- IBDEI08A ; ; 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,$J,358.3,20190,1,2,0)
- ;;=2^Xeomin (Incobotulinumtoxin A) 1 Unit
- ;;^UTILITY(U,$J,358.3,20190,1,3,0)
- ;;=3^J0588
- ;;^UTILITY(U,$J,358.3,20191,0)
- ;;=J1030^^67^822^7^^^^1
- ;;^UTILITY(U,$J,358.3,20191,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20191,1,2,0)
- ;;=2^Methylprednisolone 40mg
- ;;^UTILITY(U,$J,358.3,20191,1,3,0)
- ;;=3^J1030
- ;;^UTILITY(U,$J,358.3,20192,0)
- ;;=97597^^67^823^2^^^^1
- ;;^UTILITY(U,$J,358.3,20192,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20192,1,2,0)
- ;;=2^Active Wound Care/20 Cm Or <
- ;;^UTILITY(U,$J,358.3,20192,1,3,0)
- ;;=3^97597
- ;;^UTILITY(U,$J,358.3,20193,0)
- ;;=97598^^67^823^1^^^^1
- ;;^UTILITY(U,$J,358.3,20193,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20193,1,2,0)
- ;;=2^Active Wound Care each adtl 20 Cm
- ;;^UTILITY(U,$J,358.3,20193,1,3,0)
- ;;=3^97598
- ;;^UTILITY(U,$J,358.3,20194,0)
- ;;=97605^^67^823^7^^^^1
- ;;^UTILITY(U,$J,358.3,20194,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20194,1,2,0)
- ;;=2^Neg Press Wound Tx < 50 Cm
- ;;^UTILITY(U,$J,358.3,20194,1,3,0)
- ;;=3^97605
- ;;^UTILITY(U,$J,358.3,20195,0)
- ;;=97606^^67^823^8^^^^1
- ;;^UTILITY(U,$J,358.3,20195,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20195,1,2,0)
- ;;=2^Neg Press Wound Tx, > 50 Cm
- ;;^UTILITY(U,$J,358.3,20195,1,3,0)
- ;;=3^97606
- ;;^UTILITY(U,$J,358.3,20196,0)
- ;;=97602^^67^823^9^^^^1
- ;;^UTILITY(U,$J,358.3,20196,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20196,1,2,0)
- ;;=2^Remove Divit. Tissue w/o Anesth
- ;;^UTILITY(U,$J,358.3,20196,1,3,0)
- ;;=3^97602
- ;;^UTILITY(U,$J,358.3,20197,0)
- ;;=G0281^^67^823^5^^^^1
- ;;^UTILITY(U,$J,358.3,20197,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20197,1,2,0)
- ;;=2^Electrical Stim,Stg 3/4 Wnd Care
- ;;^UTILITY(U,$J,358.3,20197,1,3,0)
- ;;=3^G0281
- ;;^UTILITY(U,$J,358.3,20198,0)
- ;;=G0283^^67^823^3^^^^1
- ;;^UTILITY(U,$J,358.3,20198,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20198,1,2,0)
- ;;=2^Electrical Stim,Oth than Wnd Care
- ;;^UTILITY(U,$J,358.3,20198,1,3,0)
- ;;=3^G0283
- ;;^UTILITY(U,$J,358.3,20199,0)
- ;;=G0329^^67^823^6^^^^1
- ;;^UTILITY(U,$J,358.3,20199,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20199,1,2,0)
- ;;=2^Electromagnetic Therapy,Wound Care
- ;;^UTILITY(U,$J,358.3,20199,1,3,0)
- ;;=3^G0329
- ;;^UTILITY(U,$J,358.3,20200,0)
- ;;=97610^^67^823^10^^^^1
- ;;^UTILITY(U,$J,358.3,20200,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20200,1,2,0)
- ;;=2^US LF Non-Contact Non-Therm,Wnd Assess
- ;;^UTILITY(U,$J,358.3,20200,1,3,0)
- ;;=3^97610
- ;;^UTILITY(U,$J,358.3,20201,0)
- ;;=G0282^^67^823^4^^^^1
- ;;^UTILITY(U,$J,358.3,20201,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20201,1,2,0)
- ;;=2^Electrical Stim,Stg 1/2 Wnd Care
- ;;^UTILITY(U,$J,358.3,20201,1,3,0)
- ;;=3^G0282
- ;;^UTILITY(U,$J,358.3,20202,0)
- ;;=99070^^67^824^1^^^^1
- ;;^UTILITY(U,$J,358.3,20202,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20202,1,2,0)
- ;;=2^SPECIAL SUPPLIES
- ;;^UTILITY(U,$J,358.3,20202,1,3,0)
- ;;=3^99070
- ;;^UTILITY(U,$J,358.3,20203,0)
- ;;=97039^^67^824^3^^^^1
- ;;^UTILITY(U,$J,358.3,20203,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20203,1,2,0)
- ;;=2^UNLISTED PT MODALITY
- ;;^UTILITY(U,$J,358.3,20203,1,3,0)
- ;;=3^97039
- ;;^UTILITY(U,$J,358.3,20204,0)
- ;;=97799^^67^824^2^^^^1
- ;;^UTILITY(U,$J,358.3,20204,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20204,1,2,0)
- ;;=2^UNLISTED PROCEDURE
- ;;^UTILITY(U,$J,358.3,20204,1,3,0)
- ;;=3^97799
- ;;^UTILITY(U,$J,358.3,20205,0)
- ;;=95860^^67^825^2^^^^1
- ;;^UTILITY(U,$J,358.3,20205,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20205,1,2,0)
- ;;=2^EMG 1 Limb
- ;;^UTILITY(U,$J,358.3,20205,1,3,0)
- ;;=3^95860
- ;;^UTILITY(U,$J,358.3,20206,0)
- ;;=95863^^67^825^4^^^^1
- ;;^UTILITY(U,$J,358.3,20206,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20206,1,2,0)
- ;;=2^EMG 3 Limbs
- ;;^UTILITY(U,$J,358.3,20206,1,3,0)
- ;;=3^95863
- ;;^UTILITY(U,$J,358.3,20207,0)
- ;;=95864^^67^825^5^^^^1
- ;;^UTILITY(U,$J,358.3,20207,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20207,1,2,0)
- ;;=2^EMG 4 Limbs
- ;;^UTILITY(U,$J,358.3,20207,1,3,0)
- ;;=3^95864
- ;;^UTILITY(U,$J,358.3,20208,0)
- ;;=95867^^67^825^6^^^^1
- ;;^UTILITY(U,$J,358.3,20208,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20208,1,2,0)
- ;;=2^EMG Cran Ner Mus-Unilat
- ;;^UTILITY(U,$J,358.3,20208,1,3,0)
- ;;=3^95867
- ;;^UTILITY(U,$J,358.3,20209,0)
- ;;=95868^^67^825^7^^^^1
- ;;^UTILITY(U,$J,358.3,20209,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20209,1,2,0)
- ;;=2^EMG Head or Neck
- ;;^UTILITY(U,$J,358.3,20209,1,3,0)
- ;;=3^95868
- ;;^UTILITY(U,$J,358.3,20210,0)
- ;;=95870^^67^825^9^^^^1
- ;;^UTILITY(U,$J,358.3,20210,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20210,1,2,0)
- ;;=2^Needle EMG < 5 Muscles/Ext
- ;;^UTILITY(U,$J,358.3,20210,1,3,0)
- ;;=3^95870
- ;;^UTILITY(U,$J,358.3,20211,0)
- ;;=95861^^67^825^3^^^^1
- ;;^UTILITY(U,$J,358.3,20211,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20211,1,2,0)
- ;;=2^EMG 2 Limbs
- ;;^UTILITY(U,$J,358.3,20211,1,3,0)
