IBDEI05W ; ; 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,$J,358.3,14264,0)
;;=J3030^^55^614^14^^^^1
;;^UTILITY(U,$J,358.3,14264,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14264,1,2,0)
;;=2^J3030
;;^UTILITY(U,$J,358.3,14264,1,3,0)
;;=3^Imitrex, 6mg
;;^UTILITY(U,$J,358.3,14265,0)
;;=J2550^^55^614^21^^^^1
;;^UTILITY(U,$J,358.3,14265,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14265,1,2,0)
;;=2^J2550
;;^UTILITY(U,$J,358.3,14265,1,3,0)
;;=3^Phenergan,up to 50mg
;;^UTILITY(U,$J,358.3,14266,0)
;;=J0461^^55^614^7^^^^1
;;^UTILITY(U,$J,358.3,14266,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14266,1,2,0)
;;=2^J0461
;;^UTILITY(U,$J,358.3,14266,1,3,0)
;;=3^Atropine Sulfate 0.01 mg
;;^UTILITY(U,$J,358.3,14267,0)
;;=J1050^^55^614^19^^^^1
;;^UTILITY(U,$J,358.3,14267,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14267,1,2,0)
;;=2^J1050
;;^UTILITY(U,$J,358.3,14267,1,3,0)
;;=3^Medroxyprogesterone 1mg
;;^UTILITY(U,$J,358.3,14268,0)
;;=95115^^55^614^3^^^^1
;;^UTILITY(U,$J,358.3,14268,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14268,1,2,0)
;;=2^95115
;;^UTILITY(U,$J,358.3,14268,1,3,0)
;;=3^Allergy Shot,Single
;;^UTILITY(U,$J,358.3,14269,0)
;;=95117^^55^614^2^^^^1
;;^UTILITY(U,$J,358.3,14269,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14269,1,2,0)
;;=2^95117
;;^UTILITY(U,$J,358.3,14269,1,3,0)
;;=3^Allergy Shot,2 or more
;;^UTILITY(U,$J,358.3,14270,0)
;;=J0800^^55^614^10^^^^1
;;^UTILITY(U,$J,358.3,14270,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14270,1,2,0)
;;=2^J0800
;;^UTILITY(U,$J,358.3,14270,1,3,0)
;;=3^Corticotropin up to 40 units
;;^UTILITY(U,$J,358.3,14271,0)
;;=J9202^^55^614^11^^^^1
;;^UTILITY(U,$J,358.3,14271,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14271,1,2,0)
;;=2^J9202
;;^UTILITY(U,$J,358.3,14271,1,3,0)
;;=3^Goserelin Acetate Implant 3.6mg
;;^UTILITY(U,$J,358.3,14272,0)
;;=95125^^55^614^15^^^^1
;;^UTILITY(U,$J,358.3,14272,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14272,1,2,0)
;;=2^95125
;;^UTILITY(U,$J,358.3,14272,1,3,0)
;;=3^Immunotherapy 2/> Injections
;;^UTILITY(U,$J,358.3,14273,0)
;;=J0153^^55^614^1^^^^1
;;^UTILITY(U,$J,358.3,14273,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14273,1,2,0)
;;=2^J0153
;;^UTILITY(U,$J,358.3,14273,1,3,0)
;;=3^Adenosine 1 mg
;;^UTILITY(U,$J,358.3,14274,0)
;;=J1071^^55^614^23^^^^1
;;^UTILITY(U,$J,358.3,14274,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14274,1,2,0)
;;=2^J1071
;;^UTILITY(U,$J,358.3,14274,1,3,0)
;;=3^Testosterone Cypionate up to 1mg
;;^UTILITY(U,$J,358.3,14275,0)
;;=J3121^^55^614^24^^^^1
;;^UTILITY(U,$J,358.3,14275,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14275,1,2,0)
;;=2^J3121
;;^UTILITY(U,$J,358.3,14275,1,3,0)
;;=3^Testosterone Enanthate 1 mg
;;^UTILITY(U,$J,358.3,14276,0)
;;=J3490^^55^614^30^^^^1
;;^UTILITY(U,$J,358.3,14276,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14276,1,2,0)
;;=2^J3490
;;^UTILITY(U,$J,358.3,14276,1,3,0)
;;=3^Unclassified Drug Injection
;;^UTILITY(U,$J,358.3,14277,0)
;;=86485^^55^615^1^^^^1
;;^UTILITY(U,$J,358.3,14277,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14277,1,2,0)
;;=2^86485
;;^UTILITY(U,$J,358.3,14277,1,3,0)
;;=3^Candida
;;^UTILITY(U,$J,358.3,14278,0)
;;=86580^^55^615^5^^^^1
;;^UTILITY(U,$J,358.3,14278,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14278,1,2,0)
;;=2^86580
;;^UTILITY(U,$J,358.3,14278,1,3,0)
;;=3^TB
;;^UTILITY(U,$J,358.3,14279,0)
;;=95024^^55^615^3^^^^1
;;^UTILITY(U,$J,358.3,14279,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14279,1,2,0)
;;=2^95024
;;^UTILITY(U,$J,358.3,14279,1,3,0)
;;=3^Intradermals (each)
;;^UTILITY(U,$J,358.3,14280,0)
;;=86510^^55^615^2^^^^1
;;^UTILITY(U,$J,358.3,14280,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14280,1,2,0)
;;=2^86510
;;^UTILITY(U,$J,358.3,14280,1,3,0)
;;=3^Histoplasmosis
;;^UTILITY(U,$J,358.3,14281,0)
;;=86486^^55^615^4^^^^1
;;^UTILITY(U,$J,358.3,14281,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14281,1,2,0)
;;=2^86486
;;^UTILITY(U,$J,358.3,14281,1,3,0)
;;=3^Mumps
;;^UTILITY(U,$J,358.3,14282,0)
;;=94640^^55^616^12^^^^1
;;^UTILITY(U,$J,358.3,14282,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14282,1,2,0)
;;=2^94640
;;^UTILITY(U,$J,358.3,14282,1,3,0)
;;=3^Nebulizer Treatment
;;^UTILITY(U,$J,358.3,14283,0)
;;=82948^^55^616^5^^^^1
;;^UTILITY(U,$J,358.3,14283,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14283,1,2,0)
;;=2^82948
;;^UTILITY(U,$J,358.3,14283,1,3,0)
;;=3^Glucose finger stick
;;^UTILITY(U,$J,358.3,14284,0)
;;=11719^^55^616^14^^^^1
;;^UTILITY(U,$J,358.3,14284,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14284,1,2,0)
;;=2^11719
;;^UTILITY(U,$J,358.3,14284,1,3,0)
;;=3^Trim Nails (nondystrophic)
;;^UTILITY(U,$J,358.3,14285,0)
;;=81002^^55^616^15^^^^1
;;^UTILITY(U,$J,358.3,14285,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14285,1,2,0)
;;=2^81002
;;^UTILITY(U,$J,358.3,14285,1,3,0)
;;=3^UA Dipstick
;;^UTILITY(U,$J,358.3,14286,0)
;;=93005^^55^616^3^^^^1
;;^UTILITY(U,$J,358.3,14286,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14286,1,2,0)
