^H PAPILLOMA VACC 3 DOSE IM
- ;;^UTILITY(U,$J,358.3,10814,1,3,0)
- ;;=3^90649
- ;;^UTILITY(U,$J,358.3,10815,0)
- ;;=90632^^46^471^10^^^^1
- ;;^UTILITY(U,$J,358.3,10815,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10815,1,2,0)
- ;;=2^HEP A VACCINE,ADULT IM
- ;;^UTILITY(U,$J,358.3,10815,1,3,0)
- ;;=3^90632
- ;;^UTILITY(U,$J,358.3,10816,0)
- ;;=90636^^46^471^11^^^^1
- ;;^UTILITY(U,$J,358.3,10816,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10816,1,2,0)
- ;;=2^HEP A/HEP B VACCINE IM
- ;;^UTILITY(U,$J,358.3,10816,1,3,0)
- ;;=3^90636
- ;;^UTILITY(U,$J,358.3,10817,0)
- ;;=90746^^46^471^12^^^^1
- ;;^UTILITY(U,$J,358.3,10817,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10817,1,2,0)
- ;;=2^HEP B VACCINE IM
- ;;^UTILITY(U,$J,358.3,10817,1,3,0)
- ;;=3^90746
- ;;^UTILITY(U,$J,358.3,10818,0)
- ;;=90748^^46^471^13^^^^1
- ;;^UTILITY(U,$J,358.3,10818,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10818,1,2,0)
- ;;=2^HEPB/HIB VACCINE IM
- ;;^UTILITY(U,$J,358.3,10818,1,3,0)
- ;;=3^90748
- ;;^UTILITY(U,$J,358.3,10819,0)
- ;;=90647^^46^471^14^^^^1
- ;;^UTILITY(U,$J,358.3,10819,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10819,1,2,0)
- ;;=2^HIB VACCINE,PRP-OMP IM
- ;;^UTILITY(U,$J,358.3,10819,1,3,0)
- ;;=3^90647
- ;;^UTILITY(U,$J,358.3,10820,0)
- ;;=90648^^46^471^15^^^^1
- ;;^UTILITY(U,$J,358.3,10820,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10820,1,2,0)
- ;;=2^HIB VACCINE,PRP-T IM
- ;;^UTILITY(U,$J,358.3,10820,1,3,0)
- ;;=3^90648
- ;;^UTILITY(U,$J,358.3,10821,0)
- ;;=90734^^46^471^16^^^^1
- ;;^UTILITY(U,$J,358.3,10821,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10821,1,2,0)
- ;;=2^MENINGOCOCCAL VACCINE IM
- ;;^UTILITY(U,$J,358.3,10821,1,3,0)
- ;;=3^90734
- ;;^UTILITY(U,$J,358.3,10822,0)
- ;;=90733^^46^471^17^^^^1
- ;;^UTILITY(U,$J,358.3,10822,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10822,1,2,0)
- ;;=2^MENINGOCOCCAL VACCINE SQ
- ;;^UTILITY(U,$J,358.3,10822,1,3,0)
- ;;=3^90733
- ;;^UTILITY(U,$J,358.3,10823,0)
- ;;=90621^^46^471^18^^^^1
- ;;^UTILITY(U,$J,358.3,10823,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10823,1,2,0)
- ;;=2^MENINGOCOCCAL VACCINE,LIPOPROTEIN IM
- ;;^UTILITY(U,$J,358.3,10823,1,3,0)
- ;;=3^90621
- ;;^UTILITY(U,$J,358.3,10824,0)
- ;;=90620^^46^471^19^^^^1
- ;;^UTILITY(U,$J,358.3,10824,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10824,1,2,0)
- ;;=2^MENINGOCOCCAL VACCINE,PROTEIN/OUT MEM IM
- ;;^UTILITY(U,$J,358.3,10824,1,3,0)
- ;;=3^90620
- ;;^UTILITY(U,$J,358.3,10825,0)
- ;;=90713^^46^471^24^^^^1
- ;;^UTILITY(U,$J,358.3,10825,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10825,1,2,0)
- ;;=2^POLIOVIRUS,IPV SC/IM
- ;;^UTILITY(U,$J,358.3,10825,1,3,0)
- ;;=3^90713
- ;;^UTILITY(U,$J,358.3,10826,0)
- ;;=90715^^46^471^27^^^^1
- ;;^UTILITY(U,$J,358.3,10826,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10826,1,2,0)
- ;;=2^TDAP VACCINE
- ;;^UTILITY(U,$J,358.3,10826,1,3,0)
- ;;=3^90715
- ;;^UTILITY(U,$J,358.3,10827,0)
- ;;=90691^^46^471^28^^^^1
- ;;^UTILITY(U,$J,358.3,10827,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10827,1,2,0)
- ;;=2^TYPHOID VACCINE IM
- ;;^UTILITY(U,$J,358.3,10827,1,3,0)
- ;;=3^90691
- ;;^UTILITY(U,$J,358.3,10828,0)
- ;;=90716^^46^471^29^^^^1
- ;;^UTILITY(U,$J,358.3,10828,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10828,1,2,0)
- ;;=2^VARIVAX (CHICKEN POX) VACCINE
- ;;^UTILITY(U,$J,358.3,10828,1,3,0)
- ;;=3^90716
- ;;^UTILITY(U,$J,358.3,10829,0)
- ;;=90671^^46^471^21^^^^1
- ;;^UTILITY(U,$J,358.3,10829,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10829,1,2,0)
- ;;=2^PNEUMOCOCCAL VACCINE 15 VAL IM
- ;;^UTILITY(U,$J,358.3,10829,1,3,0)
- ;;=3^90671
- ;;^UTILITY(U,$J,358.3,10830,0)
- ;;=90677^^46^471^22^^^^1
- ;;^UTILITY(U,$J,358.3,10830,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10830,1,2,0)
- ;;=2^PNEUMOCOCCAL VACCINE 20 VAL IM
- ;;^UTILITY(U,$J,358.3,10830,1,3,0)
- ;;=3^90677
- ;;^UTILITY(U,$J,358.3,10831,0)
- ;;=96160^^46^472^4^^^^1
- ;;^UTILITY(U,$J,358.3,10831,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10831,1,2,0)
- ;;=2^HLTH RISK ASSESSMENT,PT FOCUSED
- ;;^UTILITY(U,$J,358.3,10831,1,3,0)
- ;;=3^96160
- ;;^UTILITY(U,$J,358.3,10832,0)
- ;;=96161^^46^472^3^^^^1
- ;;^UTILITY(U,$J,358.3,10832,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10832,1,2,0)
- ;;=2^HLTH RISK ASSESSMENT,CAREGIVR FOCUSED
- ;;^UTILITY(U,$J,358.3,10832,1,3,0)
- ;;=3^96161
- ;;^UTILITY(U,$J,358.3,10833,0)
- ;;=96110^^46^472^2^^^^1
- ;;^UTILITY(U,$J,358.3,10833,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10833,1,2,0)
- ;;=2^DEVELOPMENTAL SCREEN W/ SCORE
- ;;^UTILITY(U,$J,358.3,10833,1,3,0)
- ;;=3^96110
- ;;^UTILITY(U,$J,358.3,10834,0)
- ;;=96127^^46^472^1^^^^1
- ;;^UTILITY(U,$J,358.3,10834,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10834,1,2,0)
- ;;=2^BRIEF EMOTIONAL/BEHAV ASSESSMENT
- ;;^UTILITY(U,$J,358.3,10834,1,3,0)
- ;;=3^96127
- ;;^UTILITY(U,$J,358.3,10835,0)
- ;;=86485^^46^473^1^^^^1
- ;;^UTILITY(U,$J,358.3,10835,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10835,1,2,0)
