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Routine: IBDEI04H

IBDEI04H.m

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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