;;=2^93005
;;^UTILITY(U,$J,358.3,14286,1,3,0)
;;=3^EKG,Tracinig Only
;;^UTILITY(U,$J,358.3,14287,0)
;;=36600^^55^616^1^^^^1
;;^UTILITY(U,$J,358.3,14287,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14287,1,2,0)
;;=2^36600
;;^UTILITY(U,$J,358.3,14287,1,3,0)
;;=3^ABG
;;^UTILITY(U,$J,358.3,14288,0)
;;=29580^^55^616^17^^^^1
;;^UTILITY(U,$J,358.3,14288,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14288,1,2,0)
;;=2^29580
;;^UTILITY(U,$J,358.3,14288,1,3,0)
;;=3^Unna Boot
;;^UTILITY(U,$J,358.3,14289,0)
;;=97602^^55^616^18^^^^1
;;^UTILITY(U,$J,358.3,14289,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14289,1,2,0)
;;=2^97602
;;^UTILITY(U,$J,358.3,14289,1,3,0)
;;=3^Wound Care, non-selective debridement
;;^UTILITY(U,$J,358.3,14290,0)
;;=51701^^55^616^10^^^^1
;;^UTILITY(U,$J,358.3,14290,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14290,1,2,0)
;;=2^51701
;;^UTILITY(U,$J,358.3,14290,1,3,0)
;;=3^Insert Catheter for Residual Urine
;;^UTILITY(U,$J,358.3,14291,0)
;;=51702^^55^616^11^^^^1
;;^UTILITY(U,$J,358.3,14291,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14291,1,2,0)
;;=2^51702
;;^UTILITY(U,$J,358.3,14291,1,3,0)
;;=3^Insert Foley Cath
;;^UTILITY(U,$J,358.3,14292,0)
;;=51798^^55^616^16^^^^1
;;^UTILITY(U,$J,358.3,14292,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14292,1,2,0)
;;=2^51798
;;^UTILITY(U,$J,358.3,14292,1,3,0)
;;=3^Ultrasound for Resid Urine
;;^UTILITY(U,$J,358.3,14293,0)
;;=96360^^55^616^6^^^^1
;;^UTILITY(U,$J,358.3,14293,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14293,1,2,0)
;;=2^96360
;;^UTILITY(U,$J,358.3,14293,1,3,0)
;;=3^Hydration,IV,1st hour
;;^UTILITY(U,$J,358.3,14294,0)
;;=96361^^55^616^7^^^^1
;;^UTILITY(U,$J,358.3,14294,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14294,1,2,0)
;;=2^96361
;;^UTILITY(U,$J,358.3,14294,1,3,0)
;;=3^Hydration,IV,ea addl hour
;;^UTILITY(U,$J,358.3,14295,0)
;;=96365^^55^616^8^^^^1
;;^UTILITY(U,$J,358.3,14295,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14295,1,2,0)
;;=2^96365
;;^UTILITY(U,$J,358.3,14295,1,3,0)
;;=3^Infusion,IV 1st hr
;;^UTILITY(U,$J,358.3,14296,0)
;;=96366^^55^616^9^^^^1
;;^UTILITY(U,$J,358.3,14296,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14296,1,2,0)
;;=2^96366
;;^UTILITY(U,$J,358.3,14296,1,3,0)
;;=3^Infusion,IV ea addl hour
;;^UTILITY(U,$J,358.3,14297,0)
;;=94664^^55^616^4^^^^1
;;^UTILITY(U,$J,358.3,14297,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14297,1,2,0)
;;=2^94664
;;^UTILITY(U,$J,358.3,14297,1,3,0)
;;=3^Evaluate Pt Use of Inhaler
;;^UTILITY(U,$J,358.3,14298,0)
;;=99195^^55^616^13^^^^1
;;^UTILITY(U,$J,358.3,14298,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14298,1,2,0)
;;=2^99195
;;^UTILITY(U,$J,358.3,14298,1,3,0)
;;=3^Phlebotomy
;;^UTILITY(U,$J,358.3,14299,0)
;;=94760^^55^616^2^^^^1
;;^UTILITY(U,$J,358.3,14299,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14299,1,2,0)
;;=2^94760
;;^UTILITY(U,$J,358.3,14299,1,3,0)
;;=3^Blood Oxygen Level
;;^UTILITY(U,$J,358.3,14300,0)
;;=17000^^55^617^12^^^^1
;;^UTILITY(U,$J,358.3,14300,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14300,1,2,0)
;;=2^17000
;;^UTILITY(U,$J,358.3,14300,1,3,0)
;;=3^Destr Premalig Lesion,Any Method,1st Lesion
;;^UTILITY(U,$J,358.3,14301,0)
;;=17003^^55^617^13^^^^1
;;^UTILITY(U,$J,358.3,14301,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14301,1,2,0)
;;=2^17003
;;^UTILITY(U,$J,358.3,14301,1,3,0)
;;=3^Destr Premalig Lesion,Any Method,Ea Addl Lesion
;;^UTILITY(U,$J,358.3,14302,0)
;;=17004^^55^617^14^^^^1
;;^UTILITY(U,$J,358.3,14302,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14302,1,2,0)
;;=2^17004
;;^UTILITY(U,$J,358.3,14302,1,3,0)
;;=3^Destr Premalig Lesions > 14 Lesions
;;^UTILITY(U,$J,358.3,14303,0)
;;=10060^^55^617^24^^^^1
;;^UTILITY(U,$J,358.3,14303,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14303,1,2,0)
;;=2^10060
;;^UTILITY(U,$J,358.3,14303,1,3,0)
;;=3^I&D abscess
;;^UTILITY(U,$J,358.3,14304,0)
;;=10061^^55^617^23^^^^1
;;^UTILITY(U,$J,358.3,14304,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14304,1,2,0)
;;=2^10061
;;^UTILITY(U,$J,358.3,14304,1,3,0)
;;=3^I&D Complicated Abscess
;;^UTILITY(U,$J,358.3,14305,0)
;;=11042^^55^617^9^^^^1
;;^UTILITY(U,$J,358.3,14305,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14305,1,2,0)
;;=2^11042
;;^UTILITY(U,$J,358.3,14305,1,3,0)
;;=3^Debridement, Skin & Subcu. Tissue
;;^UTILITY(U,$J,358.3,14306,0)
;;=20550^^55^617^26^^^^1
;;^UTILITY(U,$J,358.3,14306,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14306,1,2,0)
;;=2^20550
;;^UTILITY(U,$J,358.3,14306,1,3,0)
;;=3^Injection, Tendon Sheath, Ligament, Ganglion Cyst
;;^UTILITY(U,$J,358.3,14307,0)
;;=20551^^55^617^25^^^^1
;;^UTILITY(U,$J,358.3,14307,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14307,1,2,0)
;;=2^20551
;;^UTILITY(U,$J,358.3,14307,1,3,0)
;;=3^Injection, Tendon Origin/Insertion
;;^UTILITY(U,$J,358.3,14308,0)
;;=20552^^55^617^27^^^^1
;;^UTILITY(U,$J,358.3,14308,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14308,1,2,0)
;;=2^20552
;;^UTILITY(U,$J,358.3,14308,1,3,0)