- ;;=3^95861
- ;;^UTILITY(U,$J,358.3,20212,0)
- ;;=95885^^67^825^10^^^^1
- ;;^UTILITY(U,$J,358.3,20212,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20212,1,2,0)
- ;;=2^Needle EMG < 5 Muscles/Ext,+NCS
- ;;^UTILITY(U,$J,358.3,20212,1,3,0)
- ;;=3^95885
- ;;^UTILITY(U,$J,358.3,20213,0)
- ;;=95886^^67^825^11^^^^1
- ;;^UTILITY(U,$J,358.3,20213,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20213,1,2,0)
- ;;=2^Needle EMG >/= 5 Muscles/Ext,+NCS
- ;;^UTILITY(U,$J,358.3,20213,1,3,0)
- ;;=3^95886
- ;;^UTILITY(U,$J,358.3,20214,0)
- ;;=95887^^67^825^12^^^^1
- ;;^UTILITY(U,$J,358.3,20214,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20214,1,2,0)
- ;;=2^Needle EMG CNs or Axial,+NCS
- ;;^UTILITY(U,$J,358.3,20214,1,3,0)
- ;;=3^95887
- ;;^UTILITY(U,$J,358.3,20215,0)
- ;;=95869^^67^825^13^^^^1
- ;;^UTILITY(U,$J,358.3,20215,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20215,1,2,0)
- ;;=2^Needle EMS Thor Paraspinal
- ;;^UTILITY(U,$J,358.3,20215,1,3,0)
- ;;=3^95869
- ;;^UTILITY(U,$J,358.3,20216,0)
- ;;=95905^^67^825^8^^^^1
- ;;^UTILITY(U,$J,358.3,20216,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20216,1,2,0)
- ;;=2^Motor/Sens Nerv Conduct-ea limb w/F-wv
- ;;^UTILITY(U,$J,358.3,20216,1,3,0)
- ;;=3^95905
- ;;^UTILITY(U,$J,358.3,20217,0)
- ;;=95937^^67^825^21^^^^1
- ;;^UTILITY(U,$J,358.3,20217,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20217,1,2,0)
- ;;=2^Neuromuscular Junction Test
- ;;^UTILITY(U,$J,358.3,20217,1,3,0)
- ;;=3^95937
- ;;^UTILITY(U,$J,358.3,20218,0)
- ;;=95907^^67^825^14^^^^1
- ;;^UTILITY(U,$J,358.3,20218,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20218,1,2,0)
- ;;=2^Nerve conduction studies; 1-2 studies
- ;;^UTILITY(U,$J,358.3,20218,1,3,0)
- ;;=3^95907
- ;;^UTILITY(U,$J,358.3,20219,0)
- ;;=95908^^67^825^16^^^^1
- ;;^UTILITY(U,$J,358.3,20219,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20219,1,2,0)
- ;;=2^Nerve conduction studies; 3-4 studies
- ;;^UTILITY(U,$J,358.3,20219,1,3,0)
- ;;=3^95908
- ;;^UTILITY(U,$J,358.3,20220,0)
- ;;=95909^^67^825^17^^^^1
- ;;^UTILITY(U,$J,358.3,20220,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20220,1,2,0)
- ;;=2^Nerve conduction studies; 5-6 studies
- ;;^UTILITY(U,$J,358.3,20220,1,3,0)
- ;;=3^95909
- ;;^UTILITY(U,$J,358.3,20221,0)
- ;;=95910^^67^825^18^^^^1
- ;;^UTILITY(U,$J,358.3,20221,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20221,1,2,0)
- ;;=2^Nerve conduction studies; 7-8 studies
- ;;^UTILITY(U,$J,358.3,20221,1,3,0)
- ;;=3^95910
- ;;^UTILITY(U,$J,358.3,20222,0)
- ;;=95911^^67^825^19^^^^1
- ;;^UTILITY(U,$J,358.3,20222,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20222,1,2,0)
- ;;=2^Nerve conduction studies; 9-10 studies
- ;;^UTILITY(U,$J,358.3,20222,1,3,0)
- ;;=3^95911
- ;;^UTILITY(U,$J,358.3,20223,0)
- ;;=95912^^67^825^15^^^^1
- ;;^UTILITY(U,$J,358.3,20223,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20223,1,2,0)
- ;;=2^Nerve conduction studies; 11-12 studies
- ;;^UTILITY(U,$J,358.3,20223,1,3,0)
- ;;=3^95912
- ;;^UTILITY(U,$J,358.3,20224,0)
- ;;=95913^^67^825^20^^^^1
- ;;^UTILITY(U,$J,358.3,20224,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20224,1,2,0)
- ;;=2^Nerve conduction studies;13 or > studies
- ;;^UTILITY(U,$J,358.3,20224,1,3,0)
- ;;=3^95913
- ;;^UTILITY(U,$J,358.3,20225,0)
- ;;=95933^^67^825^1^^^^1
- ;;^UTILITY(U,$J,358.3,20225,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20225,1,2,0)
- ;;=2^Blink Reflex Test
- ;;^UTILITY(U,$J,358.3,20225,1,3,0)
- ;;=3^95933
- ;;^UTILITY(U,$J,358.3,20226,0)
- ;;=95925^^67^825^25^^^^1
- ;;^UTILITY(U,$J,358.3,20226,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20226,1,2,0)
- ;;=2^Somatosensory Testing
- ;;^UTILITY(U,$J,358.3,20226,1,3,0)
- ;;=3^95925
- ;;^UTILITY(U,$J,358.3,20227,0)
- ;;=97161^^67^825^22^^^^1
- ;;^UTILITY(U,$J,358.3,20227,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20227,1,2,0)
- ;;=2^PT Evaluation,Low Complex,20 min
- ;;^UTILITY(U,$J,358.3,20227,1,3,0)
- ;;=3^97161
- ;;^UTILITY(U,$J,358.3,20228,0)
- ;;=97162^^67^825^23^^^^1
- ;;^UTILITY(U,$J,358.3,20228,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20228,1,2,0)
- ;;=2^PT Evaluation,Mod Complex,30 min
- ;;^UTILITY(U,$J,358.3,20228,1,3,0)
- ;;=3^97162
- ;;^UTILITY(U,$J,358.3,20229,0)
- ;;=97163^^67^825^23^^^^1
- ;;^UTILITY(U,$J,358.3,20229,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20229,1,2,0)
- ;;=2^PT Evaluation,High Complex,45 min
- ;;^UTILITY(U,$J,358.3,20229,1,3,0)
- ;;=3^97163
- ;;^UTILITY(U,$J,358.3,20230,0)
- ;;=99366^^67^826^1^^^^1
- ;;^UTILITY(U,$J,358.3,20230,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20230,1,2,0)
- ;;=2^Interdisc Team Conf Non-Phys w/ Pt/Fam>29min
- ;;^UTILITY(U,$J,358.3,20230,1,3,0)
- ;;=3^99366
- ;;^UTILITY(U,$J,358.3,20231,0)
- ;;=99368^^67^826^2^^^^1
- ;;^UTILITY(U,$J,358.3,20231,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20231,1,2,0)
- ;;=2^Interdisc Team Conf Non-Phys w/o Pt/Fam>29min
- ;;^UTILITY(U,$J,358.3,20231,1,3,0)
- ;;=3^99368
- ;;^UTILITY(U,$J,358.3,20232,0)
- ;;=99367^^67^826^3^^^^1
- ;;^UTILITY(U,$J,358.3,20232,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20232,1,2,0)