- ;;=2^CANDIDA
- ;;^UTILITY(U,$J,358.3,10835,1,3,0)
- ;;=3^86485
- ;;^UTILITY(U,$J,358.3,10836,0)
- ;;=86486^^46^473^4^^^^1
- ;;^UTILITY(U,$J,358.3,10836,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10836,1,2,0)
- ;;=2^MUMPS
- ;;^UTILITY(U,$J,358.3,10836,1,3,0)
- ;;=3^86486
- ;;^UTILITY(U,$J,358.3,10837,0)
- ;;=86580^^46^473^5^^^^1
- ;;^UTILITY(U,$J,358.3,10837,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10837,1,2,0)
- ;;=2^TB
- ;;^UTILITY(U,$J,358.3,10837,1,3,0)
- ;;=3^86580
- ;;^UTILITY(U,$J,358.3,10838,0)
- ;;=95024^^46^473^3^^^^1
- ;;^UTILITY(U,$J,358.3,10838,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10838,1,2,0)
- ;;=2^INTRADERMALS (EACH)
- ;;^UTILITY(U,$J,358.3,10838,1,3,0)
- ;;=3^95024
- ;;^UTILITY(U,$J,358.3,10839,0)
- ;;=86510^^46^473^2^^^^1
- ;;^UTILITY(U,$J,358.3,10839,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10839,1,2,0)
- ;;=2^HISTOPLASMOSIS
- ;;^UTILITY(U,$J,358.3,10839,1,3,0)
- ;;=3^86510
- ;;^UTILITY(U,$J,358.3,10840,0)
- ;;=99395^^46^474^1^^^^1
- ;;^UTILITY(U,$J,358.3,10840,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10840,1,2,0)
- ;;=2^PREVENTIVE MED,EST PT 18-39
- ;;^UTILITY(U,$J,358.3,10840,1,3,0)
- ;;=3^99395
- ;;^UTILITY(U,$J,358.3,10841,0)
- ;;=99396^^46^474^2^^^^1
- ;;^UTILITY(U,$J,358.3,10841,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10841,1,2,0)
- ;;=2^PREVENTIVE MED,EST PT 40-64
- ;;^UTILITY(U,$J,358.3,10841,1,3,0)
- ;;=3^99396
- ;;^UTILITY(U,$J,358.3,10842,0)
- ;;=99397^^46^474^3^^^^1
- ;;^UTILITY(U,$J,358.3,10842,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10842,1,2,0)
- ;;=2^PREVENTIVE MED,EST PT > 64
- ;;^UTILITY(U,$J,358.3,10842,1,3,0)
- ;;=3^99397
- ;;^UTILITY(U,$J,358.3,10843,0)
- ;;=99385^^46^475^1^^^^1
- ;;^UTILITY(U,$J,358.3,10843,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10843,1,2,0)
- ;;=2^PREVENTIVE MED,NEW PT 18-39
- ;;^UTILITY(U,$J,358.3,10843,1,3,0)
- ;;=3^99385
- ;;^UTILITY(U,$J,358.3,10844,0)
- ;;=99386^^46^475^2^^^^1
- ;;^UTILITY(U,$J,358.3,10844,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10844,1,2,0)
- ;;=2^PREVENTIVE MED,NEW PT 40-64
- ;;^UTILITY(U,$J,358.3,10844,1,3,0)
- ;;=3^99386
- ;;^UTILITY(U,$J,358.3,10845,0)
- ;;=99387^^46^475^3^^^^1
- ;;^UTILITY(U,$J,358.3,10845,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10845,1,2,0)
- ;;=2^PREVENTIVE MED,NEW PT > 64
- ;;^UTILITY(U,$J,358.3,10845,1,3,0)
- ;;=3^99387
- ;;^UTILITY(U,$J,358.3,10846,0)
- ;;=99497^^46^476^1^^^^1
- ;;^UTILITY(U,$J,358.3,10846,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10846,1,2,0)
- ;;=2^ADVANCED CARE PLAN,30 MIN
- ;;^UTILITY(U,$J,358.3,10846,1,3,0)
- ;;=3^99497
- ;;^UTILITY(U,$J,358.3,10847,0)
- ;;=99498^^46^476^2^^^^1
- ;;^UTILITY(U,$J,358.3,10847,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10847,1,2,0)
- ;;=2^ADVANCED CARE PLAN,EA ADDL 30 MIN
- ;;^UTILITY(U,$J,358.3,10847,1,3,0)
- ;;=3^99498
- ;;^UTILITY(U,$J,358.3,10848,0)
- ;;=90471^^46^477^1^^^^1
- ;;^UTILITY(U,$J,358.3,10848,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10848,1,2,0)
- ;;=2^IMMUNIZATION ADMIN,1 VACCINE
- ;;^UTILITY(U,$J,358.3,10848,1,3,0)
- ;;=3^90471
- ;;^UTILITY(U,$J,358.3,10849,0)
- ;;=90472^^46^477^2^^^^1
- ;;^UTILITY(U,$J,358.3,10849,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10849,1,2,0)
- ;;=2^IMMUNIZATION ADMIN,EA ADDL VACCINE
- ;;^UTILITY(U,$J,358.3,10849,1,3,0)
- ;;=3^90472
- ;;^UTILITY(U,$J,358.3,10850,0)
- ;;=99340^^46^478^2^^^^1
- ;;^UTILITY(U,$J,358.3,10850,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10850,1,2,0)
- ;;=2^PHYS SUPV OF PT IN HOME/DOM/R-HOME,30+ MIN
- ;;^UTILITY(U,$J,358.3,10850,1,3,0)
- ;;=3^99340
- ;;^UTILITY(U,$J,358.3,10851,0)
- ;;=99375^^46^478^1^^^^1
- ;;^UTILITY(U,$J,358.3,10851,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10851,1,2,0)
- ;;=2^HOME HEALTH CARE SUPERVISION,30 + MIN
- ;;^UTILITY(U,$J,358.3,10851,1,3,0)
- ;;=3^99375
- ;;^UTILITY(U,$J,358.3,10852,0)
- ;;=Q0243^^46^479^3^^^^1
- ;;^UTILITY(U,$J,358.3,10852,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10852,1,2,0)
- ;;=2^Casirivimab & Imdevimab 2400mg
- ;;^UTILITY(U,$J,358.3,10852,1,3,0)
- ;;=3^Q0243
- ;;^UTILITY(U,$J,358.3,10853,0)
- ;;=M0243^^46^479^4^^^^1
- ;;^UTILITY(U,$J,358.3,10853,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10853,1,2,0)
- ;;=2^Casirivimab & Imdevimab Infusion
- ;;^UTILITY(U,$J,358.3,10853,1,3,0)
- ;;=3^M0243
- ;;^UTILITY(U,$J,358.3,10854,0)
- ;;=M0245^^46^479^1^^^^1
- ;;^UTILITY(U,$J,358.3,10854,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10854,1,2,0)
- ;;=2^Bamlanivimab Inf w/ Post Admin Monitoring
- ;;^UTILITY(U,$J,358.3,10854,1,3,0)
- ;;=3^M0245
- ;;^UTILITY(U,$J,358.3,10855,0)
- ;;=Q0245^^46^479^2^^^^1
- ;;^UTILITY(U,$J,358.3,10855,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10855,1,2,0)
- ;;=2^Bamlanivivab 700mg
- ;;^UTILITY(U,$J,358.3,10855,1,3,0)
- ;;=3^Q0245
- ;;^UTILITY(U,$J,358.3,10856,0)
- ;;=99490^^46^480^1^^^^1
- ;;^UTILITY(U,$J,358.3,10856,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10856,1,2,0)