;;=3^Injection, Trigger Point, 1 or 2 Muscle groups
;;^UTILITY(U,$J,358.3,14309,0)
;;=20600^^55^617^6^^^^1
;;^UTILITY(U,$J,358.3,14309,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14309,1,2,0)
;;=2^20600
;;^UTILITY(U,$J,358.3,14309,1,3,0)
;;=3^Arthrocentesis,Small Jt w/o US Guidance
;;^UTILITY(U,$J,358.3,14310,0)
;;=20605^^55^617^2^^^^1
;;^UTILITY(U,$J,358.3,14310,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14310,1,2,0)
;;=2^20605
;;^UTILITY(U,$J,358.3,14310,1,3,0)
;;=3^Arthrocentesis,Intermediate Jt w/o US Guidance
;;^UTILITY(U,$J,358.3,14311,0)
;;=20610^^55^617^4^^^^1
;;^UTILITY(U,$J,358.3,14311,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14311,1,2,0)
;;=2^20610
;;^UTILITY(U,$J,358.3,14311,1,3,0)
;;=3^Arthrocentesis,Major Jt w/o US Guidance
;;^UTILITY(U,$J,358.3,14312,0)
;;=30901^^55^617^28^^^^1
;;^UTILITY(U,$J,358.3,14312,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14312,1,2,0)
;;=2^30901
;;^UTILITY(U,$J,358.3,14312,1,3,0)
;;=3^Nasal Packing
;;^UTILITY(U,$J,358.3,14313,0)
;;=31500^^55^617^20^^^^1
;;^UTILITY(U,$J,358.3,14313,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14313,1,2,0)
;;=2^31500
;;^UTILITY(U,$J,358.3,14313,1,3,0)
;;=3^Endotrach Intubation
;;^UTILITY(U,$J,358.3,14314,0)
;;=92950^^55^617^8^^^^1
;;^UTILITY(U,$J,358.3,14314,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14314,1,2,0)
;;=2^92950
;;^UTILITY(U,$J,358.3,14314,1,3,0)
;;=3^CPR
;;^UTILITY(U,$J,358.3,14315,0)
;;=11055^^55^617^34^^^^1
;;^UTILITY(U,$J,358.3,14315,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14315,1,2,0)
;;=2^11055
;;^UTILITY(U,$J,358.3,14315,1,3,0)
;;=3^Trim Corn/Callous, 1
;;^UTILITY(U,$J,358.3,14316,0)
;;=11056^^55^617^35^^^^1
;;^UTILITY(U,$J,358.3,14316,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14316,1,2,0)
;;=2^11056
;;^UTILITY(U,$J,358.3,14316,1,3,0)
;;=3^Trim Corn/Callous, 2 to 4
;;^UTILITY(U,$J,358.3,14317,0)
;;=11057^^55^617^36^^^^1
;;^UTILITY(U,$J,358.3,14317,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14317,1,2,0)
;;=2^11057
;;^UTILITY(U,$J,358.3,14317,1,3,0)
;;=3^Trim Corn/Callous, 5 or more
;;^UTILITY(U,$J,358.3,14318,0)
;;=Q0091^^55^617^29^^^^1
;;^UTILITY(U,$J,358.3,14318,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14318,1,2,0)
;;=2^Q0091
;;^UTILITY(U,$J,358.3,14318,1,3,0)
;;=3^Pap Smear
;;^UTILITY(U,$J,358.3,14319,0)
;;=G0101^^55^617^30^^^^1
;;^UTILITY(U,$J,358.3,14319,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14319,1,2,0)
;;=2^G0101
;;^UTILITY(U,$J,358.3,14319,1,3,0)
;;=3^Pelvic/Breast Exam
;;^UTILITY(U,$J,358.3,14320,0)
;;=78730^^55^617^7^^^^1
;;^UTILITY(U,$J,358.3,14320,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14320,1,2,0)
;;=2^78730
;;^UTILITY(U,$J,358.3,14320,1,3,0)
;;=3^Bladder Retention Study
;;^UTILITY(U,$J,358.3,14321,0)
;;=20604^^55^617^5^^^^1
;;^UTILITY(U,$J,358.3,14321,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14321,1,2,0)
;;=2^20604
;;^UTILITY(U,$J,358.3,14321,1,3,0)
;;=3^Arthrocentesis,Small Jt w/ US Guidance
;;^UTILITY(U,$J,358.3,14322,0)
;;=20611^^55^617^3^^^^1
;;^UTILITY(U,$J,358.3,14322,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14322,1,2,0)
;;=2^20611
;;^UTILITY(U,$J,358.3,14322,1,3,0)
;;=3^Arthrocentesis,Major Jt w/ US Guidance
;;^UTILITY(U,$J,358.3,14323,0)
;;=20606^^55^617^1^^^^1
;;^UTILITY(U,$J,358.3,14323,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14323,1,2,0)
;;=2^20606
;;^UTILITY(U,$J,358.3,14323,1,3,0)
;;=3^Arthrocentesis,Intermediate Jt w/ US Guidance
;;^UTILITY(U,$J,358.3,14324,0)
;;=78740^^55^617^37^^^^1
;;^UTILITY(U,$J,358.3,14324,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14324,1,2,0)
;;=2^78740
;;^UTILITY(U,$J,358.3,14324,1,3,0)
;;=3^Urethral Reflux Study
;;^UTILITY(U,$J,358.3,14325,0)
;;=69210^^55^617^19^^^^1
;;^UTILITY(U,$J,358.3,14325,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14325,1,2,0)
;;=2^69210
;;^UTILITY(U,$J,358.3,14325,1,3,0)
;;=3^Ear Cleaning/Req Instrumentation (MD Only)
;;^UTILITY(U,$J,358.3,14326,0)
;;=93000^^55^617^17^^^^1
;;^UTILITY(U,$J,358.3,14326,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14326,1,2,0)
;;=2^93000
;;^UTILITY(U,$J,358.3,14326,1,3,0)
;;=3^EKG w/ Interp & Rpt-MD
;;^UTILITY(U,$J,358.3,14327,0)
;;=69209^^55^617^18^^^^1
;;^UTILITY(U,$J,358.3,14327,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14327,1,2,0)
;;=2^69209
;;^UTILITY(U,$J,358.3,14327,1,3,0)
;;=3^Ear Cleaning/Lavage/Irrigation (MD Only)
;;^UTILITY(U,$J,358.3,14328,0)
;;=17110^^55^617^10^^^^1
;;^UTILITY(U,$J,358.3,14328,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14328,1,2,0)
;;=2^17110
;;^UTILITY(U,$J,358.3,14328,1,3,0)
;;=3^Destr Benign Lesion(s),1-14 Lesions
;;^UTILITY(U,$J,358.3,14329,0)
;;=17111^^55^617^11^^^^1
;;^UTILITY(U,$J,358.3,14329,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14329,1,2,0)
;;=2^17111
;;^UTILITY(U,$J,358.3,14329,1,3,0)
;;=3^Destr Benign Lesions,15+ Lesions
;;^UTILITY(U,$J,358.3,14330,0)
;;=11200^^55^617^31^^^^1
;;^UTILITY(U,$J,358.3,14330,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14330,1,2,0)
;;=2^11200
;;^UTILITY(U,$J,358.3,14330,1,3,0)