- ;;=2^Interdisc Team Conf Phys w/o Pt/Fam>29min
- ;;^UTILITY(U,$J,358.3,20232,1,3,0)
- ;;=3^99367
- ;;^UTILITY(U,$J,358.3,20233,0)
- ;;=97810^^67^827^3^^^^1
- ;;^UTILITY(U,$J,358.3,20233,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20233,1,2,0)
- ;;=2^Acupuncture w/o Stimul 15 Min
- ;;^UTILITY(U,$J,358.3,20233,1,3,0)
- ;;=3^97810
- ;;^UTILITY(U,$J,358.3,20234,0)
- ;;=97811^^67^827^4^^^^1
- ;;^UTILITY(U,$J,358.3,20234,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20234,1,2,0)
- ;;=2^Acupuncture w/o Stimul,Ea Addl 15 Min
- ;;^UTILITY(U,$J,358.3,20234,1,3,0)
- ;;=3^97811
- ;;^UTILITY(U,$J,358.3,20235,0)
- ;;=97813^^67^827^1^^^^1
- ;;^UTILITY(U,$J,358.3,20235,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20235,1,2,0)
- ;;=2^Acupuncture w/ Stimul 15 Min
- ;;^UTILITY(U,$J,358.3,20235,1,3,0)
- ;;=3^97813
- ;;^UTILITY(U,$J,358.3,20236,0)
- ;;=97814^^67^827^2^^^^1
- ;;^UTILITY(U,$J,358.3,20236,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20236,1,2,0)
- ;;=2^Acupuncture w/ Stimul,Ea Addl 15 Min
- ;;^UTILITY(U,$J,358.3,20236,1,3,0)
- ;;=3^97814
- ;;^UTILITY(U,$J,358.3,20237,0)
- ;;=64615^^67^828^5^^^^1
- ;;^UTILITY(U,$J,358.3,20237,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20237,1,2,0)
- ;;=2^Chemodenerv Musc Migraine
- ;;^UTILITY(U,$J,358.3,20237,1,3,0)
- ;;=3^64615
- ;;^UTILITY(U,$J,358.3,20238,0)
- ;;=64616^^67^828^6^^^^1
- ;;^UTILITY(U,$J,358.3,20238,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20238,1,2,0)
- ;;=2^Chemodenerv Musc Neck Dyston
- ;;^UTILITY(U,$J,358.3,20238,1,3,0)
- ;;=3^64616
- ;;^UTILITY(U,$J,358.3,20239,0)
- ;;=64642^^67^828^1^^^^1
- ;;^UTILITY(U,$J,358.3,20239,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20239,1,2,0)
- ;;=2^Chemodenerv 1 Extremity 1-4
- ;;^UTILITY(U,$J,358.3,20239,1,3,0)
- ;;=3^64642
- ;;^UTILITY(U,$J,358.3,20240,0)
- ;;=64643^^67^828^2^^^^1
- ;;^UTILITY(U,$J,358.3,20240,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20240,1,2,0)
- ;;=2^Chemodenerv 1 Extremity 1-4 Ea
- ;;^UTILITY(U,$J,358.3,20240,1,3,0)
- ;;=3^64643
- ;;^UTILITY(U,$J,358.3,20241,0)
- ;;=64644^^67^828^3^^^^1
- ;;^UTILITY(U,$J,358.3,20241,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20241,1,2,0)
- ;;=2^Chemodenerv 1 Extremity 5/> Mus
- ;;^UTILITY(U,$J,358.3,20241,1,3,0)
- ;;=3^64644
- ;;^UTILITY(U,$J,358.3,20242,0)
- ;;=64645^^67^828^4^^^^1
- ;;^UTILITY(U,$J,358.3,20242,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20242,1,2,0)
- ;;=2^Chemodenerv 1 Extremity 5/> Ea
- ;;^UTILITY(U,$J,358.3,20242,1,3,0)
- ;;=3^64645
- ;;^UTILITY(U,$J,358.3,20243,0)
- ;;=64646^^67^828^7^^^^1
- ;;^UTILITY(U,$J,358.3,20243,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20243,1,2,0)
- ;;=2^Chemodenerv Trunk Musc 1-5
- ;;^UTILITY(U,$J,358.3,20243,1,3,0)
- ;;=3^64646
- ;;^UTILITY(U,$J,358.3,20244,0)
- ;;=64647^^67^828^8^^^^1
- ;;^UTILITY(U,$J,358.3,20244,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20244,1,2,0)
- ;;=2^Chemodenerv Trunk Musc 6/>
- ;;^UTILITY(U,$J,358.3,20244,1,3,0)
- ;;=3^64647
- ;;^UTILITY(U,$J,358.3,20245,0)
- ;;=J0585^^67^828^9^^^^1
- ;;^UTILITY(U,$J,358.3,20245,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20245,1,2,0)
- ;;=2^OnabotulinumtoxinA 1 Unit
- ;;^UTILITY(U,$J,358.3,20245,1,3,0)
- ;;=3^J0585
- ;;^UTILITY(U,$J,358.3,20246,0)
- ;;=J0587^^67^828^10^^^^1
- ;;^UTILITY(U,$J,358.3,20246,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20246,1,2,0)
- ;;=2^RimabotulinumtoxinB 100 Units
- ;;^UTILITY(U,$J,358.3,20246,1,3,0)
- ;;=3^J0587
- ;;^UTILITY(U,$J,358.3,20247,0)
- ;;=98925^^67^829^1^^^^1
- ;;^UTILITY(U,$J,358.3,20247,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20247,1,2,0)
- ;;=2^OMT,1-2 Body Regions
- ;;^UTILITY(U,$J,358.3,20247,1,3,0)
- ;;=3^98925
- ;;^UTILITY(U,$J,358.3,20248,0)
- ;;=98926^^67^829^2^^^^1
- ;;^UTILITY(U,$J,358.3,20248,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20248,1,2,0)
- ;;=2^OMT,3-4 Body Regions
- ;;^UTILITY(U,$J,358.3,20248,1,3,0)
- ;;=3^98926
- ;;^UTILITY(U,$J,358.3,20249,0)
- ;;=98927^^67^829^3^^^^1
- ;;^UTILITY(U,$J,358.3,20249,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20249,1,2,0)
- ;;=2^OMT,5-6 Body Regions
- ;;^UTILITY(U,$J,358.3,20249,1,3,0)
- ;;=3^98927
- ;;^UTILITY(U,$J,358.3,20250,0)
- ;;=98928^^67^829^4^^^^1
- ;;^UTILITY(U,$J,358.3,20250,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20250,1,2,0)
- ;;=2^OMT,7-8 Body Regions
- ;;^UTILITY(U,$J,358.3,20250,1,3,0)
- ;;=3^98928
- ;;^UTILITY(U,$J,358.3,20251,0)
- ;;=98929^^67^829^5^^^^1
- ;;^UTILITY(U,$J,358.3,20251,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20251,1,2,0)
- ;;=2^OMT,9-10 Body Regions
- ;;^UTILITY(U,$J,358.3,20251,1,3,0)
- ;;=3^98929
- ;;^UTILITY(U,$J,358.3,20252,0)
- ;;=96116^^67^830^1^^^^1
- ;;^UTILITY(U,$J,358.3,20252,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20252,1,2,0)
- ;;=2^Neurobehavioral Status Exam,per hour
- ;;^UTILITY(U,$J,358.3,20252,1,3,0)
- ;;=3^96116
- ;;^UTILITY(U,$J,358.3,20253,0)
- ;;=97763^^67^830^2^^^^1
- ;;^UTILITY(U,$J,358.3,20253,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20253,1,2,0)
- ;;=2^Orthotic/Prosth F/U Mgmt/Trng,Ea 15 min