- ;;=2^Chr Care Mgmt Svc 1st 20 min per Month
- ;;^UTILITY(U,$J,358.3,10856,1,3,0)
- ;;=3^99490
- ;;^UTILITY(U,$J,358.3,10857,0)
- ;;=99491^^46^480^2^^^^1
- ;;^UTILITY(U,$J,358.3,10857,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10857,1,2,0)
- ;;=2^Chr Care Mgmt Svc,30 min
- ;;^UTILITY(U,$J,358.3,10857,1,3,0)
- ;;=3^99491
- ;;^UTILITY(U,$J,358.3,10858,0)
- ;;=99437^^46^480^3^^^^1
- ;;^UTILITY(U,$J,358.3,10858,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10858,1,2,0)
- ;;=2^Chr Care Mgmt Svc,Ea Addl 30 min,per Month
- ;;^UTILITY(U,$J,358.3,10858,1,3,0)
- ;;=3^99437
- ;;^UTILITY(U,$J,358.3,10859,0)
- ;;=G0438^^46^481^3^^^^1
- ;;^UTILITY(U,$J,358.3,10859,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10859,1,2,0)
- ;;=2^Annual Wellness w/ PPPS,Init Visit
- ;;^UTILITY(U,$J,358.3,10859,1,3,0)
- ;;=3^G0438
- ;;^UTILITY(U,$J,358.3,10860,0)
- ;;=G0439^^46^481^4^^^^1
- ;;^UTILITY(U,$J,358.3,10860,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10860,1,2,0)
- ;;=2^Annual Wellness w/ PPPS,Subsq Visit
- ;;^UTILITY(U,$J,358.3,10860,1,3,0)
- ;;=3^G0439
- ;;^UTILITY(U,$J,358.3,10861,0)
- ;;=G0442^^46^481^1^^^^1
- ;;^UTILITY(U,$J,358.3,10861,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10861,1,2,0)
- ;;=2^Annual Alcohol Screen,15 min
- ;;^UTILITY(U,$J,358.3,10861,1,3,0)
- ;;=3^G0442
- ;;^UTILITY(U,$J,358.3,10862,0)
- ;;=G0444^^46^481^2^^^^1
- ;;^UTILITY(U,$J,358.3,10862,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10862,1,2,0)
- ;;=2^Annual Depression Screen,15 min
- ;;^UTILITY(U,$J,358.3,10862,1,3,0)
- ;;=3^G0444
- ;;^UTILITY(U,$J,358.3,10863,0)
- ;;=99354^^46^482^1^^^^1
- ;;^UTILITY(U,$J,358.3,10863,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10863,1,2,0)
- ;;=2^Prolong Svc O/P,1st hr
- ;;^UTILITY(U,$J,358.3,10863,1,3,0)
- ;;=3^99354
- ;;^UTILITY(U,$J,358.3,10864,0)
- ;;=99355^^46^482^2^^^^1
- ;;^UTILITY(U,$J,358.3,10864,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10864,1,2,0)
- ;;=2^Prolong Svc O/P,Ea Addl 30 min
- ;;^UTILITY(U,$J,358.3,10864,1,3,0)
- ;;=3^99355
- ;;^UTILITY(U,$J,358.3,10865,0)
- ;;=99358^^46^483^1^^^^1
- ;;^UTILITY(U,$J,358.3,10865,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10865,1,2,0)
- ;;=2^Prolong Svc w/o Contact,1st hr
- ;;^UTILITY(U,$J,358.3,10865,1,3,0)
- ;;=3^99358
- ;;^UTILITY(U,$J,358.3,10866,0)
- ;;=99359^^46^483^2^^^^1
- ;;^UTILITY(U,$J,358.3,10866,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10866,1,2,0)
- ;;=2^Prolong Svc w/o Contact,Ea Addl 30 min
- ;;^UTILITY(U,$J,358.3,10866,1,3,0)
- ;;=3^99359
- ;;^UTILITY(U,$J,358.3,10867,0)
- ;;=99374^^46^484^1^^^^1
- ;;^UTILITY(U,$J,358.3,10867,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10867,1,2,0)
- ;;=2^Home Health Supervision,15-29 min
- ;;^UTILITY(U,$J,358.3,10867,1,3,0)
- ;;=3^99374
- ;;^UTILITY(U,$J,358.3,10868,0)
- ;;=99375^^46^484^2^^^^1
- ;;^UTILITY(U,$J,358.3,10868,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10868,1,2,0)
- ;;=2^Home Health Supervision,30 min
- ;;^UTILITY(U,$J,358.3,10868,1,3,0)
- ;;=3^99375
- ;;^UTILITY(U,$J,358.3,10869,0)
- ;;=99406^^46^485^1^^^^1
- ;;^UTILITY(U,$J,358.3,10869,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10869,1,2,0)
- ;;=2^Behav Chng Smoking,3-10 min
- ;;^UTILITY(U,$J,358.3,10869,1,3,0)
- ;;=3^99406
- ;;^UTILITY(U,$J,358.3,10870,0)
- ;;=99408^^46^486^1^^^^1
- ;;^UTILITY(U,$J,358.3,10870,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10870,1,2,0)
- ;;=2^AUDIT/DAST 15-30 MIN
- ;;^UTILITY(U,$J,358.3,10870,1,3,0)
- ;;=3^99408
- ;;^UTILITY(U,$J,358.3,10871,0)
- ;;=99424^^46^487^1^^^^1
- ;;^UTILITY(U,$J,358.3,10871,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10871,1,2,0)
- ;;=2^PRIN CARE MGMT BY PHYS,1ST 30 MIN
- ;;^UTILITY(U,$J,358.3,10871,1,3,0)
- ;;=3^99424
- ;;^UTILITY(U,$J,358.3,10872,0)
- ;;=99425^^46^487^2^^^^1
- ;;^UTILITY(U,$J,358.3,10872,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10872,1,2,0)
- ;;=2^PRIN CARE MGMT BY PHYS,EA ADDL 30 MIN
- ;;^UTILITY(U,$J,358.3,10872,1,3,0)
- ;;=3^99425
- ;;^UTILITY(U,$J,358.3,10873,0)
- ;;=99426^^46^487^3^^^^1
- ;;^UTILITY(U,$J,358.3,10873,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10873,1,2,0)
- ;;=2^PRIN CARE MGMT BY QHP,1ST 30 MIN
- ;;^UTILITY(U,$J,358.3,10873,1,3,0)
- ;;=3^99426
- ;;^UTILITY(U,$J,358.3,10874,0)
- ;;=99427^^46^487^4^^^^1
- ;;^UTILITY(U,$J,358.3,10874,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,10874,1,2,0)
- ;;=2^PRIN CARE MGMT BY QHP,EA ADDL 30 MIN
- ;;^UTILITY(U,$J,358.3,10874,1,3,0)
- ;;=3^99427
- ;;^UTILITY(U,$J,358.3,10875,0)
- ;;=94760^^47^488^1^^^^1
- ;;^UTILITY(U,$J,358.3,10875,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10875,1,1,0)
- ;;=1^94760
- ;;^UTILITY(U,$J,358.3,10875,1,2,0)
- ;;=2^Noninvasive Ear/Pulse Oximetry
- ;;^UTILITY(U,$J,358.3,10876,0)
- ;;=93770^^47^489^1^^^^1
- ;;^UTILITY(U,$J,358.3,10876,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10876,1,1,0)
- ;;=1^93770
- ;;^UTILITY(U,$J,358.3,10876,1,2,0)
- ;;=2^Venous Blood Pressure Reading
- ;;^UTILITY(U,$J,358.3,10877,0)
- ;;=97535^^47^490^2^^^^1