;;=3^Removal of Skin Tags,1-15
;;^UTILITY(U,$J,358.3,14331,0)
;;=11201^^55^617^32^^^^1
;;^UTILITY(U,$J,358.3,14331,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14331,1,2,0)
;;=2^11201
;;^UTILITY(U,$J,358.3,14331,1,3,0)
;;=3^Removal of Skin Tags,Ea Addl 10
;;^UTILITY(U,$J,358.3,14332,0)
;;=10021^^55^617^21^^^^1
;;^UTILITY(U,$J,358.3,14332,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14332,1,2,0)
;;=2^10021
;;^UTILITY(U,$J,358.3,14332,1,3,0)
;;=3^FNA w/o Imaging Guidance,1st Lesion
;;^UTILITY(U,$J,358.3,14333,0)
;;=11300^^55^617^33^^^^1
;;^UTILITY(U,$J,358.3,14333,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14333,1,2,0)
;;=2^11300
;;^UTILITY(U,$J,358.3,14333,1,3,0)
;;=3^Shave Skin Lesion 0.5cm/<
;;^UTILITY(U,$J,358.3,14334,0)
;;=10004^^55^617^22^^^^1
;;^UTILITY(U,$J,358.3,14334,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14334,1,2,0)
;;=2^10004
;;^UTILITY(U,$J,358.3,14334,1,3,0)
;;=3^FNA w/o Imaging Guidance,Ea Addl Lesion
;;^UTILITY(U,$J,358.3,14335,0)
;;=93010^^55^617^15^^^^1
;;^UTILITY(U,$J,358.3,14335,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14335,1,2,0)
;;=2^93010
;;^UTILITY(U,$J,358.3,14335,1,3,0)
;;=3^EKG Interp & Rpt-MD
;;^UTILITY(U,$J,358.3,14336,0)
;;=93005^^55^617^16^^^^1
;;^UTILITY(U,$J,358.3,14336,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14336,1,2,0)
;;=2^93005
;;^UTILITY(U,$J,358.3,14336,1,3,0)
;;=3^EKG Tracing Only
;;^UTILITY(U,$J,358.3,14337,0)
;;=29105^^55^618^2^^^^1
;;^UTILITY(U,$J,358.3,14337,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14337,1,2,0)
;;=2^29105
;;^UTILITY(U,$J,358.3,14337,1,3,0)
;;=3^Long Arm Splint
;;^UTILITY(U,$J,358.3,14338,0)
;;=29125^^55^618^4^^^^1
;;^UTILITY(U,$J,358.3,14338,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14338,1,2,0)
;;=2^29125
;;^UTILITY(U,$J,358.3,14338,1,3,0)
;;=3^Short Arm Splint; Static
;;^UTILITY(U,$J,358.3,14339,0)
;;=29126^^55^618^3^^^^1
;;^UTILITY(U,$J,358.3,14339,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14339,1,2,0)
;;=2^29126
;;^UTILITY(U,$J,358.3,14339,1,3,0)
;;=3^Short Arm Splint; Dynamic
;;^UTILITY(U,$J,358.3,14340,0)
;;=29130^^55^618^1^^^^1
;;^UTILITY(U,$J,358.3,14340,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14340,1,2,0)
;;=2^29130
;;^UTILITY(U,$J,358.3,14340,1,3,0)
;;=3^Finger Splint
;;^UTILITY(U,$J,358.3,14341,0)
;;=12001^^55^619^1^^^^1
;;^UTILITY(U,$J,358.3,14341,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14341,1,2,0)
;;=2^12001
;;^UTILITY(U,$J,358.3,14341,1,3,0)
;;=3^Simple repair; 2.5 cm or less
;;^UTILITY(U,$J,358.3,14342,0)
;;=12002^^55^619^2^^^^1
;;^UTILITY(U,$J,358.3,14342,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14342,1,2,0)
;;=2^12002
;;^UTILITY(U,$J,358.3,14342,1,3,0)
;;=3^Simple repair; 2.6 cm to 7.5 cm
;;^UTILITY(U,$J,358.3,14343,0)
;;=12004^^55^619^3^^^^1
;;^UTILITY(U,$J,358.3,14343,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14343,1,2,0)
;;=2^12004
;;^UTILITY(U,$J,358.3,14343,1,3,0)
;;=3^Simple repair; 7.6 cm to 12.5 cm
;;^UTILITY(U,$J,358.3,14344,0)
;;=12005^^55^619^4^^^^1
;;^UTILITY(U,$J,358.3,14344,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14344,1,2,0)
;;=2^12005
;;^UTILITY(U,$J,358.3,14344,1,3,0)
;;=3^Simple repair; 12.6 cm to 20 cm
;;^UTILITY(U,$J,358.3,14345,0)
;;=12006^^55^619^5^^^^1
;;^UTILITY(U,$J,358.3,14345,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14345,1,2,0)
;;=2^12006
;;^UTILITY(U,$J,358.3,14345,1,3,0)
;;=3^Simple repair; 20.1 cm to 30 cm
;;^UTILITY(U,$J,358.3,14346,0)
;;=12007^^55^619^6^^^^1
;;^UTILITY(U,$J,358.3,14346,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,14346,1,2,0)
;;=2^12007
;;^UTILITY(U,$J,358.3,14346,1,3,0)
;;=3^Simple repair; over 30 cm
;;^UTILITY(U,$J,358.3,14347,0)
;;=12011^^55^620^1^^^^1
;;^UTILITY(U,$J,358.3,14347,1,0)
;;=^358.31IA^3^2
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI05W 19757 printed Sep 23, 2025@19:18:14 Page 2
IBDEI05W ; ; 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,358.3,14264,0)
+2 ;;=J3030^^55^614^14^^^^1
+3 ;;^UTILITY(U,$J,358.3,14264,1,0)
+4 ;;=^358.31IA^3^2
+5 ;;^UTILITY(U,$J,358.3,14264,1,2,0)
+6 ;;=2^J3030
+7 ;;^UTILITY(U,$J,358.3,14264,1,3,0)
+8 ;;=3^Imitrex, 6mg
+9 ;;^UTILITY(U,$J,358.3,14265,0)
+10 ;;=J2550^^55^614^21^^^^1
+11 ;;^UTILITY(U,$J,358.3,14265,1,0)
+12 ;;=^358.31IA^3^2
+13 ;;^UTILITY(U,$J,358.3,14265,1,2,0)
+14 ;;=2^J2550
+15 ;;^UTILITY(U,$J,358.3,14265,1,3,0)
+16 ;;=3^Phenergan,up to 50mg
+17 ;;^UTILITY(U,$J,358.3,14266,0)
+18 ;;=J0461^^55^614^7^^^^1
+19 ;;^UTILITY(U,$J,358.3,14266,1,0)
+20 ;;=^358.31IA^3^2
+21 ;;^UTILITY(U,$J,358.3,14266,1,2,0)
+22 ;;=2^J0461
+23 ;;^UTILITY(U,$J,358.3,14266,1,3,0)
+24 ;;=3^Atropine Sulfate 0.01 mg
+25 ;;^UTILITY(U,$J,358.3,14267,0)
+26 ;;=J1050^^55^614^19^^^^1
+27 ;;^UTILITY(U,$J,358.3,14267,1,0)
+28 ;;=^358.31IA^3^2
+29 ;;^UTILITY(U,$J,358.3,14267,1,2,0)
+30 ;;=2^J1050
+31 ;;^UTILITY(U,$J,358.3,14267,1,3,0)
+32 ;;=3^Medroxyprogesterone 1mg
+33 ;;^UTILITY(U,$J,358.3,14268,0)
+34 ;;=95115^^55^614^3^^^^1
+35 ;;^UTILITY(U,$J,358.3,14268,1,0)
+36 ;;=^358.31IA^3^2
+37 ;;^UTILITY(U,$J,358.3,14268,1,2,0)
+38 ;;=2^95115