- ;;^UTILITY(U,$J,358.3,20253,1,3,0)
- ;;=3^97763
- ;;^UTILITY(U,$J,358.3,20254,0)
- ;;=62367^^67^831^2^^^^1
- ;;^UTILITY(U,$J,358.3,20254,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20254,1,2,0)
- ;;=2^Pump Analysis Only
- ;;^UTILITY(U,$J,358.3,20254,1,3,0)
- ;;=3^62367
- ;;^UTILITY(U,$J,358.3,20255,0)
- ;;=62368^^67^831^4^^^^1
- ;;^UTILITY(U,$J,358.3,20255,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20255,1,2,0)
- ;;=2^Pump Reprogram
- ;;^UTILITY(U,$J,358.3,20255,1,3,0)
- ;;=3^62368
- ;;^UTILITY(U,$J,358.3,20256,0)
- ;;=62370^^67^831^3^^^^1
- ;;^UTILITY(U,$J,358.3,20256,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20256,1,2,0)
- ;;=2^Pump Analysis Reprogram Refill
- ;;^UTILITY(U,$J,358.3,20256,1,3,0)
- ;;=3^62370
- ;;^UTILITY(U,$J,358.3,20257,0)
- ;;=61070^^67^831^1^^^^1
- ;;^UTILITY(U,$J,358.3,20257,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20257,1,2,0)
- ;;=2^Aspiration/Inj of Catheter Pump Tubing
- ;;^UTILITY(U,$J,358.3,20257,1,3,0)
- ;;=3^61070
- ;;^UTILITY(U,$J,358.3,20258,0)
- ;;=75809^^67^831^5^^^^1
- ;;^UTILITY(U,$J,358.3,20258,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20258,1,2,0)
- ;;=2^Shuntogram,Supervision & Intrptn
- ;;^UTILITY(U,$J,358.3,20258,1,3,0)
- ;;=3^75809
- ;;^UTILITY(U,$J,358.3,20259,0)
- ;;=95873^^67^832^2^^^^1
- ;;^UTILITY(U,$J,358.3,20259,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20259,1,2,0)
- ;;=2^Stim Guidance
- ;;^UTILITY(U,$J,358.3,20259,1,3,0)
- ;;=3^95873
- ;;^UTILITY(U,$J,358.3,20260,0)
- ;;=95874^^67^832^1^^^^1
- ;;^UTILITY(U,$J,358.3,20260,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20260,1,2,0)
- ;;=2^Needle Guidance
- ;;^UTILITY(U,$J,358.3,20260,1,3,0)
- ;;=3^95874
- ;;^UTILITY(U,$J,358.3,20261,0)
- ;;=20526^^67^833^1^^^^1
- ;;^UTILITY(U,$J,358.3,20261,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20261,1,2,0)
- ;;=2^Therapeutic Injection
- ;;^UTILITY(U,$J,358.3,20261,1,3,0)
- ;;=3^20526
- ;;^UTILITY(U,$J,358.3,20262,0)
- ;;=20604^^67^834^1^^^^1
- ;;^UTILITY(U,$J,358.3,20262,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20262,1,2,0)
- ;;=2^Joint Injection w/ US-Small
- ;;^UTILITY(U,$J,358.3,20262,1,3,0)
- ;;=3^20604
- ;;^UTILITY(U,$J,358.3,20263,0)
- ;;=20606^^67^834^2^^^^1
- ;;^UTILITY(U,$J,358.3,20263,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20263,1,2,0)
- ;;=2^Joint Injection w/ US-Intermediate
- ;;^UTILITY(U,$J,358.3,20263,1,3,0)
- ;;=3^20606
- ;;^UTILITY(U,$J,358.3,20264,0)
- ;;=20611^^67^834^3^^^^1
- ;;^UTILITY(U,$J,358.3,20264,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20264,1,2,0)
- ;;=2^Joint Injection w/ US-Major
- ;;^UTILITY(U,$J,358.3,20264,1,3,0)
- ;;=3^20611
- ;;^UTILITY(U,$J,358.3,20265,0)
- ;;=20552^^67^835^1^^^^1
- ;;^UTILITY(U,$J,358.3,20265,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20265,1,2,0)
- ;;=2^Inject 1-2 Muscles
- ;;^UTILITY(U,$J,358.3,20265,1,3,0)
- ;;=3^20552
- ;;^UTILITY(U,$J,358.3,20266,0)
- ;;=20553^^67^835^2^^^^1
- ;;^UTILITY(U,$J,358.3,20266,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20266,1,2,0)
- ;;=2^Inject 3 or More Muscles
- ;;^UTILITY(U,$J,358.3,20266,1,3,0)
- ;;=3^20553
- ;;^UTILITY(U,$J,358.3,20267,0)
- ;;=76881^^67^836^2^^^^1
- ;;^UTILITY(U,$J,358.3,20267,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20267,1,2,0)
- ;;=2^US Guided w/ Image
- ;;^UTILITY(U,$J,358.3,20267,1,3,0)
- ;;=3^76881
- ;;^UTILITY(U,$J,358.3,20268,0)
- ;;=76882^^67^836^1^^^^1
- ;;^UTILITY(U,$J,358.3,20268,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20268,1,2,0)
- ;;=2^Completed US Guided w/ Image
- ;;^UTILITY(U,$J,358.3,20268,1,3,0)
- ;;=3^76882
- ;;^UTILITY(U,$J,358.3,20269,0)
- ;;=76942^^67^836^3^^^^1
- ;;^UTILITY(U,$J,358.3,20269,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20269,1,2,0)
- ;;=2^US Guided w/o Image
- ;;^UTILITY(U,$J,358.3,20269,1,3,0)
- ;;=3^76942
- ;;^UTILITY(U,$J,358.3,20270,0)
- ;;=97112^^67^837^1^^^^1
- ;;^UTILITY(U,$J,358.3,20270,1,0)
- ;;=^358.31IA^3^2
- ;;^UTILITY(U,$J,358.3,20270,1,2,0)
- ;;=2^Neuromuscular Re-Education
- ;;^UTILITY(U,$J,358.3,20270,1,3,0)
- ;;=3^97112
- ;;^UTILITY(U,$J,358.3,20271,0)
- ;;=S06.0X1A^^68^838^1
- ;;^UTILITY(U,$J,358.3,20271,1,0)
- ;;=^358.31IA^4^2
- ;;^UTILITY(U,$J,358.3,20271,1,3,0)
- ;;=3^Concussion w LOC of 30 minutes or less, init
- ;;^UTILITY(U,$J,358.3,20271,1,4,0)
- ;;=4^S06.0X1A
- ;;^UTILITY(U,$J,358.3,20271,2)
- ;;=^5020669
- ;;^UTILITY(U,$J,358.3,20272,0)
- ;;=S06.0X9A^^68^838^2
- ;;^UTILITY(U,$J,358.3,20272,1,0)
- ;;=^358.31IA^4^2
- ;;^UTILITY(U,$J,358.3,20272,1,3,0)
- ;;=3^Concussion w LOC of unsp duration, init
- ;;^UTILITY(U,$J,358.3,20272,1,4,0)
- ;;=4^S06.0X9A
- --- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI08A 19790 printed Feb 18, 2025@23:09:59 Page 2
- IBDEI08A ; ; 01-AUG-2022
- +1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
- +2 if 'DIFQR(358.3)
- QUIT
- FOR I=1:2
- SET X=$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,358.3,20190,1,2,0)
- +2 ;;=2^Xeomin (Incobotulinumtoxin A) 1 Unit
- +3 ;;^UTILITY(U,$J,358.3,20190,1,3,0)
- +4 ;;=3^J0588
- +5 ;;^UTILITY(U,$J,358.3,20191,0)
- +6 ;;=J1030^^67^822^7^^^^1
- +7 ;;^UTILITY(U,$J,358.3,20191,1,0)