- ;;^UTILITY(U,$J,358.3,10877,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10877,1,1,0)
- ;;=1^97535
- ;;^UTILITY(U,$J,358.3,10877,1,2,0)
- ;;=2^Self-Care Mgmt Train per 15 Min
- ;;^UTILITY(U,$J,358.3,10878,0)
- ;;=99509^^47^490^1^^^^1
- ;;^UTILITY(U,$J,358.3,10878,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10878,1,1,0)
- ;;=1^99509
- ;;^UTILITY(U,$J,358.3,10878,1,2,0)
- ;;=2^Home Visit-ADL/Personal Care
- ;;^UTILITY(U,$J,358.3,10879,0)
- ;;=J3420^^47^491^7^^^^1
- ;;^UTILITY(U,$J,358.3,10879,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10879,1,1,0)
- ;;=1^J3420
- ;;^UTILITY(U,$J,358.3,10879,1,2,0)
- ;;=2^Vitamin B12,Up To 1000Mcg
- ;;^UTILITY(U,$J,358.3,10880,0)
- ;;=J0885^^47^491^3^^^^1
- ;;^UTILITY(U,$J,358.3,10880,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10880,1,1,0)
- ;;=1^J0885
- ;;^UTILITY(U,$J,358.3,10880,1,2,0)
- ;;=2^Epojen, Non-Esrd,1000U
- ;;^UTILITY(U,$J,358.3,10881,0)
- ;;=J2680^^47^491^4^^^^1
- ;;^UTILITY(U,$J,358.3,10881,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10881,1,1,0)
- ;;=1^J2680
- ;;^UTILITY(U,$J,358.3,10881,1,2,0)
- ;;=2^Fluphenazine Decanoate 25mg
- ;;^UTILITY(U,$J,358.3,10882,0)
- ;;=J0881^^47^491^2^^^^1
- ;;^UTILITY(U,$J,358.3,10882,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10882,1,1,0)
- ;;=1^J0881
- ;;^UTILITY(U,$J,358.3,10882,1,2,0)
- ;;=2^Darbepoetin Alfa (Non-Esrd) 1Mcg
- ;;^UTILITY(U,$J,358.3,10883,0)
- ;;=J0882^^47^491^1^^^^1
- ;;^UTILITY(U,$J,358.3,10883,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10883,1,1,0)
- ;;=1^J0882
- ;;^UTILITY(U,$J,358.3,10883,1,2,0)
- ;;=2^Darbepoetin Alfa (Esrd) 1Mcg
- ;;^UTILITY(U,$J,358.3,10884,0)
- ;;=J1071^^47^491^5^^^^1
- ;;^UTILITY(U,$J,358.3,10884,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10884,1,1,0)
- ;;=1^J1071
- ;;^UTILITY(U,$J,358.3,10884,1,2,0)
- ;;=2^Testosterone Cypionate 1mg
- ;;^UTILITY(U,$J,358.3,10885,0)
- ;;=J3121^^47^491^6^^^^1
- ;;^UTILITY(U,$J,358.3,10885,1,0)
- ;;=^358.31IA^2^2
- ;;^UTILITY(U,$J,358.3,10885,1,1,0)
- ;;=1^J3121
- ;;^UTILITY(U,$J,358.3,10885,1,2,0)
- ;;=2^Testosterone Enanthate 1mg
- ;;^UTILITY(U,$J,358.3,10886,0)
- ;;=96372^^47^492^2^^^^1
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI04H 19765 printed Feb 18, 2025@23:07:50 Page 2
- IBDEI04H ; ; 01-AUG-2022
- +1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
- +2 if 'DIFQR(358.3)
- QUIT
- FOR I=1:2
- SET X=$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,358.3,10803,1,2,0)
- +2 ;;=2^PNEUMOCOCCAL VACCINE 23 VALENT
- +3 ;;^UTILITY(U,$J,358.3,10803,1,3,0)
- +4 ;;=3^90732
- +5 ;;^UTILITY(U,$J,358.3,10804,0)
- +6 ;;=90662^^46^471^5^^^^1
- +7 ;;^UTILITY(U,$J,358.3,10804,1,0)
- +8 ;;=^358.31IA^3^2
- +9 ;;^UTILITY(U,$J,358.3,10804,1,2,0)
- +10 ;;=2^FLU VACC HIGH DOSE SYR (FLUZONE)
- +11 ;;^UTILITY(U,$J,358.3,10804,1,3,0)
- +12 ;;=3^90662
- +13 ;;^UTILITY(U,$J,358.3,10805,0)
- +14 ;;=90736^^46^471^30^^^^1
- +15 ;;^UTILITY(U,$J,358.3,10805,1,0)
- +16 ;;=^358.31IA^3^2
- +17 ;;^UTILITY(U,$J,358.3,10805,1,2,0)
- +18 ;;=2^ZOSTER (SHINGLES) VACCINE
- +19 ;;^UTILITY(U,$J,358.3,10805,1,3,0)
- +20 ;;=3^90736
- +21 ;;^UTILITY(U,$J,358.3,10806,0)
- +22 ;;=90670^^46^471^25^^^^1
- +23 ;;^UTILITY(U,$J,358.3,10806,1,0)
- +24 ;;=^358.31IA^3^2
- +25 ;;^UTILITY(U,$J,358.3,10806,1,2,0)
- +26 ;;=2^PREVNAR 13
- +27 ;;^UTILITY(U,$J,358.3,10806,1,3,0)
- +28 ;;=3^90670
- +29 ;;^UTILITY(U,$J,358.3,10807,0)
- +30 ;;=90686^^46^471^7^^^^1
- +31 ;;^UTILITY(U,$J,358.3,10807,1,0)
- +32 ;;=^358.31IA^3^2
- +33 ;;^UTILITY(U,$J,358.3,10807,1,2,0)
- +34 ;;=2^FLU VACC SGLE DOSE SYR (FLUARIX)
- +35 ;;^UTILITY(U,$J,358.3,10807,1,3,0)
- +36 ;;=3^90686
- +37 ;;^UTILITY(U,$J,358.3,10808,0)
- +38 ;;=90688^^46^471^6^^^^1
- +39 ;;^UTILITY(U,$J,358.3,10808,1,0)
- +40 ;;=^358.31IA^3^2
- +41 ;;^UTILITY(U,$J,358.3,10808,1,2,0)
- +42 ;;=2^FLU VACC MULT DOSE SYN (AFLURIA)
- +43 ;;^UTILITY(U,$J,358.3,10808,1,3,0)
- +44 ;;=3^90688
- +45 ;;^UTILITY(U,$J,358.3,10809,0)
- +46 ;;=90723^^46^471^1^^^^1
- +47 ;;^UTILITY(U,$J,358.3,10809,1,0)
- +48 ;;=^358.31IA^3^2
- +49 ;;^UTILITY(U,$J,358.3,10809,1,2,0)
- +50 ;;=2^DTAP-HEP B-IPV VACCINE IM
- +51 ;;^UTILITY(U,$J,358.3,10809,1,3,0)
- +52 ;;=3^90723
- +53 ;;^UTILITY(U,$J,358.3,10810,0)
- +54 ;;=90698^^46^471^2^^^^1
- +55 ;;^UTILITY(U,$J,358.3,10810,1,0)
- +56 ;;=^358.31IA^3^2
- +57 ;;^UTILITY(U,$J,358.3,10810,1,2,0)
- +58 ;;=2^DTAP-HIB-IP VACCINE IM
- +59 ;;^UTILITY(U,$J,358.3,10810,1,3,0)
- +60 ;;=3^90698
- +61 ;;^UTILITY(U,$J,358.3,10811,0)
- +62 ;;=90697^^46^471^3^^^^1
- +63 ;;^UTILITY(U,$J,358.3,10811,1,0)
- +64 ;;=^358.31IA^3^2
- +65 ;;^UTILITY(U,$J,358.3,10811,1,2,0)
- +66 ;;=2^DTAP-IPV-HIB-HEPB VACCINE IM
- +67 ;;^UTILITY(U,$J,358.3,10811,1,3,0)
- +68 ;;=3^90697
- +69 ;;^UTILITY(U,$J,358.3,10812,0)
- +70 ;;=90749^^46^471^4^^^^1
- +71 ;;^UTILITY(U,$J,358.3,10812,1,0)
- +72 ;;=^358.31IA^3^2
- +73 ;;^UTILITY(U,$J,358.3,10812,1,2,0)
- +74 ;;=2^DTP VACCINE IM
- +75 ;;^UTILITY(U,$J,358.3,10812,1,3,0)
- +76 ;;=3^90749
- +77 ;;^UTILITY(U,$J,358.3,10813,0)
- +78 ;;=90672^^46^471^8^^^^1
- +79 ;;^UTILITY(U,$J,358.3,10813,1,0)