+39 ;;^UTILITY(U,$J,358.3,14268,1,3,0)
+40 ;;=3^Allergy Shot,Single
+41 ;;^UTILITY(U,$J,358.3,14269,0)
+42 ;;=95117^^55^614^2^^^^1
+43 ;;^UTILITY(U,$J,358.3,14269,1,0)
+44 ;;=^358.31IA^3^2
+45 ;;^UTILITY(U,$J,358.3,14269,1,2,0)
+46 ;;=2^95117
+47 ;;^UTILITY(U,$J,358.3,14269,1,3,0)
+48 ;;=3^Allergy Shot,2 or more
+49 ;;^UTILITY(U,$J,358.3,14270,0)
+50 ;;=J0800^^55^614^10^^^^1
+51 ;;^UTILITY(U,$J,358.3,14270,1,0)
+52 ;;=^358.31IA^3^2
+53 ;;^UTILITY(U,$J,358.3,14270,1,2,0)
+54 ;;=2^J0800
+55 ;;^UTILITY(U,$J,358.3,14270,1,3,0)
+56 ;;=3^Corticotropin up to 40 units
+57 ;;^UTILITY(U,$J,358.3,14271,0)
+58 ;;=J9202^^55^614^11^^^^1
+59 ;;^UTILITY(U,$J,358.3,14271,1,0)
+60 ;;=^358.31IA^3^2
+61 ;;^UTILITY(U,$J,358.3,14271,1,2,0)
+62 ;;=2^J9202
+63 ;;^UTILITY(U,$J,358.3,14271,1,3,0)
+64 ;;=3^Goserelin Acetate Implant 3.6mg
+65 ;;^UTILITY(U,$J,358.3,14272,0)
+66 ;;=95125^^55^614^15^^^^1
+67 ;;^UTILITY(U,$J,358.3,14272,1,0)
+68 ;;=^358.31IA^3^2
+69 ;;^UTILITY(U,$J,358.3,14272,1,2,0)
+70 ;;=2^95125
+71 ;;^UTILITY(U,$J,358.3,14272,1,3,0)
+72 ;;=3^Immunotherapy 2/> Injections
+73 ;;^UTILITY(U,$J,358.3,14273,0)
+74 ;;=J0153^^55^614^1^^^^1
+75 ;;^UTILITY(U,$J,358.3,14273,1,0)
+76 ;;=^358.31IA^3^2
+77 ;;^UTILITY(U,$J,358.3,14273,1,2,0)
+78 ;;=2^J0153
+79 ;;^UTILITY(U,$J,358.3,14273,1,3,0)
+80 ;;=3^Adenosine 1 mg
+81 ;;^UTILITY(U,$J,358.3,14274,0)
+82 ;;=J1071^^55^614^23^^^^1
+83 ;;^UTILITY(U,$J,358.3,14274,1,0)
+84 ;;=^358.31IA^3^2
+85 ;;^UTILITY(U,$J,358.3,14274,1,2,0)
+86 ;;=2^J1071
+87 ;;^UTILITY(U,$J,358.3,14274,1,3,0)
+88 ;;=3^Testosterone Cypionate up to 1mg
+89 ;;^UTILITY(U,$J,358.3,14275,0)
+90 ;;=J3121^^55^614^24^^^^1
+91 ;;^UTILITY(U,$J,358.3,14275,1,0)
+92 ;;=^358.31IA^3^2
+93 ;;^UTILITY(U,$J,358.3,14275,1,2,0)
+94 ;;=2^J3121
+95 ;;^UTILITY(U,$J,358.3,14275,1,3,0)
+96 ;;=3^Testosterone Enanthate 1 mg
+97 ;;^UTILITY(U,$J,358.3,14276,0)
+98 ;;=J3490^^55^614^30^^^^1
+99 ;;^UTILITY(U,$J,358.3,14276,1,0)
+100 ;;=^358.31IA^3^2
+101 ;;^UTILITY(U,$J,358.3,14276,1,2,0)
+102 ;;=2^J3490
+103 ;;^UTILITY(U,$J,358.3,14276,1,3,0)
+104 ;;=3^Unclassified Drug Injection
+105 ;;^UTILITY(U,$J,358.3,14277,0)
+106 ;;=86485^^55^615^1^^^^1
+107 ;;^UTILITY(U,$J,358.3,14277,1,0)
+108 ;;=^358.31IA^3^2
+109 ;;^UTILITY(U,$J,358.3,14277,1,2,0)
+110 ;;=2^86485
+111 ;;^UTILITY(U,$J,358.3,14277,1,3,0)
+112 ;;=3^Candida
+113 ;;^UTILITY(U,$J,358.3,14278,0)
+114 ;;=86580^^55^615^5^^^^1
+115 ;;^UTILITY(U,$J,358.3,14278,1,0)
+116 ;;=^358.31IA^3^2
+117 ;;^UTILITY(U,$J,358.3,14278,1,2,0)
+118 ;;=2^86580
+119 ;;^UTILITY(U,$J,358.3,14278,1,3,0)
+120 ;;=3^TB
+121 ;;^UTILITY(U,$J,358.3,14279,0)
+122 ;;=95024^^55^615^3^^^^1
+123 ;;^UTILITY(U,$J,358.3,14279,1,0)
+124 ;;=^358.31IA^3^2
+125 ;;^UTILITY(U,$J,358.3,14279,1,2,0)
+126 ;;=2^95024
+127 ;;^UTILITY(U,$J,358.3,14279,1,3,0)
+128 ;;=3^Intradermals (each)
+129 ;;^UTILITY(U,$J,358.3,14280,0)
+130 ;;=86510^^55^615^2^^^^1
+131 ;;^UTILITY(U,$J,358.3,14280,1,0)
+132 ;;=^358.31IA^3^2
+133 ;;^UTILITY(U,$J,358.3,14280,1,2,0)
+134 ;;=2^86510
+135 ;;^UTILITY(U,$J,358.3,14280,1,3,0)
+136 ;;=3^Histoplasmosis
+137 ;;^UTILITY(U,$J,358.3,14281,0)
+138 ;;=86486^^55^615^4^^^^1
+139 ;;^UTILITY(U,$J,358.3,14281,1,0)
+140 ;;=^358.31IA^3^2
+141 ;;^UTILITY(U,$J,358.3,14281,1,2,0)
+142 ;;=2^86486
+143 ;;^UTILITY(U,$J,358.3,14281,1,3,0)
+144 ;;=3^Mumps
+145 ;;^UTILITY(U,$J,358.3,14282,0)
+146 ;;=94640^^55^616^12^^^^1
+147 ;;^UTILITY(U,$J,358.3,14282,1,0)
+148 ;;=^358.31IA^3^2
+149 ;;^UTILITY(U,$J,358.3,14282,1,2,0)
+150 ;;=2^94640
+151 ;;^UTILITY(U,$J,358.3,14282,1,3,0)
+152 ;;=3^Nebulizer Treatment
+153 ;;^UTILITY(U,$J,358.3,14283,0)
+154 ;;=82948^^55^616^5^^^^1
+155 ;;^UTILITY(U,$J,358.3,14283,1,0)
+156 ;;=^358.31IA^3^2
+157 ;;^UTILITY(U,$J,358.3,14283,1,2,0)
+158 ;;=2^82948
+159 ;;^UTILITY(U,$J,358.3,14283,1,3,0)
+160 ;;=3^Glucose finger stick
+161 ;;^UTILITY(U,$J,358.3,14284,0)
+162 ;;=11719^^55^616^14^^^^1
+163 ;;^UTILITY(U,$J,358.3,14284,1,0)
+164 ;;=^358.31IA^3^2
+165 ;;^UTILITY(U,$J,358.3,14284,1,2,0)
+166 ;;=2^11719
+167 ;;^UTILITY(U,$J,358.3,14284,1,3,0)
+168 ;;=3^Trim Nails (nondystrophic)
+169 ;;^UTILITY(U,$J,358.3,14285,0)
+170 ;;=81002^^55^616^15^^^^1
+171 ;;^UTILITY(U,$J,358.3,14285,1,0)
+172 ;;=^358.31IA^3^2
+173 ;;^UTILITY(U,$J,358.3,14285,1,2,0)
+174 ;;=2^81002
+175 ;;^UTILITY(U,$J,358.3,14285,1,3,0)
+176 ;;=3^UA Dipstick
+177 ;;^UTILITY(U,$J,358.3,14286,0)
+178 ;;=93005^^55^616^3^^^^1
+179 ;;^UTILITY(U,$J,358.3,14286,1,0)
+180 ;;=^358.31IA^3^2
+181 ;;^UTILITY(U,$J,358.3,14286,1,2,0)
+182 ;;=2^93005
+183 ;;^UTILITY(U,$J,358.3,14286,1,3,0)
+184 ;;=3^EKG,Tracinig Only
+185 ;;^UTILITY(U,$J,358.3,14287,0)
+186 ;;=36600^^55^616^1^^^^1
+187 ;;^UTILITY(U,$J,358.3,14287,1,0)
+188 ;;=^358.31IA^3^2
+189 ;;^UTILITY(U,$J,358.3,14287,1,2,0)
+190 ;;=2^36600
+191 ;;^UTILITY(U,$J,358.3,14287,1,3,0)
+192 ;;=3^ABG
+193 ;;^UTILITY(U,$J,358.3,14288,0)
+194 ;;=29580^^55^616^17^^^^1
+195 ;;^UTILITY(U,$J,358.3,14288,1,0)
+196 ;;=^358.31IA^3^2
+197 ;;^UTILITY(U,$J,358.3,14288,1,2,0)
+198 ;;=2^29580
+199 ;;^UTILITY(U,$J,358.3,14288,1,3,0)
+200 ;;=3^Unna Boot
+201 ;;^UTILITY(U,$J,358.3,14289,0)