- +8 ;;=^358.31IA^3^2
- +9 ;;^UTILITY(U,$J,358.3,20191,1,2,0)
- +10 ;;=2^Methylprednisolone 40mg
- +11 ;;^UTILITY(U,$J,358.3,20191,1,3,0)
- +12 ;;=3^J1030
- +13 ;;^UTILITY(U,$J,358.3,20192,0)
- +14 ;;=97597^^67^823^2^^^^1
- +15 ;;^UTILITY(U,$J,358.3,20192,1,0)
- +16 ;;=^358.31IA^3^2
- +17 ;;^UTILITY(U,$J,358.3,20192,1,2,0)
- +18 ;;=2^Active Wound Care/20 Cm Or <
- +19 ;;^UTILITY(U,$J,358.3,20192,1,3,0)
- +20 ;;=3^97597
- +21 ;;^UTILITY(U,$J,358.3,20193,0)
- +22 ;;=97598^^67^823^1^^^^1
- +23 ;;^UTILITY(U,$J,358.3,20193,1,0)
- +24 ;;=^358.31IA^3^2
- +25 ;;^UTILITY(U,$J,358.3,20193,1,2,0)
- +26 ;;=2^Active Wound Care each adtl 20 Cm
- +27 ;;^UTILITY(U,$J,358.3,20193,1,3,0)
- +28 ;;=3^97598
- +29 ;;^UTILITY(U,$J,358.3,20194,0)
- +30 ;;=97605^^67^823^7^^^^1
- +31 ;;^UTILITY(U,$J,358.3,20194,1,0)
- +32 ;;=^358.31IA^3^2
- +33 ;;^UTILITY(U,$J,358.3,20194,1,2,0)
- +34 ;;=2^Neg Press Wound Tx < 50 Cm
- +35 ;;^UTILITY(U,$J,358.3,20194,1,3,0)
- +36 ;;=3^97605
- +37 ;;^UTILITY(U,$J,358.3,20195,0)
- +38 ;;=97606^^67^823^8^^^^1
- +39 ;;^UTILITY(U,$J,358.3,20195,1,0)
- +40 ;;=^358.31IA^3^2
- +41 ;;^UTILITY(U,$J,358.3,20195,1,2,0)
- +42 ;;=2^Neg Press Wound Tx, > 50 Cm
- +43 ;;^UTILITY(U,$J,358.3,20195,1,3,0)
- +44 ;;=3^97606
- +45 ;;^UTILITY(U,$J,358.3,20196,0)
- +46 ;;=97602^^67^823^9^^^^1
- +47 ;;^UTILITY(U,$J,358.3,20196,1,0)
- +48 ;;=^358.31IA^3^2
- +49 ;;^UTILITY(U,$J,358.3,20196,1,2,0)
- +50 ;;=2^Remove Divit. Tissue w/o Anesth
- +51 ;;^UTILITY(U,$J,358.3,20196,1,3,0)
- +52 ;;=3^97602
- +53 ;;^UTILITY(U,$J,358.3,20197,0)
- +54 ;;=G0281^^67^823^5^^^^1
- +55 ;;^UTILITY(U,$J,358.3,20197,1,0)
- +56 ;;=^358.31IA^3^2
- +57 ;;^UTILITY(U,$J,358.3,20197,1,2,0)
- +58 ;;=2^Electrical Stim,Stg 3/4 Wnd Care
- +59 ;;^UTILITY(U,$J,358.3,20197,1,3,0)
- +60 ;;=3^G0281
- +61 ;;^UTILITY(U,$J,358.3,20198,0)
- +62 ;;=G0283^^67^823^3^^^^1
- +63 ;;^UTILITY(U,$J,358.3,20198,1,0)
- +64 ;;=^358.31IA^3^2
- +65 ;;^UTILITY(U,$J,358.3,20198,1,2,0)
- +66 ;;=2^Electrical Stim,Oth than Wnd Care
- +67 ;;^UTILITY(U,$J,358.3,20198,1,3,0)
- +68 ;;=3^G0283
- +69 ;;^UTILITY(U,$J,358.3,20199,0)
- +70 ;;=G0329^^67^823^6^^^^1
- +71 ;;^UTILITY(U,$J,358.3,20199,1,0)
- +72 ;;=^358.31IA^3^2
- +73 ;;^UTILITY(U,$J,358.3,20199,1,2,0)
- +74 ;;=2^Electromagnetic Therapy,Wound Care
- +75 ;;^UTILITY(U,$J,358.3,20199,1,3,0)
- +76 ;;=3^G0329
- +77 ;;^UTILITY(U,$J,358.3,20200,0)
- +78 ;;=97610^^67^823^10^^^^1
- +79 ;;^UTILITY(U,$J,358.3,20200,1,0)
- +80 ;;=^358.31IA^3^2
- +81 ;;^UTILITY(U,$J,358.3,20200,1,2,0)
- +82 ;;=2^US LF Non-Contact Non-Therm,Wnd Assess
- +83 ;;^UTILITY(U,$J,358.3,20200,1,3,0)
- +84 ;;=3^97610
- +85 ;;^UTILITY(U,$J,358.3,20201,0)
- +86 ;;=G0282^^67^823^4^^^^1
- +87 ;;^UTILITY(U,$J,358.3,20201,1,0)
- +88 ;;=^358.31IA^3^2
- +89 ;;^UTILITY(U,$J,358.3,20201,1,2,0)
- +90 ;;=2^Electrical Stim,Stg 1/2 Wnd Care
- +91 ;;^UTILITY(U,$J,358.3,20201,1,3,0)
- +92 ;;=3^G0282
- +93 ;;^UTILITY(U,$J,358.3,20202,0)
- +94 ;;=99070^^67^824^1^^^^1
- +95 ;;^UTILITY(U,$J,358.3,20202,1,0)
- +96 ;;=^358.31IA^3^2
- +97 ;;^UTILITY(U,$J,358.3,20202,1,2,0)
- +98 ;;=2^SPECIAL SUPPLIES
- +99 ;;^UTILITY(U,$J,358.3,20202,1,3,0)
- +100 ;;=3^99070
- +101 ;;^UTILITY(U,$J,358.3,20203,0)
- +102 ;;=97039^^67^824^3^^^^1
- +103 ;;^UTILITY(U,$J,358.3,20203,1,0)
- +104 ;;=^358.31IA^3^2
- +105 ;;^UTILITY(U,$J,358.3,20203,1,2,0)
- +106 ;;=2^UNLISTED PT MODALITY
- +107 ;;^UTILITY(U,$J,358.3,20203,1,3,0)
- +108 ;;=3^97039
- +109 ;;^UTILITY(U,$J,358.3,20204,0)
- +110 ;;=97799^^67^824^2^^^^1
- +111 ;;^UTILITY(U,$J,358.3,20204,1,0)
- +112 ;;=^358.31IA^3^2
- +113 ;;^UTILITY(U,$J,358.3,20204,1,2,0)
- +114 ;;=2^UNLISTED PROCEDURE
- +115 ;;^UTILITY(U,$J,358.3,20204,1,3,0)
- +116 ;;=3^97799
- +117 ;;^UTILITY(U,$J,358.3,20205,0)
- +118 ;;=95860^^67^825^2^^^^1
- +119 ;;^UTILITY(U,$J,358.3,20205,1,0)
- +120 ;;=^358.31IA^3^2
- +121 ;;^UTILITY(U,$J,358.3,20205,1,2,0)
- +122 ;;=2^EMG 1 Limb
- +123 ;;^UTILITY(U,$J,358.3,20205,1,3,0)
- +124 ;;=3^95860
- +125 ;;^UTILITY(U,$J,358.3,20206,0)
- +126 ;;=95863^^67^825^4^^^^1
- +127 ;;^UTILITY(U,$J,358.3,20206,1,0)
- +128 ;;=^358.31IA^3^2
- +129 ;;^UTILITY(U,$J,358.3,20206,1,2,0)
- +130 ;;=2^EMG 3 Limbs
- +131 ;;^UTILITY(U,$J,358.3,20206,1,3,0)
- +132 ;;=3^95863
- +133 ;;^UTILITY(U,$J,358.3,20207,0)
- +134 ;;=95864^^67^825^5^^^^1
- +135 ;;^UTILITY(U,$J,358.3,20207,1,0)
- +136 ;;=^358.31IA^3^2
- +137 ;;^UTILITY(U,$J,358.3,20207,1,2,0)
- +138 ;;=2^EMG 4 Limbs
- +139 ;;^UTILITY(U,$J,358.3,20207,1,3,0)
- +140 ;;=3^95864
- +141 ;;^UTILITY(U,$J,358.3,20208,0)
- +142 ;;=95867^^67^825^6^^^^1
- +143 ;;^UTILITY(U,$J,358.3,20208,1,0)
- +144 ;;=^358.31IA^3^2
- +145 ;;^UTILITY(U,$J,358.3,20208,1,2,0)
- +146 ;;=2^EMG Cran Ner Mus-Unilat
- +147 ;;^UTILITY(U,$J,358.3,20208,1,3,0)
- +148 ;;=3^95867
- +149 ;;^UTILITY(U,$J,358.3,20209,0)
- +150 ;;=95868^^67^825^7^^^^1
- +151 ;;^UTILITY(U,$J,358.3,20209,1,0)
- +152 ;;=^358.31IA^3^2
- +153 ;;^UTILITY(U,$J,358.3,20209,1,2,0)
- +154 ;;=2^EMG Head or Neck
- +155 ;;^UTILITY(U,$J,358.3,20209,1,3,0)
- +156 ;;=3^95868
- +157 ;;^UTILITY(U,$J,358.3,20210,0)
- +158 ;;=95870^^67^825^9^^^^1
- +159 ;;^UTILITY(U,$J,358.3,20210,1,0)
- +160 ;;=^358.31IA^3^2
- +161 ;;^UTILITY(U,$J,358.3,20210,1,2,0)