- +80 ;;=^358.31IA^3^2
- +81 ;;^UTILITY(U,$J,358.3,10813,1,2,0)
- +82 ;;=2^FLU VACCINE INTRANASAL,QUADRIVALENT,LIVE
- +83 ;;^UTILITY(U,$J,358.3,10813,1,3,0)
- +84 ;;=3^90672
- +85 ;;^UTILITY(U,$J,358.3,10814,0)
- +86 ;;=90649^^46^471^9^^^^1
- +87 ;;^UTILITY(U,$J,358.3,10814,1,0)
- +88 ;;=^358.31IA^3^2
- +89 ;;^UTILITY(U,$J,358.3,10814,1,2,0)
- +90 ;;=2^H PAPILLOMA VACC 3 DOSE IM
- +91 ;;^UTILITY(U,$J,358.3,10814,1,3,0)
- +92 ;;=3^90649
- +93 ;;^UTILITY(U,$J,358.3,10815,0)
- +94 ;;=90632^^46^471^10^^^^1
- +95 ;;^UTILITY(U,$J,358.3,10815,1,0)
- +96 ;;=^358.31IA^3^2
- +97 ;;^UTILITY(U,$J,358.3,10815,1,2,0)
- +98 ;;=2^HEP A VACCINE,ADULT IM
- +99 ;;^UTILITY(U,$J,358.3,10815,1,3,0)
- +100 ;;=3^90632
- +101 ;;^UTILITY(U,$J,358.3,10816,0)
- +102 ;;=90636^^46^471^11^^^^1
- +103 ;;^UTILITY(U,$J,358.3,10816,1,0)
- +104 ;;=^358.31IA^3^2
- +105 ;;^UTILITY(U,$J,358.3,10816,1,2,0)
- +106 ;;=2^HEP A/HEP B VACCINE IM
- +107 ;;^UTILITY(U,$J,358.3,10816,1,3,0)
- +108 ;;=3^90636
- +109 ;;^UTILITY(U,$J,358.3,10817,0)
- +110 ;;=90746^^46^471^12^^^^1
- +111 ;;^UTILITY(U,$J,358.3,10817,1,0)
- +112 ;;=^358.31IA^3^2
- +113 ;;^UTILITY(U,$J,358.3,10817,1,2,0)
- +114 ;;=2^HEP B VACCINE IM
- +115 ;;^UTILITY(U,$J,358.3,10817,1,3,0)
- +116 ;;=3^90746
- +117 ;;^UTILITY(U,$J,358.3,10818,0)
- +118 ;;=90748^^46^471^13^^^^1
- +119 ;;^UTILITY(U,$J,358.3,10818,1,0)
- +120 ;;=^358.31IA^3^2
- +121 ;;^UTILITY(U,$J,358.3,10818,1,2,0)
- +122 ;;=2^HEPB/HIB VACCINE IM
- +123 ;;^UTILITY(U,$J,358.3,10818,1,3,0)
- +124 ;;=3^90748
- +125 ;;^UTILITY(U,$J,358.3,10819,0)
- +126 ;;=90647^^46^471^14^^^^1
- +127 ;;^UTILITY(U,$J,358.3,10819,1,0)
- +128 ;;=^358.31IA^3^2
- +129 ;;^UTILITY(U,$J,358.3,10819,1,2,0)
- +130 ;;=2^HIB VACCINE,PRP-OMP IM
- +131 ;;^UTILITY(U,$J,358.3,10819,1,3,0)
- +132 ;;=3^90647
- +133 ;;^UTILITY(U,$J,358.3,10820,0)
- +134 ;;=90648^^46^471^15^^^^1
- +135 ;;^UTILITY(U,$J,358.3,10820,1,0)
- +136 ;;=^358.31IA^3^2
- +137 ;;^UTILITY(U,$J,358.3,10820,1,2,0)
- +138 ;;=2^HIB VACCINE,PRP-T IM
- +139 ;;^UTILITY(U,$J,358.3,10820,1,3,0)
- +140 ;;=3^90648
- +141 ;;^UTILITY(U,$J,358.3,10821,0)
- +142 ;;=90734^^46^471^16^^^^1
- +143 ;;^UTILITY(U,$J,358.3,10821,1,0)
- +144 ;;=^358.31IA^3^2
- +145 ;;^UTILITY(U,$J,358.3,10821,1,2,0)
- +146 ;;=2^MENINGOCOCCAL VACCINE IM
- +147 ;;^UTILITY(U,$J,358.3,10821,1,3,0)
- +148 ;;=3^90734
- +149 ;;^UTILITY(U,$J,358.3,10822,0)
- +150 ;;=90733^^46^471^17^^^^1
- +151 ;;^UTILITY(U,$J,358.3,10822,1,0)
- +152 ;;=^358.31IA^3^2
- +153 ;;^UTILITY(U,$J,358.3,10822,1,2,0)
- +154 ;;=2^MENINGOCOCCAL VACCINE SQ
- +155 ;;^UTILITY(U,$J,358.3,10822,1,3,0)
- +156 ;;=3^90733
- +157 ;;^UTILITY(U,$J,358.3,10823,0)
- +158 ;;=90621^^46^471^18^^^^1
- +159 ;;^UTILITY(U,$J,358.3,10823,1,0)
- +160 ;;=^358.31IA^3^2
- +161 ;;^UTILITY(U,$J,358.3,10823,1,2,0)
- +162 ;;=2^MENINGOCOCCAL VACCINE,LIPOPROTEIN IM
- +163 ;;^UTILITY(U,$J,358.3,10823,1,3,0)
- +164 ;;=3^90621
- +165 ;;^UTILITY(U,$J,358.3,10824,0)
- +166 ;;=90620^^46^471^19^^^^1
- +167 ;;^UTILITY(U,$J,358.3,10824,1,0)
- +168 ;;=^358.31IA^3^2
- +169 ;;^UTILITY(U,$J,358.3,10824,1,2,0)
- +170 ;;=2^MENINGOCOCCAL VACCINE,PROTEIN/OUT MEM IM
- +171 ;;^UTILITY(U,$J,358.3,10824,1,3,0)
- +172 ;;=3^90620
- +173 ;;^UTILITY(U,$J,358.3,10825,0)
- +174 ;;=90713^^46^471^24^^^^1
- +175 ;;^UTILITY(U,$J,358.3,10825,1,0)
- +176 ;;=^358.31IA^3^2
- +177 ;;^UTILITY(U,$J,358.3,10825,1,2,0)
- +178 ;;=2^POLIOVIRUS,IPV SC/IM
- +179 ;;^UTILITY(U,$J,358.3,10825,1,3,0)
- +180 ;;=3^90713
- +181 ;;^UTILITY(U,$J,358.3,10826,0)
- +182 ;;=90715^^46^471^27^^^^1
- +183 ;;^UTILITY(U,$J,358.3,10826,1,0)
- +184 ;;=^358.31IA^3^2
- +185 ;;^UTILITY(U,$J,358.3,10826,1,2,0)
- +186 ;;=2^TDAP VACCINE
- +187 ;;^UTILITY(U,$J,358.3,10826,1,3,0)
- +188 ;;=3^90715
- +189 ;;^UTILITY(U,$J,358.3,10827,0)
- +190 ;;=90691^^46^471^28^^^^1
- +191 ;;^UTILITY(U,$J,358.3,10827,1,0)
- +192 ;;=^358.31IA^3^2
- +193 ;;^UTILITY(U,$J,358.3,10827,1,2,0)
- +194 ;;=2^TYPHOID VACCINE IM
- +195 ;;^UTILITY(U,$J,358.3,10827,1,3,0)
- +196 ;;=3^90691
- +197 ;;^UTILITY(U,$J,358.3,10828,0)
- +198 ;;=90716^^46^471^29^^^^1
- +199 ;;^UTILITY(U,$J,358.3,10828,1,0)
- +200 ;;=^358.31IA^3^2
- +201 ;;^UTILITY(U,$J,358.3,10828,1,2,0)
- +202 ;;=2^VARIVAX (CHICKEN POX) VACCINE
- +203 ;;^UTILITY(U,$J,358.3,10828,1,3,0)
- +204 ;;=3^90716
- +205 ;;^UTILITY(U,$J,358.3,10829,0)
- +206 ;;=90671^^46^471^21^^^^1
- +207 ;;^UTILITY(U,$J,358.3,10829,1,0)
- +208 ;;=^358.31IA^3^2
- +209 ;;^UTILITY(U,$J,358.3,10829,1,2,0)
- +210 ;;=2^PNEUMOCOCCAL VACCINE 15 VAL IM
- +211 ;;^UTILITY(U,$J,358.3,10829,1,3,0)
- +212 ;;=3^90671
- +213 ;;^UTILITY(U,$J,358.3,10830,0)
- +214 ;;=90677^^46^471^22^^^^1
- +215 ;;^UTILITY(U,$J,358.3,10830,1,0)
- +216 ;;=^358.31IA^3^2
- +217 ;;^UTILITY(U,$J,358.3,10830,1,2,0)
- +218 ;;=2^PNEUMOCOCCAL VACCINE 20 VAL IM
- +219 ;;^UTILITY(U,$J,358.3,10830,1,3,0)
- +220 ;;=3^90677
- +221 ;;^UTILITY(U,$J,358.3,10831,0)
- +222 ;;=96160^^46^472^4^^^^1
- +223 ;;^UTILITY(U,$J,358.3,10831,1,0)
- +224 ;;=^358.31IA^3^2
- +225 ;;^UTILITY(U,$J,358.3,10831,1,2,0)
- +226 ;;=2^HLTH RISK ASSESSMENT,PT FOCUSED