+202 ;;=97602^^55^616^18^^^^1
+203 ;;^UTILITY(U,$J,358.3,14289,1,0)
+204 ;;=^358.31IA^3^2
+205 ;;^UTILITY(U,$J,358.3,14289,1,2,0)
+206 ;;=2^97602
+207 ;;^UTILITY(U,$J,358.3,14289,1,3,0)
+208 ;;=3^Wound Care, non-selective debridement
+209 ;;^UTILITY(U,$J,358.3,14290,0)
+210 ;;=51701^^55^616^10^^^^1
+211 ;;^UTILITY(U,$J,358.3,14290,1,0)
+212 ;;=^358.31IA^3^2
+213 ;;^UTILITY(U,$J,358.3,14290,1,2,0)
+214 ;;=2^51701
+215 ;;^UTILITY(U,$J,358.3,14290,1,3,0)
+216 ;;=3^Insert Catheter for Residual Urine
+217 ;;^UTILITY(U,$J,358.3,14291,0)
+218 ;;=51702^^55^616^11^^^^1
+219 ;;^UTILITY(U,$J,358.3,14291,1,0)
+220 ;;=^358.31IA^3^2
+221 ;;^UTILITY(U,$J,358.3,14291,1,2,0)
+222 ;;=2^51702
+223 ;;^UTILITY(U,$J,358.3,14291,1,3,0)
+224 ;;=3^Insert Foley Cath
+225 ;;^UTILITY(U,$J,358.3,14292,0)
+226 ;;=51798^^55^616^16^^^^1
+227 ;;^UTILITY(U,$J,358.3,14292,1,0)
+228 ;;=^358.31IA^3^2
+229 ;;^UTILITY(U,$J,358.3,14292,1,2,0)
+230 ;;=2^51798
+231 ;;^UTILITY(U,$J,358.3,14292,1,3,0)
+232 ;;=3^Ultrasound for Resid Urine
+233 ;;^UTILITY(U,$J,358.3,14293,0)
+234 ;;=96360^^55^616^6^^^^1
+235 ;;^UTILITY(U,$J,358.3,14293,1,0)
+236 ;;=^358.31IA^3^2
+237 ;;^UTILITY(U,$J,358.3,14293,1,2,0)
+238 ;;=2^96360
+239 ;;^UTILITY(U,$J,358.3,14293,1,3,0)
+240 ;;=3^Hydration,IV,1st hour
+241 ;;^UTILITY(U,$J,358.3,14294,0)
+242 ;;=96361^^55^616^7^^^^1
+243 ;;^UTILITY(U,$J,358.3,14294,1,0)
+244 ;;=^358.31IA^3^2
+245 ;;^UTILITY(U,$J,358.3,14294,1,2,0)
+246 ;;=2^96361
+247 ;;^UTILITY(U,$J,358.3,14294,1,3,0)
+248 ;;=3^Hydration,IV,ea addl hour
+249 ;;^UTILITY(U,$J,358.3,14295,0)
+250 ;;=96365^^55^616^8^^^^1
+251 ;;^UTILITY(U,$J,358.3,14295,1,0)
+252 ;;=^358.31IA^3^2
+253 ;;^UTILITY(U,$J,358.3,14295,1,2,0)
+254 ;;=2^96365
+255 ;;^UTILITY(U,$J,358.3,14295,1,3,0)
+256 ;;=3^Infusion,IV 1st hr
+257 ;;^UTILITY(U,$J,358.3,14296,0)
+258 ;;=96366^^55^616^9^^^^1
+259 ;;^UTILITY(U,$J,358.3,14296,1,0)
+260 ;;=^358.31IA^3^2
+261 ;;^UTILITY(U,$J,358.3,14296,1,2,0)
+262 ;;=2^96366
+263 ;;^UTILITY(U,$J,358.3,14296,1,3,0)
+264 ;;=3^Infusion,IV ea addl hour
+265 ;;^UTILITY(U,$J,358.3,14297,0)
+266 ;;=94664^^55^616^4^^^^1
+267 ;;^UTILITY(U,$J,358.3,14297,1,0)
+268 ;;=^358.31IA^3^2
+269 ;;^UTILITY(U,$J,358.3,14297,1,2,0)
+270 ;;=2^94664
+271 ;;^UTILITY(U,$J,358.3,14297,1,3,0)
+272 ;;=3^Evaluate Pt Use of Inhaler
+273 ;;^UTILITY(U,$J,358.3,14298,0)
+274 ;;=99195^^55^616^13^^^^1
+275 ;;^UTILITY(U,$J,358.3,14298,1,0)
+276 ;;=^358.31IA^3^2
+277 ;;^UTILITY(U,$J,358.3,14298,1,2,0)
+278 ;;=2^99195
+279 ;;^UTILITY(U,$J,358.3,14298,1,3,0)
+280 ;;=3^Phlebotomy
+281 ;;^UTILITY(U,$J,358.3,14299,0)
+282 ;;=94760^^55^616^2^^^^1
+283 ;;^UTILITY(U,$J,358.3,14299,1,0)
+284 ;;=^358.31IA^3^2
+285 ;;^UTILITY(U,$J,358.3,14299,1,2,0)
+286 ;;=2^94760
+287 ;;^UTILITY(U,$J,358.3,14299,1,3,0)
+288 ;;=3^Blood Oxygen Level
+289 ;;^UTILITY(U,$J,358.3,14300,0)
+290 ;;=17000^^55^617^12^^^^1
+291 ;;^UTILITY(U,$J,358.3,14300,1,0)
+292 ;;=^358.31IA^3^2
+293 ;;^UTILITY(U,$J,358.3,14300,1,2,0)
+294 ;;=2^17000
+295 ;;^UTILITY(U,$J,358.3,14300,1,3,0)
+296 ;;=3^Destr Premalig Lesion,Any Method,1st Lesion
+297 ;;^UTILITY(U,$J,358.3,14301,0)
+298 ;;=17003^^55^617^13^^^^1
+299 ;;^UTILITY(U,$J,358.3,14301,1,0)
+300 ;;=^358.31IA^3^2
+301 ;;^UTILITY(U,$J,358.3,14301,1,2,0)
+302 ;;=2^17003
+303 ;;^UTILITY(U,$J,358.3,14301,1,3,0)
+304 ;;=3^Destr Premalig Lesion,Any Method,Ea Addl Lesion
+305 ;;^UTILITY(U,$J,358.3,14302,0)
+306 ;;=17004^^55^617^14^^^^1
+307 ;;^UTILITY(U,$J,358.3,14302,1,0)
+308 ;;=^358.31IA^3^2
+309 ;;^UTILITY(U,$J,358.3,14302,1,2,0)
+310 ;;=2^17004
+311 ;;^UTILITY(U,$J,358.3,14302,1,3,0)
+312 ;;=3^Destr Premalig Lesions > 14 Lesions
+313 ;;^UTILITY(U,$J,358.3,14303,0)
+314 ;;=10060^^55^617^24^^^^1
+315 ;;^UTILITY(U,$J,358.3,14303,1,0)
+316 ;;=^358.31IA^3^2
+317 ;;^UTILITY(U,$J,358.3,14303,1,2,0)
+318 ;;=2^10060
+319 ;;^UTILITY(U,$J,358.3,14303,1,3,0)
+320 ;;=3^I&D abscess
+321 ;;^UTILITY(U,$J,358.3,14304,0)
+322 ;;=10061^^55^617^23^^^^1
+323 ;;^UTILITY(U,$J,358.3,14304,1,0)
+324 ;;=^358.31IA^3^2
+325 ;;^UTILITY(U,$J,358.3,14304,1,2,0)
+326 ;;=2^10061
+327 ;;^UTILITY(U,$J,358.3,14304,1,3,0)
+328 ;;=3^I&D Complicated Abscess
+329 ;;^UTILITY(U,$J,358.3,14305,0)
+330 ;;=11042^^55^617^9^^^^1
+331 ;;^UTILITY(U,$J,358.3,14305,1,0)
+332 ;;=^358.31IA^3^2
+333 ;;^UTILITY(U,$J,358.3,14305,1,2,0)
+334 ;;=2^11042
+335 ;;^UTILITY(U,$J,358.3,14305,1,3,0)
+336 ;;=3^Debridement, Skin & Subcu. Tissue
+337 ;;^UTILITY(U,$J,358.3,14306,0)
+338 ;;=20550^^55^617^26^^^^1
+339 ;;^UTILITY(U,$J,358.3,14306,1,0)
+340 ;;=^358.31IA^3^2
+341 ;;^UTILITY(U,$J,358.3,14306,1,2,0)
+342 ;;=2^20550
+343 ;;^UTILITY(U,$J,358.3,14306,1,3,0)
+344 ;;=3^Injection, Tendon Sheath, Ligament, Ganglion Cyst
+345 ;;^UTILITY(U,$J,358.3,14307,0)
+346 ;;=20551^^55^617^25^^^^1
+347 ;;^UTILITY(U,$J,358.3,14307,1,0)
+348 ;;=^358.31IA^3^2
+349 ;;^UTILITY(U,$J,358.3,14307,1,2,0)
+350 ;;=2^20551
+351 ;;^UTILITY(U,$J,358.3,14307,1,3,0)
+352 ;;=3^Injection, Tendon Origin/Insertion
+353 ;;^UTILITY(U,$J,358.3,14308,0)
+354 ;;=20552^^55^617^27^^^^1
+355 ;;^UTILITY(U,$J,358.3,14308,1,0)
+356 ;;=^358.31IA^3^2
+357 ;;^UTILITY(U,$J,358.3,14308,1,2,0)