- +162 ;;=2^Needle EMG < 5 Muscles/Ext
- +163 ;;^UTILITY(U,$J,358.3,20210,1,3,0)
- +164 ;;=3^95870
- +165 ;;^UTILITY(U,$J,358.3,20211,0)
- +166 ;;=95861^^67^825^3^^^^1
- +167 ;;^UTILITY(U,$J,358.3,20211,1,0)
- +168 ;;=^358.31IA^3^2
- +169 ;;^UTILITY(U,$J,358.3,20211,1,2,0)
- +170 ;;=2^EMG 2 Limbs
- +171 ;;^UTILITY(U,$J,358.3,20211,1,3,0)
- +172 ;;=3^95861
- +173 ;;^UTILITY(U,$J,358.3,20212,0)
- +174 ;;=95885^^67^825^10^^^^1
- +175 ;;^UTILITY(U,$J,358.3,20212,1,0)
- +176 ;;=^358.31IA^3^2
- +177 ;;^UTILITY(U,$J,358.3,20212,1,2,0)
- +178 ;;=2^Needle EMG < 5 Muscles/Ext,+NCS
- +179 ;;^UTILITY(U,$J,358.3,20212,1,3,0)
- +180 ;;=3^95885
- +181 ;;^UTILITY(U,$J,358.3,20213,0)
- +182 ;;=95886^^67^825^11^^^^1
- +183 ;;^UTILITY(U,$J,358.3,20213,1,0)
- +184 ;;=^358.31IA^3^2
- +185 ;;^UTILITY(U,$J,358.3,20213,1,2,0)
- +186 ;;=2^Needle EMG >/= 5 Muscles/Ext,+NCS
- +187 ;;^UTILITY(U,$J,358.3,20213,1,3,0)
- +188 ;;=3^95886
- +189 ;;^UTILITY(U,$J,358.3,20214,0)
- +190 ;;=95887^^67^825^12^^^^1
- +191 ;;^UTILITY(U,$J,358.3,20214,1,0)
- +192 ;;=^358.31IA^3^2
- +193 ;;^UTILITY(U,$J,358.3,20214,1,2,0)
- +194 ;;=2^Needle EMG CNs or Axial,+NCS
- +195 ;;^UTILITY(U,$J,358.3,20214,1,3,0)
- +196 ;;=3^95887
- +197 ;;^UTILITY(U,$J,358.3,20215,0)
- +198 ;;=95869^^67^825^13^^^^1
- +199 ;;^UTILITY(U,$J,358.3,20215,1,0)
- +200 ;;=^358.31IA^3^2
- +201 ;;^UTILITY(U,$J,358.3,20215,1,2,0)
- +202 ;;=2^Needle EMS Thor Paraspinal
- +203 ;;^UTILITY(U,$J,358.3,20215,1,3,0)
- +204 ;;=3^95869
- +205 ;;^UTILITY(U,$J,358.3,20216,0)
- +206 ;;=95905^^67^825^8^^^^1
- +207 ;;^UTILITY(U,$J,358.3,20216,1,0)
- +208 ;;=^358.31IA^3^2
- +209 ;;^UTILITY(U,$J,358.3,20216,1,2,0)
- +210 ;;=2^Motor/Sens Nerv Conduct-ea limb w/F-wv
- +211 ;;^UTILITY(U,$J,358.3,20216,1,3,0)
- +212 ;;=3^95905
- +213 ;;^UTILITY(U,$J,358.3,20217,0)
- +214 ;;=95937^^67^825^21^^^^1
- +215 ;;^UTILITY(U,$J,358.3,20217,1,0)
- +216 ;;=^358.31IA^3^2
- +217 ;;^UTILITY(U,$J,358.3,20217,1,2,0)
- +218 ;;=2^Neuromuscular Junction Test
- +219 ;;^UTILITY(U,$J,358.3,20217,1,3,0)
- +220 ;;=3^95937
- +221 ;;^UTILITY(U,$J,358.3,20218,0)
- +222 ;;=95907^^67^825^14^^^^1
- +223 ;;^UTILITY(U,$J,358.3,20218,1,0)
- +224 ;;=^358.31IA^3^2
- +225 ;;^UTILITY(U,$J,358.3,20218,1,2,0)
- +226 ;;=2^Nerve conduction studies; 1-2 studies
- +227 ;;^UTILITY(U,$J,358.3,20218,1,3,0)
- +228 ;;=3^95907
- +229 ;;^UTILITY(U,$J,358.3,20219,0)
- +230 ;;=95908^^67^825^16^^^^1
- +231 ;;^UTILITY(U,$J,358.3,20219,1,0)
- +232 ;;=^358.31IA^3^2
- +233 ;;^UTILITY(U,$J,358.3,20219,1,2,0)
- +234 ;;=2^Nerve conduction studies; 3-4 studies
- +235 ;;^UTILITY(U,$J,358.3,20219,1,3,0)
- +236 ;;=3^95908
- +237 ;;^UTILITY(U,$J,358.3,20220,0)
- +238 ;;=95909^^67^825^17^^^^1
- +239 ;;^UTILITY(U,$J,358.3,20220,1,0)
- +240 ;;=^358.31IA^3^2
- +241 ;;^UTILITY(U,$J,358.3,20220,1,2,0)
- +242 ;;=2^Nerve conduction studies; 5-6 studies
- +243 ;;^UTILITY(U,$J,358.3,20220,1,3,0)
- +244 ;;=3^95909
- +245 ;;^UTILITY(U,$J,358.3,20221,0)
- +246 ;;=95910^^67^825^18^^^^1
- +247 ;;^UTILITY(U,$J,358.3,20221,1,0)
- +248 ;;=^358.31IA^3^2
- +249 ;;^UTILITY(U,$J,358.3,20221,1,2,0)
- +250 ;;=2^Nerve conduction studies; 7-8 studies
- +251 ;;^UTILITY(U,$J,358.3,20221,1,3,0)
- +252 ;;=3^95910
- +253 ;;^UTILITY(U,$J,358.3,20222,0)
- +254 ;;=95911^^67^825^19^^^^1
- +255 ;;^UTILITY(U,$J,358.3,20222,1,0)
- +256 ;;=^358.31IA^3^2
- +257 ;;^UTILITY(U,$J,358.3,20222,1,2,0)
- +258 ;;=2^Nerve conduction studies; 9-10 studies
- +259 ;;^UTILITY(U,$J,358.3,20222,1,3,0)
- +260 ;;=3^95911
- +261 ;;^UTILITY(U,$J,358.3,20223,0)
- +262 ;;=95912^^67^825^15^^^^1
- +263 ;;^UTILITY(U,$J,358.3,20223,1,0)
- +264 ;;=^358.31IA^3^2
- +265 ;;^UTILITY(U,$J,358.3,20223,1,2,0)
- +266 ;;=2^Nerve conduction studies; 11-12 studies
- +267 ;;^UTILITY(U,$J,358.3,20223,1,3,0)
- +268 ;;=3^95912
- +269 ;;^UTILITY(U,$J,358.3,20224,0)
- +270 ;;=95913^^67^825^20^^^^1
- +271 ;;^UTILITY(U,$J,358.3,20224,1,0)
- +272 ;;=^358.31IA^3^2
- +273 ;;^UTILITY(U,$J,358.3,20224,1,2,0)
- +274 ;;=2^Nerve conduction studies;13 or > studies
- +275 ;;^UTILITY(U,$J,358.3,20224,1,3,0)
- +276 ;;=3^95913
- +277 ;;^UTILITY(U,$J,358.3,20225,0)
- +278 ;;=95933^^67^825^1^^^^1
- +279 ;;^UTILITY(U,$J,358.3,20225,1,0)
- +280 ;;=^358.31IA^3^2
- +281 ;;^UTILITY(U,$J,358.3,20225,1,2,0)
- +282 ;;=2^Blink Reflex Test
- +283 ;;^UTILITY(U,$J,358.3,20225,1,3,0)
- +284 ;;=3^95933
- +285 ;;^UTILITY(U,$J,358.3,20226,0)
- +286 ;;=95925^^67^825^25^^^^1
- +287 ;;^UTILITY(U,$J,358.3,20226,1,0)
- +288 ;;=^358.31IA^3^2
- +289 ;;^UTILITY(U,$J,358.3,20226,1,2,0)
- +290 ;;=2^Somatosensory Testing
- +291 ;;^UTILITY(U,$J,358.3,20226,1,3,0)
- +292 ;;=3^95925
- +293 ;;^UTILITY(U,$J,358.3,20227,0)
- +294 ;;=97161^^67^825^22^^^^1
- +295 ;;^UTILITY(U,$J,358.3,20227,1,0)
- +296 ;;=^358.31IA^3^2
- +297 ;;^UTILITY(U,$J,358.3,20227,1,2,0)
- +298 ;;=2^PT Evaluation,Low Complex,20 min
- +299 ;;^UTILITY(U,$J,358.3,20227,1,3,0)
- +300 ;;=3^97161
- +301 ;;^UTILITY(U,$J,358.3,20228,0)
- +302 ;;=97162^^67^825^23^^^^1
- +303 ;;^UTILITY(U,$J,358.3,20228,1,0)
- +304 ;;=^358.31IA^3^2
- +305 ;;^UTILITY(U,$J,358.3,20228,1,2,0)
- +306 ;;=2^PT Evaluation,Mod Complex,30 min
- +307 ;;^UTILITY(U,$J,358.3,20228,1,3,0)