- +227 ;;^UTILITY(U,$J,358.3,10831,1,3,0)
- +228 ;;=3^96160
- +229 ;;^UTILITY(U,$J,358.3,10832,0)
- +230 ;;=96161^^46^472^3^^^^1
- +231 ;;^UTILITY(U,$J,358.3,10832,1,0)
- +232 ;;=^358.31IA^3^2
- +233 ;;^UTILITY(U,$J,358.3,10832,1,2,0)
- +234 ;;=2^HLTH RISK ASSESSMENT,CAREGIVR FOCUSED
- +235 ;;^UTILITY(U,$J,358.3,10832,1,3,0)
- +236 ;;=3^96161
- +237 ;;^UTILITY(U,$J,358.3,10833,0)
- +238 ;;=96110^^46^472^2^^^^1
- +239 ;;^UTILITY(U,$J,358.3,10833,1,0)
- +240 ;;=^358.31IA^3^2
- +241 ;;^UTILITY(U,$J,358.3,10833,1,2,0)
- +242 ;;=2^DEVELOPMENTAL SCREEN W/ SCORE
- +243 ;;^UTILITY(U,$J,358.3,10833,1,3,0)
- +244 ;;=3^96110
- +245 ;;^UTILITY(U,$J,358.3,10834,0)
- +246 ;;=96127^^46^472^1^^^^1
- +247 ;;^UTILITY(U,$J,358.3,10834,1,0)
- +248 ;;=^358.31IA^3^2
- +249 ;;^UTILITY(U,$J,358.3,10834,1,2,0)
- +250 ;;=2^BRIEF EMOTIONAL/BEHAV ASSESSMENT
- +251 ;;^UTILITY(U,$J,358.3,10834,1,3,0)
- +252 ;;=3^96127
- +253 ;;^UTILITY(U,$J,358.3,10835,0)
- +254 ;;=86485^^46^473^1^^^^1
- +255 ;;^UTILITY(U,$J,358.3,10835,1,0)
- +256 ;;=^358.31IA^3^2
- +257 ;;^UTILITY(U,$J,358.3,10835,1,2,0)
- +258 ;;=2^CANDIDA
- +259 ;;^UTILITY(U,$J,358.3,10835,1,3,0)
- +260 ;;=3^86485
- +261 ;;^UTILITY(U,$J,358.3,10836,0)
- +262 ;;=86486^^46^473^4^^^^1
- +263 ;;^UTILITY(U,$J,358.3,10836,1,0)
- +264 ;;=^358.31IA^3^2
- +265 ;;^UTILITY(U,$J,358.3,10836,1,2,0)
- +266 ;;=2^MUMPS
- +267 ;;^UTILITY(U,$J,358.3,10836,1,3,0)
- +268 ;;=3^86486
- +269 ;;^UTILITY(U,$J,358.3,10837,0)
- +270 ;;=86580^^46^473^5^^^^1
- +271 ;;^UTILITY(U,$J,358.3,10837,1,0)
- +272 ;;=^358.31IA^3^2
- +273 ;;^UTILITY(U,$J,358.3,10837,1,2,0)
- +274 ;;=2^TB
- +275 ;;^UTILITY(U,$J,358.3,10837,1,3,0)
- +276 ;;=3^86580
- +277 ;;^UTILITY(U,$J,358.3,10838,0)
- +278 ;;=95024^^46^473^3^^^^1
- +279 ;;^UTILITY(U,$J,358.3,10838,1,0)
- +280 ;;=^358.31IA^3^2
- +281 ;;^UTILITY(U,$J,358.3,10838,1,2,0)
- +282 ;;=2^INTRADERMALS (EACH)
- +283 ;;^UTILITY(U,$J,358.3,10838,1,3,0)
- +284 ;;=3^95024
- +285 ;;^UTILITY(U,$J,358.3,10839,0)
- +286 ;;=86510^^46^473^2^^^^1
- +287 ;;^UTILITY(U,$J,358.3,10839,1,0)
- +288 ;;=^358.31IA^3^2
- +289 ;;^UTILITY(U,$J,358.3,10839,1,2,0)
- +290 ;;=2^HISTOPLASMOSIS
- +291 ;;^UTILITY(U,$J,358.3,10839,1,3,0)
- +292 ;;=3^86510
- +293 ;;^UTILITY(U,$J,358.3,10840,0)
- +294 ;;=99395^^46^474^1^^^^1
- +295 ;;^UTILITY(U,$J,358.3,10840,1,0)
- +296 ;;=^358.31IA^3^2
- +297 ;;^UTILITY(U,$J,358.3,10840,1,2,0)
- +298 ;;=2^PREVENTIVE MED,EST PT 18-39
- +299 ;;^UTILITY(U,$J,358.3,10840,1,3,0)
- +300 ;;=3^99395
- +301 ;;^UTILITY(U,$J,358.3,10841,0)
- +302 ;;=99396^^46^474^2^^^^1
- +303 ;;^UTILITY(U,$J,358.3,10841,1,0)
- +304 ;;=^358.31IA^3^2
- +305 ;;^UTILITY(U,$J,358.3,10841,1,2,0)
- +306 ;;=2^PREVENTIVE MED,EST PT 40-64
- +307 ;;^UTILITY(U,$J,358.3,10841,1,3,0)
- +308 ;;=3^99396
- +309 ;;^UTILITY(U,$J,358.3,10842,0)
- +310 ;;=99397^^46^474^3^^^^1
- +311 ;;^UTILITY(U,$J,358.3,10842,1,0)
- +312 ;;=^358.31IA^3^2
- +313 ;;^UTILITY(U,$J,358.3,10842,1,2,0)
- +314 ;;=2^PREVENTIVE MED,EST PT > 64
- +315 ;;^UTILITY(U,$J,358.3,10842,1,3,0)
- +316 ;;=3^99397
- +317 ;;^UTILITY(U,$J,358.3,10843,0)
- +318 ;;=99385^^46^475^1^^^^1
- +319 ;;^UTILITY(U,$J,358.3,10843,1,0)
- +320 ;;=^358.31IA^3^2
- +321 ;;^UTILITY(U,$J,358.3,10843,1,2,0)
- +322 ;;=2^PREVENTIVE MED,NEW PT 18-39
- +323 ;;^UTILITY(U,$J,358.3,10843,1,3,0)
- +324 ;;=3^99385
- +325 ;;^UTILITY(U,$J,358.3,10844,0)
- +326 ;;=99386^^46^475^2^^^^1
- +327 ;;^UTILITY(U,$J,358.3,10844,1,0)
- +328 ;;=^358.31IA^3^2
- +329 ;;^UTILITY(U,$J,358.3,10844,1,2,0)
- +330 ;;=2^PREVENTIVE MED,NEW PT 40-64
- +331 ;;^UTILITY(U,$J,358.3,10844,1,3,0)
- +332 ;;=3^99386
- +333 ;;^UTILITY(U,$J,358.3,10845,0)
- +334 ;;=99387^^46^475^3^^^^1
- +335 ;;^UTILITY(U,$J,358.3,10845,1,0)
- +336 ;;=^358.31IA^3^2
- +337 ;;^UTILITY(U,$J,358.3,10845,1,2,0)
- +338 ;;=2^PREVENTIVE MED,NEW PT > 64
- +339 ;;^UTILITY(U,$J,358.3,10845,1,3,0)
- +340 ;;=3^99387
- +341 ;;^UTILITY(U,$J,358.3,10846,0)
- +342 ;;=99497^^46^476^1^^^^1
- +343 ;;^UTILITY(U,$J,358.3,10846,1,0)
- +344 ;;=^358.31IA^3^2
- +345 ;;^UTILITY(U,$J,358.3,10846,1,2,0)
- +346 ;;=2^ADVANCED CARE PLAN,30 MIN
- +347 ;;^UTILITY(U,$J,358.3,10846,1,3,0)
- +348 ;;=3^99497
- +349 ;;^UTILITY(U,$J,358.3,10847,0)
- +350 ;;=99498^^46^476^2^^^^1
- +351 ;;^UTILITY(U,$J,358.3,10847,1,0)
- +352 ;;=^358.31IA^3^2
- +353 ;;^UTILITY(U,$J,358.3,10847,1,2,0)
- +354 ;;=2^ADVANCED CARE PLAN,EA ADDL 30 MIN
- +355 ;;^UTILITY(U,$J,358.3,10847,1,3,0)
- +356 ;;=3^99498
- +357 ;;^UTILITY(U,$J,358.3,10848,0)
- +358 ;;=90471^^46^477^1^^^^1
- +359 ;;^UTILITY(U,$J,358.3,10848,1,0)
- +360 ;;=^358.31IA^3^2
- +361 ;;^UTILITY(U,$J,358.3,10848,1,2,0)
- +362 ;;=2^IMMUNIZATION ADMIN,1 VACCINE
- +363 ;;^UTILITY(U,$J,358.3,10848,1,3,0)
- +364 ;;=3^90471
- +365 ;;^UTILITY(U,$J,358.3,10849,0)
- +366 ;;=90472^^46^477^2^^^^1
- +367 ;;^UTILITY(U,$J,358.3,10849,1,0)
- +368 ;;=^358.31IA^3^2
- +369 ;;^UTILITY(U,$J,358.3,10849,1,2,0)
- +370 ;;=2^IMMUNIZATION ADMIN,EA ADDL VACCINE
- +371 ;;^UTILITY(U,$J,358.3,10849,1,3,0)
- +372 ;;=3^90472
- +373 ;;^UTILITY(U,$J,358.3,10850,0)
- +374 ;;=99340^^46^478^2^^^^1