+358 ;;=2^20552
+359 ;;^UTILITY(U,$J,358.3,14308,1,3,0)
+360 ;;=3^Injection, Trigger Point, 1 or 2 Muscle groups
+361 ;;^UTILITY(U,$J,358.3,14309,0)
+362 ;;=20600^^55^617^6^^^^1
+363 ;;^UTILITY(U,$J,358.3,14309,1,0)
+364 ;;=^358.31IA^3^2
+365 ;;^UTILITY(U,$J,358.3,14309,1,2,0)
+366 ;;=2^20600
+367 ;;^UTILITY(U,$J,358.3,14309,1,3,0)
+368 ;;=3^Arthrocentesis,Small Jt w/o US Guidance
+369 ;;^UTILITY(U,$J,358.3,14310,0)
+370 ;;=20605^^55^617^2^^^^1
+371 ;;^UTILITY(U,$J,358.3,14310,1,0)
+372 ;;=^358.31IA^3^2
+373 ;;^UTILITY(U,$J,358.3,14310,1,2,0)
+374 ;;=2^20605
+375 ;;^UTILITY(U,$J,358.3,14310,1,3,0)
+376 ;;=3^Arthrocentesis,Intermediate Jt w/o US Guidance
+377 ;;^UTILITY(U,$J,358.3,14311,0)
+378 ;;=20610^^55^617^4^^^^1
+379 ;;^UTILITY(U,$J,358.3,14311,1,0)
+380 ;;=^358.31IA^3^2
+381 ;;^UTILITY(U,$J,358.3,14311,1,2,0)
+382 ;;=2^20610
+383 ;;^UTILITY(U,$J,358.3,14311,1,3,0)
+384 ;;=3^Arthrocentesis,Major Jt w/o US Guidance
+385 ;;^UTILITY(U,$J,358.3,14312,0)
+386 ;;=30901^^55^617^28^^^^1
+387 ;;^UTILITY(U,$J,358.3,14312,1,0)
+388 ;;=^358.31IA^3^2
+389 ;;^UTILITY(U,$J,358.3,14312,1,2,0)
+390 ;;=2^30901
+391 ;;^UTILITY(U,$J,358.3,14312,1,3,0)
+392 ;;=3^Nasal Packing
+393 ;;^UTILITY(U,$J,358.3,14313,0)
+394 ;;=31500^^55^617^20^^^^1
+395 ;;^UTILITY(U,$J,358.3,14313,1,0)
+396 ;;=^358.31IA^3^2
+397 ;;^UTILITY(U,$J,358.3,14313,1,2,0)
+398 ;;=2^31500
+399 ;;^UTILITY(U,$J,358.3,14313,1,3,0)
+400 ;;=3^Endotrach Intubation
+401 ;;^UTILITY(U,$J,358.3,14314,0)
+402 ;;=92950^^55^617^8^^^^1
+403 ;;^UTILITY(U,$J,358.3,14314,1,0)
+404 ;;=^358.31IA^3^2
+405 ;;^UTILITY(U,$J,358.3,14314,1,2,0)
+406 ;;=2^92950
+407 ;;^UTILITY(U,$J,358.3,14314,1,3,0)
+408 ;;=3^CPR
+409 ;;^UTILITY(U,$J,358.3,14315,0)
+410 ;;=11055^^55^617^34^^^^1
+411 ;;^UTILITY(U,$J,358.3,14315,1,0)
+412 ;;=^358.31IA^3^2
+413 ;;^UTILITY(U,$J,358.3,14315,1,2,0)
+414 ;;=2^11055
+415 ;;^UTILITY(U,$J,358.3,14315,1,3,0)
+416 ;;=3^Trim Corn/Callous, 1
+417 ;;^UTILITY(U,$J,358.3,14316,0)
+418 ;;=11056^^55^617^35^^^^1
+419 ;;^UTILITY(U,$J,358.3,14316,1,0)
+420 ;;=^358.31IA^3^2
+421 ;;^UTILITY(U,$J,358.3,14316,1,2,0)
+422 ;;=2^11056
+423 ;;^UTILITY(U,$J,358.3,14316,1,3,0)
+424 ;;=3^Trim Corn/Callous, 2 to 4
+425 ;;^UTILITY(U,$J,358.3,14317,0)
+426 ;;=11057^^55^617^36^^^^1
+427 ;;^UTILITY(U,$J,358.3,14317,1,0)
+428 ;;=^358.31IA^3^2
+429 ;;^UTILITY(U,$J,358.3,14317,1,2,0)
+430 ;;=2^11057
+431 ;;^UTILITY(U,$J,358.3,14317,1,3,0)
+432 ;;=3^Trim Corn/Callous, 5 or more
+433 ;;^UTILITY(U,$J,358.3,14318,0)
+434 ;;=Q0091^^55^617^29^^^^1
+435 ;;^UTILITY(U,$J,358.3,14318,1,0)
+436 ;;=^358.31IA^3^2
+437 ;;^UTILITY(U,$J,358.3,14318,1,2,0)
+438 ;;=2^Q0091
+439 ;;^UTILITY(U,$J,358.3,14318,1,3,0)
+440 ;;=3^Pap Smear
+441 ;;^UTILITY(U,$J,358.3,14319,0)
+442 ;;=G0101^^55^617^30^^^^1
+443 ;;^UTILITY(U,$J,358.3,14319,1,0)
+444 ;;=^358.31IA^3^2
+445 ;;^UTILITY(U,$J,358.3,14319,1,2,0)
+446 ;;=2^G0101
+447 ;;^UTILITY(U,$J,358.3,14319,1,3,0)
+448 ;;=3^Pelvic/Breast Exam
+449 ;;^UTILITY(U,$J,358.3,14320,0)
+450 ;;=78730^^55^617^7^^^^1
+451 ;;^UTILITY(U,$J,358.3,14320,1,0)
+452 ;;=^358.31IA^3^2
+453 ;;^UTILITY(U,$J,358.3,14320,1,2,0)
+454 ;;=2^78730
+455 ;;^UTILITY(U,$J,358.3,14320,1,3,0)
+456 ;;=3^Bladder Retention Study
+457 ;;^UTILITY(U,$J,358.3,14321,0)
+458 ;;=20604^^55^617^5^^^^1
+459 ;;^UTILITY(U,$J,358.3,14321,1,0)
+460 ;;=^358.31IA^3^2
+461 ;;^UTILITY(U,$J,358.3,14321,1,2,0)
+462 ;;=2^20604
+463 ;;^UTILITY(U,$J,358.3,14321,1,3,0)
+464 ;;=3^Arthrocentesis,Small Jt w/ US Guidance
+465 ;;^UTILITY(U,$J,358.3,14322,0)
+466 ;;=20611^^55^617^3^^^^1
+467 ;;^UTILITY(U,$J,358.3,14322,1,0)
+468 ;;=^358.31IA^3^2
+469 ;;^UTILITY(U,$J,358.3,14322,1,2,0)
+470 ;;=2^20611
+471 ;;^UTILITY(U,$J,358.3,14322,1,3,0)
+472 ;;=3^Arthrocentesis,Major Jt w/ US Guidance
+473 ;;^UTILITY(U,$J,358.3,14323,0)
+474 ;;=20606^^55^617^1^^^^1
+475 ;;^UTILITY(U,$J,358.3,14323,1,0)
+476 ;;=^358.31IA^3^2
+477 ;;^UTILITY(U,$J,358.3,14323,1,2,0)
+478 ;;=2^20606
+479 ;;^UTILITY(U,$J,358.3,14323,1,3,0)
+480 ;;=3^Arthrocentesis,Intermediate Jt w/ US Guidance
+481 ;;^UTILITY(U,$J,358.3,14324,0)
+482 ;;=78740^^55^617^37^^^^1
+483 ;;^UTILITY(U,$J,358.3,14324,1,0)
+484 ;;=^358.31IA^3^2
+485 ;;^UTILITY(U,$J,358.3,14324,1,2,0)
+486 ;;=2^78740
+487 ;;^UTILITY(U,$J,358.3,14324,1,3,0)
+488 ;;=3^Urethral Reflux Study
+489 ;;^UTILITY(U,$J,358.3,14325,0)
+490 ;;=69210^^55^617^19^^^^1
+491 ;;^UTILITY(U,$J,358.3,14325,1,0)
+492 ;;=^358.31IA^3^2
+493 ;;^UTILITY(U,$J,358.3,14325,1,2,0)
+494 ;;=2^69210
+495 ;;^UTILITY(U,$J,358.3,14325,1,3,0)
+496 ;;=3^Ear Cleaning/Req Instrumentation (MD Only)
+497 ;;^UTILITY(U,$J,358.3,14326,0)
+498 ;;=93000^^55^617^17^^^^1
+499 ;;^UTILITY(U,$J,358.3,14326,1,0)
+500 ;;=^358.31IA^3^2
+501 ;;^UTILITY(U,$J,358.3,14326,1,2,0)
+502 ;;=2^93000
+503 ;;^UTILITY(U,$J,358.3,14326,1,3,0)
+504 ;;=3^EKG w/ Interp & Rpt-MD
+505 ;;^UTILITY(U,$J,358.3,14327,0)
+506 ;;=69209^^55^617^18^^^^1
+507 ;;^UTILITY(U,$J,358.3,14327,1,0)
+508 ;;=^358.31IA^3^2
+509 ;;^UTILITY(U,$J,358.3,14327,1,2,0)
+510 ;;=2^69209
+511 ;;^UTILITY(U,$J,358.3,14327,1,3,0)
+512 ;;=3^Ear Cleaning/Lavage/Irrigation (MD Only)