- +308 ;;=3^97162
- +309 ;;^UTILITY(U,$J,358.3,20229,0)
- +310 ;;=97163^^67^825^23^^^^1
- +311 ;;^UTILITY(U,$J,358.3,20229,1,0)
- +312 ;;=^358.31IA^3^2
- +313 ;;^UTILITY(U,$J,358.3,20229,1,2,0)
- +314 ;;=2^PT Evaluation,High Complex,45 min
- +315 ;;^UTILITY(U,$J,358.3,20229,1,3,0)
- +316 ;;=3^97163
- +317 ;;^UTILITY(U,$J,358.3,20230,0)
- +318 ;;=99366^^67^826^1^^^^1
- +319 ;;^UTILITY(U,$J,358.3,20230,1,0)
- +320 ;;=^358.31IA^3^2
- +321 ;;^UTILITY(U,$J,358.3,20230,1,2,0)
- +322 ;;=2^Interdisc Team Conf Non-Phys w/ Pt/Fam>29min
- +323 ;;^UTILITY(U,$J,358.3,20230,1,3,0)
- +324 ;;=3^99366
- +325 ;;^UTILITY(U,$J,358.3,20231,0)
- +326 ;;=99368^^67^826^2^^^^1
- +327 ;;^UTILITY(U,$J,358.3,20231,1,0)
- +328 ;;=^358.31IA^3^2
- +329 ;;^UTILITY(U,$J,358.3,20231,1,2,0)
- +330 ;;=2^Interdisc Team Conf Non-Phys w/o Pt/Fam>29min
- +331 ;;^UTILITY(U,$J,358.3,20231,1,3,0)
- +332 ;;=3^99368
- +333 ;;^UTILITY(U,$J,358.3,20232,0)
- +334 ;;=99367^^67^826^3^^^^1
- +335 ;;^UTILITY(U,$J,358.3,20232,1,0)
- +336 ;;=^358.31IA^3^2
- +337 ;;^UTILITY(U,$J,358.3,20232,1,2,0)
- +338 ;;=2^Interdisc Team Conf Phys w/o Pt/Fam>29min
- +339 ;;^UTILITY(U,$J,358.3,20232,1,3,0)
- +340 ;;=3^99367
- +341 ;;^UTILITY(U,$J,358.3,20233,0)
- +342 ;;=97810^^67^827^3^^^^1
- +343 ;;^UTILITY(U,$J,358.3,20233,1,0)
- +344 ;;=^358.31IA^3^2
- +345 ;;^UTILITY(U,$J,358.3,20233,1,2,0)
- +346 ;;=2^Acupuncture w/o Stimul 15 Min
- +347 ;;^UTILITY(U,$J,358.3,20233,1,3,0)
- +348 ;;=3^97810
- +349 ;;^UTILITY(U,$J,358.3,20234,0)
- +350 ;;=97811^^67^827^4^^^^1
- +351 ;;^UTILITY(U,$J,358.3,20234,1,0)
- +352 ;;=^358.31IA^3^2
- +353 ;;^UTILITY(U,$J,358.3,20234,1,2,0)
- +354 ;;=2^Acupuncture w/o Stimul,Ea Addl 15 Min
- +355 ;;^UTILITY(U,$J,358.3,20234,1,3,0)
- +356 ;;=3^97811
- +357 ;;^UTILITY(U,$J,358.3,20235,0)
- +358 ;;=97813^^67^827^1^^^^1
- +359 ;;^UTILITY(U,$J,358.3,20235,1,0)
- +360 ;;=^358.31IA^3^2
- +361 ;;^UTILITY(U,$J,358.3,20235,1,2,0)
- +362 ;;=2^Acupuncture w/ Stimul 15 Min
- +363 ;;^UTILITY(U,$J,358.3,20235,1,3,0)
- +364 ;;=3^97813
- +365 ;;^UTILITY(U,$J,358.3,20236,0)
- +366 ;;=97814^^67^827^2^^^^1
- +367 ;;^UTILITY(U,$J,358.3,20236,1,0)
- +368 ;;=^358.31IA^3^2
- +369 ;;^UTILITY(U,$J,358.3,20236,1,2,0)
- +370 ;;=2^Acupuncture w/ Stimul,Ea Addl 15 Min
- +371 ;;^UTILITY(U,$J,358.3,20236,1,3,0)
- +372 ;;=3^97814
- +373 ;;^UTILITY(U,$J,358.3,20237,0)
- +374 ;;=64615^^67^828^5^^^^1
- +375 ;;^UTILITY(U,$J,358.3,20237,1,0)
- +376 ;;=^358.31IA^3^2
- +377 ;;^UTILITY(U,$J,358.3,20237,1,2,0)
- +378 ;;=2^Chemodenerv Musc Migraine
- +379 ;;^UTILITY(U,$J,358.3,20237,1,3,0)
- +380 ;;=3^64615
- +381 ;;^UTILITY(U,$J,358.3,20238,0)
- +382 ;;=64616^^67^828^6^^^^1
- +383 ;;^UTILITY(U,$J,358.3,20238,1,0)
- +384 ;;=^358.31IA^3^2
- +385 ;;^UTILITY(U,$J,358.3,20238,1,2,0)
- +386 ;;=2^Chemodenerv Musc Neck Dyston
- +387 ;;^UTILITY(U,$J,358.3,20238,1,3,0)
- +388 ;;=3^64616
- +389 ;;^UTILITY(U,$J,358.3,20239,0)
- +390 ;;=64642^^67^828^1^^^^1
- +391 ;;^UTILITY(U,$J,358.3,20239,1,0)
- +392 ;;=^358.31IA^3^2
- +393 ;;^UTILITY(U,$J,358.3,20239,1,2,0)
- +394 ;;=2^Chemodenerv 1 Extremity 1-4
- +395 ;;^UTILITY(U,$J,358.3,20239,1,3,0)
- +396 ;;=3^64642
- +397 ;;^UTILITY(U,$J,358.3,20240,0)
- +398 ;;=64643^^67^828^2^^^^1
- +399 ;;^UTILITY(U,$J,358.3,20240,1,0)
- +400 ;;=^358.31IA^3^2
- +401 ;;^UTILITY(U,$J,358.3,20240,1,2,0)
- +402 ;;=2^Chemodenerv 1 Extremity 1-4 Ea
- +403 ;;^UTILITY(U,$J,358.3,20240,1,3,0)
- +404 ;;=3^64643
- +405 ;;^UTILITY(U,$J,358.3,20241,0)
- +406 ;;=64644^^67^828^3^^^^1
- +407 ;;^UTILITY(U,$J,358.3,20241,1,0)
- +408 ;;=^358.31IA^3^2
- +409 ;;^UTILITY(U,$J,358.3,20241,1,2,0)
- +410 ;;=2^Chemodenerv 1 Extremity 5/> Mus
- +411 ;;^UTILITY(U,$J,358.3,20241,1,3,0)
- +412 ;;=3^64644
- +413 ;;^UTILITY(U,$J,358.3,20242,0)
- +414 ;;=64645^^67^828^4^^^^1
- +415 ;;^UTILITY(U,$J,358.3,20242,1,0)
- +416 ;;=^358.31IA^3^2
- +417 ;;^UTILITY(U,$J,358.3,20242,1,2,0)
- +418 ;;=2^Chemodenerv 1 Extremity 5/> Ea
- +419 ;;^UTILITY(U,$J,358.3,20242,1,3,0)
- +420 ;;=3^64645
- +421 ;;^UTILITY(U,$J,358.3,20243,0)
- +422 ;;=64646^^67^828^7^^^^1
- +423 ;;^UTILITY(U,$J,358.3,20243,1,0)
- +424 ;;=^358.31IA^3^2
- +425 ;;^UTILITY(U,$J,358.3,20243,1,2,0)
- +426 ;;=2^Chemodenerv Trunk Musc 1-5
- +427 ;;^UTILITY(U,$J,358.3,20243,1,3,0)
- +428 ;;=3^64646
- +429 ;;^UTILITY(U,$J,358.3,20244,0)
- +430 ;;=64647^^67^828^8^^^^1
- +431 ;;^UTILITY(U,$J,358.3,20244,1,0)
- +432 ;;=^358.31IA^3^2
- +433 ;;^UTILITY(U,$J,358.3,20244,1,2,0)
- +434 ;;=2^Chemodenerv Trunk Musc 6/>
- +435 ;;^UTILITY(U,$J,358.3,20244,1,3,0)
- +436 ;;=3^64647
- +437 ;;^UTILITY(U,$J,358.3,20245,0)
- +438 ;;=J0585^^67^828^9^^^^1
- +439 ;;^UTILITY(U,$J,358.3,20245,1,0)
- +440 ;;=^358.31IA^3^2
- +441 ;;^UTILITY(U,$J,358.3,20245,1,2,0)
- +442 ;;=2^OnabotulinumtoxinA 1 Unit
- +443 ;;^UTILITY(U,$J,358.3,20245,1,3,0)
- +444 ;;=3^J0585
- +445 ;;^UTILITY(U,$J,358.3,20246,0)
- +446 ;;=J0587^^67^828^10^^^^1
- +447 ;;^UTILITY(U,$J,358.3,20246,1,0)
- +448 ;;=^358.31IA^3^2
- +449 ;;^UTILITY(U,$J,358.3,20246,1,2,0)
- +450 ;;=2^RimabotulinumtoxinB 100 Units
- +451 ;;^UTILITY(U,$J,358.3,20246,1,3,0)
- +452 ;;=3^J0587
- +453 ;;^UTILITY(U,$J,358.3,20247,0)
- +454 ;;=98925^^67^829^1^^^^1