- +375 ;;^UTILITY(U,$J,358.3,10850,1,0)
- +376 ;;=^358.31IA^3^2
- +377 ;;^UTILITY(U,$J,358.3,10850,1,2,0)
- +378 ;;=2^PHYS SUPV OF PT IN HOME/DOM/R-HOME,30+ MIN
- +379 ;;^UTILITY(U,$J,358.3,10850,1,3,0)
- +380 ;;=3^99340
- +381 ;;^UTILITY(U,$J,358.3,10851,0)
- +382 ;;=99375^^46^478^1^^^^1
- +383 ;;^UTILITY(U,$J,358.3,10851,1,0)
- +384 ;;=^358.31IA^3^2
- +385 ;;^UTILITY(U,$J,358.3,10851,1,2,0)
- +386 ;;=2^HOME HEALTH CARE SUPERVISION,30 + MIN
- +387 ;;^UTILITY(U,$J,358.3,10851,1,3,0)
- +388 ;;=3^99375
- +389 ;;^UTILITY(U,$J,358.3,10852,0)
- +390 ;;=Q0243^^46^479^3^^^^1
- +391 ;;^UTILITY(U,$J,358.3,10852,1,0)
- +392 ;;=^358.31IA^3^2
- +393 ;;^UTILITY(U,$J,358.3,10852,1,2,0)
- +394 ;;=2^Casirivimab & Imdevimab 2400mg
- +395 ;;^UTILITY(U,$J,358.3,10852,1,3,0)
- +396 ;;=3^Q0243
- +397 ;;^UTILITY(U,$J,358.3,10853,0)
- +398 ;;=M0243^^46^479^4^^^^1
- +399 ;;^UTILITY(U,$J,358.3,10853,1,0)
- +400 ;;=^358.31IA^3^2
- +401 ;;^UTILITY(U,$J,358.3,10853,1,2,0)
- +402 ;;=2^Casirivimab & Imdevimab Infusion
- +403 ;;^UTILITY(U,$J,358.3,10853,1,3,0)
- +404 ;;=3^M0243
- +405 ;;^UTILITY(U,$J,358.3,10854,0)
- +406 ;;=M0245^^46^479^1^^^^1
- +407 ;;^UTILITY(U,$J,358.3,10854,1,0)
- +408 ;;=^358.31IA^3^2
- +409 ;;^UTILITY(U,$J,358.3,10854,1,2,0)
- +410 ;;=2^Bamlanivimab Inf w/ Post Admin Monitoring
- +411 ;;^UTILITY(U,$J,358.3,10854,1,3,0)
- +412 ;;=3^M0245
- +413 ;;^UTILITY(U,$J,358.3,10855,0)
- +414 ;;=Q0245^^46^479^2^^^^1
- +415 ;;^UTILITY(U,$J,358.3,10855,1,0)
- +416 ;;=^358.31IA^3^2
- +417 ;;^UTILITY(U,$J,358.3,10855,1,2,0)
- +418 ;;=2^Bamlanivivab 700mg
- +419 ;;^UTILITY(U,$J,358.3,10855,1,3,0)
- +420 ;;=3^Q0245
- +421 ;;^UTILITY(U,$J,358.3,10856,0)
- +422 ;;=99490^^46^480^1^^^^1
- +423 ;;^UTILITY(U,$J,358.3,10856,1,0)
- +424 ;;=^358.31IA^3^2
- +425 ;;^UTILITY(U,$J,358.3,10856,1,2,0)
- +426 ;;=2^Chr Care Mgmt Svc 1st 20 min per Month
- +427 ;;^UTILITY(U,$J,358.3,10856,1,3,0)
- +428 ;;=3^99490
- +429 ;;^UTILITY(U,$J,358.3,10857,0)
- +430 ;;=99491^^46^480^2^^^^1
- +431 ;;^UTILITY(U,$J,358.3,10857,1,0)
- +432 ;;=^358.31IA^3^2
- +433 ;;^UTILITY(U,$J,358.3,10857,1,2,0)
- +434 ;;=2^Chr Care Mgmt Svc,30 min
- +435 ;;^UTILITY(U,$J,358.3,10857,1,3,0)
- +436 ;;=3^99491
- +437 ;;^UTILITY(U,$J,358.3,10858,0)
- +438 ;;=99437^^46^480^3^^^^1
- +439 ;;^UTILITY(U,$J,358.3,10858,1,0)
- +440 ;;=^358.31IA^3^2
- +441 ;;^UTILITY(U,$J,358.3,10858,1,2,0)
- +442 ;;=2^Chr Care Mgmt Svc,Ea Addl 30 min,per Month
- +443 ;;^UTILITY(U,$J,358.3,10858,1,3,0)
- +444 ;;=3^99437
- +445 ;;^UTILITY(U,$J,358.3,10859,0)
- +446 ;;=G0438^^46^481^3^^^^1
- +447 ;;^UTILITY(U,$J,358.3,10859,1,0)
- +448 ;;=^358.31IA^3^2
- +449 ;;^UTILITY(U,$J,358.3,10859,1,2,0)
- +450 ;;=2^Annual Wellness w/ PPPS,Init Visit
- +451 ;;^UTILITY(U,$J,358.3,10859,1,3,0)
- +452 ;;=3^G0438
- +453 ;;^UTILITY(U,$J,358.3,10860,0)
- +454 ;;=G0439^^46^481^4^^^^1
- +455 ;;^UTILITY(U,$J,358.3,10860,1,0)
- +456 ;;=^358.31IA^3^2
- +457 ;;^UTILITY(U,$J,358.3,10860,1,2,0)
- +458 ;;=2^Annual Wellness w/ PPPS,Subsq Visit
- +459 ;;^UTILITY(U,$J,358.3,10860,1,3,0)
- +460 ;;=3^G0439
- +461 ;;^UTILITY(U,$J,358.3,10861,0)
- +462 ;;=G0442^^46^481^1^^^^1
- +463 ;;^UTILITY(U,$J,358.3,10861,1,0)
- +464 ;;=^358.31IA^3^2
- +465 ;;^UTILITY(U,$J,358.3,10861,1,2,0)
- +466 ;;=2^Annual Alcohol Screen,15 min
- +467 ;;^UTILITY(U,$J,358.3,10861,1,3,0)
- +468 ;;=3^G0442
- +469 ;;^UTILITY(U,$J,358.3,10862,0)
- +470 ;;=G0444^^46^481^2^^^^1
- +471 ;;^UTILITY(U,$J,358.3,10862,1,0)
- +472 ;;=^358.31IA^3^2
- +473 ;;^UTILITY(U,$J,358.3,10862,1,2,0)
- +474 ;;=2^Annual Depression Screen,15 min
- +475 ;;^UTILITY(U,$J,358.3,10862,1,3,0)
- +476 ;;=3^G0444
- +477 ;;^UTILITY(U,$J,358.3,10863,0)
- +478 ;;=99354^^46^482^1^^^^1
- +479 ;;^UTILITY(U,$J,358.3,10863,1,0)
- +480 ;;=^358.31IA^3^2
- +481 ;;^UTILITY(U,$J,358.3,10863,1,2,0)
- +482 ;;=2^Prolong Svc O/P,1st hr
- +483 ;;^UTILITY(U,$J,358.3,10863,1,3,0)
- +484 ;;=3^99354
- +485 ;;^UTILITY(U,$J,358.3,10864,0)
- +486 ;;=99355^^46^482^2^^^^1
- +487 ;;^UTILITY(U,$J,358.3,10864,1,0)
- +488 ;;=^358.31IA^3^2
- +489 ;;^UTILITY(U,$J,358.3,10864,1,2,0)
- +490 ;;=2^Prolong Svc O/P,Ea Addl 30 min
- +491 ;;^UTILITY(U,$J,358.3,10864,1,3,0)
- +492 ;;=3^99355
- +493 ;;^UTILITY(U,$J,358.3,10865,0)
- +494 ;;=99358^^46^483^1^^^^1
- +495 ;;^UTILITY(U,$J,358.3,10865,1,0)
- +496 ;;=^358.31IA^3^2
- +497 ;;^UTILITY(U,$J,358.3,10865,1,2,0)
- +498 ;;=2^Prolong Svc w/o Contact,1st hr
- +499 ;;^UTILITY(U,$J,358.3,10865,1,3,0)
- +500 ;;=3^99358
- +501 ;;^UTILITY(U,$J,358.3,10866,0)
- +502 ;;=99359^^46^483^2^^^^1
- +503 ;;^UTILITY(U,$J,358.3,10866,1,0)
- +504 ;;=^358.31IA^3^2
- +505 ;;^UTILITY(U,$J,358.3,10866,1,2,0)
- +506 ;;=2^Prolong Svc w/o Contact,Ea Addl 30 min
- +507 ;;^UTILITY(U,$J,358.3,10866,1,3,0)
- +508 ;;=3^99359
- +509 ;;^UTILITY(U,$J,358.3,10867,0)
- +510 ;;=99374^^46^484^1^^^^1
- +511 ;;^UTILITY(U,$J,358.3,10867,1,0)
- +512 ;;=^358.31IA^3^2
- +513 ;;^UTILITY(U,$J,358.3,10867,1,2,0)
- +514 ;;=2^Home Health Supervision,15-29 min
- +515 ;;^UTILITY(U,$J,358.3,10867,1,3,0)
- +516 ;;=3^99374
- +517 ;;^UTILITY(U,$J,358.3,10868,0)