+513 ;;^UTILITY(U,$J,358.3,14328,0)
+514 ;;=17110^^55^617^10^^^^1
+515 ;;^UTILITY(U,$J,358.3,14328,1,0)
+516 ;;=^358.31IA^3^2
+517 ;;^UTILITY(U,$J,358.3,14328,1,2,0)
+518 ;;=2^17110
+519 ;;^UTILITY(U,$J,358.3,14328,1,3,0)
+520 ;;=3^Destr Benign Lesion(s),1-14 Lesions
+521 ;;^UTILITY(U,$J,358.3,14329,0)
+522 ;;=17111^^55^617^11^^^^1
+523 ;;^UTILITY(U,$J,358.3,14329,1,0)
+524 ;;=^358.31IA^3^2
+525 ;;^UTILITY(U,$J,358.3,14329,1,2,0)
+526 ;;=2^17111
+527 ;;^UTILITY(U,$J,358.3,14329,1,3,0)
+528 ;;=3^Destr Benign Lesions,15+ Lesions
+529 ;;^UTILITY(U,$J,358.3,14330,0)
+530 ;;=11200^^55^617^31^^^^1
+531 ;;^UTILITY(U,$J,358.3,14330,1,0)
+532 ;;=^358.31IA^3^2
+533 ;;^UTILITY(U,$J,358.3,14330,1,2,0)
+534 ;;=2^11200
+535 ;;^UTILITY(U,$J,358.3,14330,1,3,0)
+536 ;;=3^Removal of Skin Tags,1-15
+537 ;;^UTILITY(U,$J,358.3,14331,0)
+538 ;;=11201^^55^617^32^^^^1
+539 ;;^UTILITY(U,$J,358.3,14331,1,0)
+540 ;;=^358.31IA^3^2
+541 ;;^UTILITY(U,$J,358.3,14331,1,2,0)
+542 ;;=2^11201
+543 ;;^UTILITY(U,$J,358.3,14331,1,3,0)
+544 ;;=3^Removal of Skin Tags,Ea Addl 10
+545 ;;^UTILITY(U,$J,358.3,14332,0)
+546 ;;=10021^^55^617^21^^^^1
+547 ;;^UTILITY(U,$J,358.3,14332,1,0)
+548 ;;=^358.31IA^3^2
+549 ;;^UTILITY(U,$J,358.3,14332,1,2,0)
+550 ;;=2^10021
+551 ;;^UTILITY(U,$J,358.3,14332,1,3,0)
+552 ;;=3^FNA w/o Imaging Guidance,1st Lesion
+553 ;;^UTILITY(U,$J,358.3,14333,0)
+554 ;;=11300^^55^617^33^^^^1
+555 ;;^UTILITY(U,$J,358.3,14333,1,0)
+556 ;;=^358.31IA^3^2
+557 ;;^UTILITY(U,$J,358.3,14333,1,2,0)
+558 ;;=2^11300
+559 ;;^UTILITY(U,$J,358.3,14333,1,3,0)
+560 ;;=3^Shave Skin Lesion 0.5cm/<
+561 ;;^UTILITY(U,$J,358.3,14334,0)
+562 ;;=10004^^55^617^22^^^^1
+563 ;;^UTILITY(U,$J,358.3,14334,1,0)
+564 ;;=^358.31IA^3^2
+565 ;;^UTILITY(U,$J,358.3,14334,1,2,0)
+566 ;;=2^10004
+567 ;;^UTILITY(U,$J,358.3,14334,1,3,0)
+568 ;;=3^FNA w/o Imaging Guidance,Ea Addl Lesion
+569 ;;^UTILITY(U,$J,358.3,14335,0)
+570 ;;=93010^^55^617^15^^^^1
+571 ;;^UTILITY(U,$J,358.3,14335,1,0)
+572 ;;=^358.31IA^3^2
+573 ;;^UTILITY(U,$J,358.3,14335,1,2,0)
+574 ;;=2^93010
+575 ;;^UTILITY(U,$J,358.3,14335,1,3,0)
+576 ;;=3^EKG Interp & Rpt-MD
+577 ;;^UTILITY(U,$J,358.3,14336,0)
+578 ;;=93005^^55^617^16^^^^1
+579 ;;^UTILITY(U,$J,358.3,14336,1,0)
+580 ;;=^358.31IA^3^2
+581 ;;^UTILITY(U,$J,358.3,14336,1,2,0)
+582 ;;=2^93005
+583 ;;^UTILITY(U,$J,358.3,14336,1,3,0)
+584 ;;=3^EKG Tracing Only
+585 ;;^UTILITY(U,$J,358.3,14337,0)
+586 ;;=29105^^55^618^2^^^^1
+587 ;;^UTILITY(U,$J,358.3,14337,1,0)
+588 ;;=^358.31IA^3^2
+589 ;;^UTILITY(U,$J,358.3,14337,1,2,0)
+590 ;;=2^29105
+591 ;;^UTILITY(U,$J,358.3,14337,1,3,0)
+592 ;;=3^Long Arm Splint
+593 ;;^UTILITY(U,$J,358.3,14338,0)
+594 ;;=29125^^55^618^4^^^^1
+595 ;;^UTILITY(U,$J,358.3,14338,1,0)
+596 ;;=^358.31IA^3^2
+597 ;;^UTILITY(U,$J,358.3,14338,1,2,0)
+598 ;;=2^29125
+599 ;;^UTILITY(U,$J,358.3,14338,1,3,0)
+600 ;;=3^Short Arm Splint; Static
+601 ;;^UTILITY(U,$J,358.3,14339,0)
+602 ;;=29126^^55^618^3^^^^1
+603 ;;^UTILITY(U,$J,358.3,14339,1,0)
+604 ;;=^358.31IA^3^2
+605 ;;^UTILITY(U,$J,358.3,14339,1,2,0)
+606 ;;=2^29126
+607 ;;^UTILITY(U,$J,358.3,14339,1,3,0)
+608 ;;=3^Short Arm Splint; Dynamic
+609 ;;^UTILITY(U,$J,358.3,14340,0)
+610 ;;=29130^^55^618^1^^^^1
+611 ;;^UTILITY(U,$J,358.3,14340,1,0)
+612 ;;=^358.31IA^3^2
+613 ;;^UTILITY(U,$J,358.3,14340,1,2,0)
+614 ;;=2^29130
+615 ;;^UTILITY(U,$J,358.3,14340,1,3,0)
+616 ;;=3^Finger Splint
+617 ;;^UTILITY(U,$J,358.3,14341,0)
+618 ;;=12001^^55^619^1^^^^1
+619 ;;^UTILITY(U,$J,358.3,14341,1,0)
+620 ;;=^358.31IA^3^2
+621 ;;^UTILITY(U,$J,358.3,14341,1,2,0)
+622 ;;=2^12001
+623 ;;^UTILITY(U,$J,358.3,14341,1,3,0)
+624 ;;=3^Simple repair; 2.5 cm or less
+625 ;;^UTILITY(U,$J,358.3,14342,0)
+626 ;;=12002^^55^619^2^^^^1
+627 ;;^UTILITY(U,$J,358.3,14342,1,0)
+628 ;;=^358.31IA^3^2
+629 ;;^UTILITY(U,$J,358.3,14342,1,2,0)
+630 ;;=2^12002
+631 ;;^UTILITY(U,$J,358.3,14342,1,3,0)
+632 ;;=3^Simple repair; 2.6 cm to 7.5 cm
+633 ;;^UTILITY(U,$J,358.3,14343,0)
+634 ;;=12004^^55^619^3^^^^1
+635 ;;^UTILITY(U,$J,358.3,14343,1,0)
+636 ;;=^358.31IA^3^2
+637 ;;^UTILITY(U,$J,358.3,14343,1,2,0)
+638 ;;=2^12004
+639 ;;^UTILITY(U,$J,358.3,14343,1,3,0)
+640 ;;=3^Simple repair; 7.6 cm to 12.5 cm
+641 ;;^UTILITY(U,$J,358.3,14344,0)
+642 ;;=12005^^55^619^4^^^^1
+643 ;;^UTILITY(U,$J,358.3,14344,1,0)
+644 ;;=^358.31IA^3^2
+645 ;;^UTILITY(U,$J,358.3,14344,1,2,0)
+646 ;;=2^12005
+647 ;;^UTILITY(U,$J,358.3,14344,1,3,0)
+648 ;;=3^Simple repair; 12.6 cm to 20 cm
+649 ;;^UTILITY(U,$J,358.3,14345,0)
+650 ;;=12006^^55^619^5^^^^1
+651 ;;^UTILITY(U,$J,358.3,14345,1,0)
+652 ;;=^358.31IA^3^2
+653 ;;^UTILITY(U,$J,358.3,14345,1,2,0)
+654 ;;=2^12006
+655 ;;^UTILITY(U,$J,358.3,14345,1,3,0)
+656 ;;=3^Simple repair; 20.1 cm to 30 cm
+657 ;;^UTILITY(U,$J,358.3,14346,0)
+658 ;;=12007^^55^619^6^^^^1
+659 ;;^UTILITY(U,$J,358.3,14346,1,0)
+660 ;;=^358.31IA^3^2
+661 ;;^UTILITY(U,$J,358.3,14346,1,2,0)
+662 ;;=2^12007
+663 ;;^UTILITY(U,$J,358.3,14346,1,3,0)
+664 ;;=3^Simple repair; over 30 cm
+665 ;;^UTILITY(U,$J,358.3,14347,0)
+666 ;;=12011^^55^620^1^^^^1
+667 ;;^UTILITY(U,$J,358.3,14347,1,0)
+668 ;;=^358.31IA^3^2