- +518 ;;=99375^^46^484^2^^^^1
- +519 ;;^UTILITY(U,$J,358.3,10868,1,0)
- +520 ;;=^358.31IA^3^2
- +521 ;;^UTILITY(U,$J,358.3,10868,1,2,0)
- +522 ;;=2^Home Health Supervision,30 min
- +523 ;;^UTILITY(U,$J,358.3,10868,1,3,0)
- +524 ;;=3^99375
- +525 ;;^UTILITY(U,$J,358.3,10869,0)
- +526 ;;=99406^^46^485^1^^^^1
- +527 ;;^UTILITY(U,$J,358.3,10869,1,0)
- +528 ;;=^358.31IA^3^2
- +529 ;;^UTILITY(U,$J,358.3,10869,1,2,0)
- +530 ;;=2^Behav Chng Smoking,3-10 min
- +531 ;;^UTILITY(U,$J,358.3,10869,1,3,0)
- +532 ;;=3^99406
- +533 ;;^UTILITY(U,$J,358.3,10870,0)
- +534 ;;=99408^^46^486^1^^^^1
- +535 ;;^UTILITY(U,$J,358.3,10870,1,0)
- +536 ;;=^358.31IA^3^2
- +537 ;;^UTILITY(U,$J,358.3,10870,1,2,0)
- +538 ;;=2^AUDIT/DAST 15-30 MIN
- +539 ;;^UTILITY(U,$J,358.3,10870,1,3,0)
- +540 ;;=3^99408
- +541 ;;^UTILITY(U,$J,358.3,10871,0)
- +542 ;;=99424^^46^487^1^^^^1
- +543 ;;^UTILITY(U,$J,358.3,10871,1,0)
- +544 ;;=^358.31IA^3^2
- +545 ;;^UTILITY(U,$J,358.3,10871,1,2,0)
- +546 ;;=2^PRIN CARE MGMT BY PHYS,1ST 30 MIN
- +547 ;;^UTILITY(U,$J,358.3,10871,1,3,0)
- +548 ;;=3^99424
- +549 ;;^UTILITY(U,$J,358.3,10872,0)
- +550 ;;=99425^^46^487^2^^^^1
- +551 ;;^UTILITY(U,$J,358.3,10872,1,0)
- +552 ;;=^358.31IA^3^2
- +553 ;;^UTILITY(U,$J,358.3,10872,1,2,0)
- +554 ;;=2^PRIN CARE MGMT BY PHYS,EA ADDL 30 MIN
- +555 ;;^UTILITY(U,$J,358.3,10872,1,3,0)
- +556 ;;=3^99425
- +557 ;;^UTILITY(U,$J,358.3,10873,0)
- +558 ;;=99426^^46^487^3^^^^1
- +559 ;;^UTILITY(U,$J,358.3,10873,1,0)
- +560 ;;=^358.31IA^3^2
- +561 ;;^UTILITY(U,$J,358.3,10873,1,2,0)
- +562 ;;=2^PRIN CARE MGMT BY QHP,1ST 30 MIN
- +563 ;;^UTILITY(U,$J,358.3,10873,1,3,0)
- +564 ;;=3^99426
- +565 ;;^UTILITY(U,$J,358.3,10874,0)
- +566 ;;=99427^^46^487^4^^^^1
- +567 ;;^UTILITY(U,$J,358.3,10874,1,0)
- +568 ;;=^358.31IA^3^2
- +569 ;;^UTILITY(U,$J,358.3,10874,1,2,0)
- +570 ;;=2^PRIN CARE MGMT BY QHP,EA ADDL 30 MIN
- +571 ;;^UTILITY(U,$J,358.3,10874,1,3,0)
- +572 ;;=3^99427
- +573 ;;^UTILITY(U,$J,358.3,10875,0)
- +574 ;;=94760^^47^488^1^^^^1
- +575 ;;^UTILITY(U,$J,358.3,10875,1,0)
- +576 ;;=^358.31IA^2^2
- +577 ;;^UTILITY(U,$J,358.3,10875,1,1,0)
- +578 ;;=1^94760
- +579 ;;^UTILITY(U,$J,358.3,10875,1,2,0)
- +580 ;;=2^Noninvasive Ear/Pulse Oximetry
- +581 ;;^UTILITY(U,$J,358.3,10876,0)
- +582 ;;=93770^^47^489^1^^^^1
- +583 ;;^UTILITY(U,$J,358.3,10876,1,0)
- +584 ;;=^358.31IA^2^2
- +585 ;;^UTILITY(U,$J,358.3,10876,1,1,0)
- +586 ;;=1^93770
- +587 ;;^UTILITY(U,$J,358.3,10876,1,2,0)
- +588 ;;=2^Venous Blood Pressure Reading
- +589 ;;^UTILITY(U,$J,358.3,10877,0)
- +590 ;;=97535^^47^490^2^^^^1
- +591 ;;^UTILITY(U,$J,358.3,10877,1,0)
- +592 ;;=^358.31IA^2^2
- +593 ;;^UTILITY(U,$J,358.3,10877,1,1,0)
- +594 ;;=1^97535
- +595 ;;^UTILITY(U,$J,358.3,10877,1,2,0)
- +596 ;;=2^Self-Care Mgmt Train per 15 Min
- +597 ;;^UTILITY(U,$J,358.3,10878,0)
- +598 ;;=99509^^47^490^1^^^^1
- +599 ;;^UTILITY(U,$J,358.3,10878,1,0)
- +600 ;;=^358.31IA^2^2
- +601 ;;^UTILITY(U,$J,358.3,10878,1,1,0)
- +602 ;;=1^99509
- +603 ;;^UTILITY(U,$J,358.3,10878,1,2,0)
- +604 ;;=2^Home Visit-ADL/Personal Care
- +605 ;;^UTILITY(U,$J,358.3,10879,0)
- +606 ;;=J3420^^47^491^7^^^^1
- +607 ;;^UTILITY(U,$J,358.3,10879,1,0)
- +608 ;;=^358.31IA^2^2
- +609 ;;^UTILITY(U,$J,358.3,10879,1,1,0)
- +610 ;;=1^J3420
- +611 ;;^UTILITY(U,$J,358.3,10879,1,2,0)
- +612 ;;=2^Vitamin B12,Up To 1000Mcg
- +613 ;;^UTILITY(U,$J,358.3,10880,0)
- +614 ;;=J0885^^47^491^3^^^^1
- +615 ;;^UTILITY(U,$J,358.3,10880,1,0)
- +616 ;;=^358.31IA^2^2
- +617 ;;^UTILITY(U,$J,358.3,10880,1,1,0)
- +618 ;;=1^J0885
- +619 ;;^UTILITY(U,$J,358.3,10880,1,2,0)
- +620 ;;=2^Epojen, Non-Esrd,1000U
- +621 ;;^UTILITY(U,$J,358.3,10881,0)
- +622 ;;=J2680^^47^491^4^^^^1
- +623 ;;^UTILITY(U,$J,358.3,10881,1,0)
- +624 ;;=^358.31IA^2^2
- +625 ;;^UTILITY(U,$J,358.3,10881,1,1,0)
- +626 ;;=1^J2680
- +627 ;;^UTILITY(U,$J,358.3,10881,1,2,0)
- +628 ;;=2^Fluphenazine Decanoate 25mg
- +629 ;;^UTILITY(U,$J,358.3,10882,0)
- +630 ;;=J0881^^47^491^2^^^^1
- +631 ;;^UTILITY(U,$J,358.3,10882,1,0)
- +632 ;;=^358.31IA^2^2
- +633 ;;^UTILITY(U,$J,358.3,10882,1,1,0)
- +634 ;;=1^J0881
- +635 ;;^UTILITY(U,$J,358.3,10882,1,2,0)
- +636 ;;=2^Darbepoetin Alfa (Non-Esrd) 1Mcg
- +637 ;;^UTILITY(U,$J,358.3,10883,0)
- +638 ;;=J0882^^47^491^1^^^^1
- +639 ;;^UTILITY(U,$J,358.3,10883,1,0)
- +640 ;;=^358.31IA^2^2
- +641 ;;^UTILITY(U,$J,358.3,10883,1,1,0)
- +642 ;;=1^J0882
- +643 ;;^UTILITY(U,$J,358.3,10883,1,2,0)
- +644 ;;=2^Darbepoetin Alfa (Esrd) 1Mcg
- +645 ;;^UTILITY(U,$J,358.3,10884,0)
- +646 ;;=J1071^^47^491^5^^^^1
- +647 ;;^UTILITY(U,$J,358.3,10884,1,0)
- +648 ;;=^358.31IA^2^2
- +649 ;;^UTILITY(U,$J,358.3,10884,1,1,0)
- +650 ;;=1^J1071
- +651 ;;^UTILITY(U,$J,358.3,10884,1,2,0)
- +652 ;;=2^Testosterone Cypionate 1mg
- +653 ;;^UTILITY(U,$J,358.3,10885,0)
- +654 ;;=J3121^^47^491^6^^^^1
- +655 ;;^UTILITY(U,$J,358.3,10885,1,0)
- +656 ;;=^358.31IA^2^2
- +657 ;;^UTILITY(U,$J,358.3,10885,1,1,0)
- +658 ;;=1^J3121
- +659 ;;^UTILITY(U,$J,358.3,10885,1,2,0)
- +660 ;;=2^Testosterone Enanthate 1mg
- +661 ;;^UTILITY(U,$J,358.3,10886,0)
- +662 ;;=96372^^47^492^2^^^^1