- +455 ;;^UTILITY(U,$J,358.3,20247,1,0)
- +456 ;;=^358.31IA^3^2
- +457 ;;^UTILITY(U,$J,358.3,20247,1,2,0)
- +458 ;;=2^OMT,1-2 Body Regions
- +459 ;;^UTILITY(U,$J,358.3,20247,1,3,0)
- +460 ;;=3^98925
- +461 ;;^UTILITY(U,$J,358.3,20248,0)
- +462 ;;=98926^^67^829^2^^^^1
- +463 ;;^UTILITY(U,$J,358.3,20248,1,0)
- +464 ;;=^358.31IA^3^2
- +465 ;;^UTILITY(U,$J,358.3,20248,1,2,0)
- +466 ;;=2^OMT,3-4 Body Regions
- +467 ;;^UTILITY(U,$J,358.3,20248,1,3,0)
- +468 ;;=3^98926
- +469 ;;^UTILITY(U,$J,358.3,20249,0)
- +470 ;;=98927^^67^829^3^^^^1
- +471 ;;^UTILITY(U,$J,358.3,20249,1,0)
- +472 ;;=^358.31IA^3^2
- +473 ;;^UTILITY(U,$J,358.3,20249,1,2,0)
- +474 ;;=2^OMT,5-6 Body Regions
- +475 ;;^UTILITY(U,$J,358.3,20249,1,3,0)
- +476 ;;=3^98927
- +477 ;;^UTILITY(U,$J,358.3,20250,0)
- +478 ;;=98928^^67^829^4^^^^1
- +479 ;;^UTILITY(U,$J,358.3,20250,1,0)
- +480 ;;=^358.31IA^3^2
- +481 ;;^UTILITY(U,$J,358.3,20250,1,2,0)
- +482 ;;=2^OMT,7-8 Body Regions
- +483 ;;^UTILITY(U,$J,358.3,20250,1,3,0)
- +484 ;;=3^98928
- +485 ;;^UTILITY(U,$J,358.3,20251,0)
- +486 ;;=98929^^67^829^5^^^^1
- +487 ;;^UTILITY(U,$J,358.3,20251,1,0)
- +488 ;;=^358.31IA^3^2
- +489 ;;^UTILITY(U,$J,358.3,20251,1,2,0)
- +490 ;;=2^OMT,9-10 Body Regions
- +491 ;;^UTILITY(U,$J,358.3,20251,1,3,0)
- +492 ;;=3^98929
- +493 ;;^UTILITY(U,$J,358.3,20252,0)
- +494 ;;=96116^^67^830^1^^^^1
- +495 ;;^UTILITY(U,$J,358.3,20252,1,0)
- +496 ;;=^358.31IA^3^2
- +497 ;;^UTILITY(U,$J,358.3,20252,1,2,0)
- +498 ;;=2^Neurobehavioral Status Exam,per hour
- +499 ;;^UTILITY(U,$J,358.3,20252,1,3,0)
- +500 ;;=3^96116
- +501 ;;^UTILITY(U,$J,358.3,20253,0)
- +502 ;;=97763^^67^830^2^^^^1
- +503 ;;^UTILITY(U,$J,358.3,20253,1,0)
- +504 ;;=^358.31IA^3^2
- +505 ;;^UTILITY(U,$J,358.3,20253,1,2,0)
- +506 ;;=2^Orthotic/Prosth F/U Mgmt/Trng,Ea 15 min
- +507 ;;^UTILITY(U,$J,358.3,20253,1,3,0)
- +508 ;;=3^97763
- +509 ;;^UTILITY(U,$J,358.3,20254,0)
- +510 ;;=62367^^67^831^2^^^^1
- +511 ;;^UTILITY(U,$J,358.3,20254,1,0)
- +512 ;;=^358.31IA^3^2
- +513 ;;^UTILITY(U,$J,358.3,20254,1,2,0)
- +514 ;;=2^Pump Analysis Only
- +515 ;;^UTILITY(U,$J,358.3,20254,1,3,0)
- +516 ;;=3^62367
- +517 ;;^UTILITY(U,$J,358.3,20255,0)
- +518 ;;=62368^^67^831^4^^^^1
- +519 ;;^UTILITY(U,$J,358.3,20255,1,0)
- +520 ;;=^358.31IA^3^2
- +521 ;;^UTILITY(U,$J,358.3,20255,1,2,0)
- +522 ;;=2^Pump Reprogram
- +523 ;;^UTILITY(U,$J,358.3,20255,1,3,0)
- +524 ;;=3^62368
- +525 ;;^UTILITY(U,$J,358.3,20256,0)
- +526 ;;=62370^^67^831^3^^^^1
- +527 ;;^UTILITY(U,$J,358.3,20256,1,0)
- +528 ;;=^358.31IA^3^2
- +529 ;;^UTILITY(U,$J,358.3,20256,1,2,0)
- +530 ;;=2^Pump Analysis Reprogram Refill
- +531 ;;^UTILITY(U,$J,358.3,20256,1,3,0)
- +532 ;;=3^62370
- +533 ;;^UTILITY(U,$J,358.3,20257,0)
- +534 ;;=61070^^67^831^1^^^^1
- +535 ;;^UTILITY(U,$J,358.3,20257,1,0)
- +536 ;;=^358.31IA^3^2
- +537 ;;^UTILITY(U,$J,358.3,20257,1,2,0)
- +538 ;;=2^Aspiration/Inj of Catheter Pump Tubing
- +539 ;;^UTILITY(U,$J,358.3,20257,1,3,0)
- +540 ;;=3^61070
- +541 ;;^UTILITY(U,$J,358.3,20258,0)
- +542 ;;=75809^^67^831^5^^^^1
- +543 ;;^UTILITY(U,$J,358.3,20258,1,0)
- +544 ;;=^358.31IA^3^2
- +545 ;;^UTILITY(U,$J,358.3,20258,1,2,0)
- +546 ;;=2^Shuntogram,Supervision & Intrptn
- +547 ;;^UTILITY(U,$J,358.3,20258,1,3,0)
- +548 ;;=3^75809
- +549 ;;^UTILITY(U,$J,358.3,20259,0)
- +550 ;;=95873^^67^832^2^^^^1
- +551 ;;^UTILITY(U,$J,358.3,20259,1,0)
- +552 ;;=^358.31IA^3^2
- +553 ;;^UTILITY(U,$J,358.3,20259,1,2,0)
- +554 ;;=2^Stim Guidance
- +555 ;;^UTILITY(U,$J,358.3,20259,1,3,0)
- +556 ;;=3^95873
- +557 ;;^UTILITY(U,$J,358.3,20260,0)
- +558 ;;=95874^^67^832^1^^^^1
- +559 ;;^UTILITY(U,$J,358.3,20260,1,0)
- +560 ;;=^358.31IA^3^2
- +561 ;;^UTILITY(U,$J,358.3,20260,1,2,0)
- +562 ;;=2^Needle Guidance
- +563 ;;^UTILITY(U,$J,358.3,20260,1,3,0)
- +564 ;;=3^95874
- +565 ;;^UTILITY(U,$J,358.3,20261,0)
- +566 ;;=20526^^67^833^1^^^^1
- +567 ;;^UTILITY(U,$J,358.3,20261,1,0)
- +568 ;;=^358.31IA^3^2
- +569 ;;^UTILITY(U,$J,358.3,20261,1,2,0)
- +570 ;;=2^Therapeutic Injection
- +571 ;;^UTILITY(U,$J,358.3,20261,1,3,0)
- +572 ;;=3^20526
- +573 ;;^UTILITY(U,$J,358.3,20262,0)
- +574 ;;=20604^^67^834^1^^^^1
- +575 ;;^UTILITY(U,$J,358.3,20262,1,0)
- +576 ;;=^358.31IA^3^2
- +577 ;;^UTILITY(U,$J,358.3,20262,1,2,0)
- +578 ;;=2^Joint Injection w/ US-Small
- +579 ;;^UTILITY(U,$J,358.3,20262,1,3,0)
- +580 ;;=3^20604
- +581 ;;^UTILITY(U,$J,358.3,20263,0)
- +582 ;;=20606^^67^834^2^^^^1
- +583 ;;^UTILITY(U,$J,358.3,20263,1,0)
- +584 ;;=^358.31IA^3^2
- +585 ;;^UTILITY(U,$J,358.3,20263,1,2,0)
- +586 ;;=2^Joint Injection w/ US-Intermediate
- +587 ;;^UTILITY(U,$J,358.3,20263,1,3,0)
- +588 ;;=3^20606
- +589 ;;^UTILITY(U,$J,358.3,20264,0)
- +590 ;;=20611^^67^834^3^^^^1
- +591 ;;^UTILITY(U,$J,358.3,20264,1,0)
- +592 ;;=^358.31IA^3^2
- +593 ;;^UTILITY(U,$J,358.3,20264,1,2,0)
- +594 ;;=2^Joint Injection w/ US-Major
- +595 ;;^UTILITY(U,$J,358.3,20264,1,3,0)
- +596 ;;=3^20611
- +597 ;;^UTILITY(U,$J,358.3,20265,0)
- +598 ;;=20552^^67^835^1^^^^1
- +599 ;;^UTILITY(U,$J,358.3,20265,1,0)
- +600 ;;=^358.31IA^3^2
- +601 ;;^UTILITY(U,$J,358.3,20265,1,2,0)
- +602 ;;=2^Inject 1-2 Muscles
- +603 ;;^UTILITY(U,$J,358.3,20265,1,3,0)
- +604 ;;=3^20552
- +605 ;;^UTILITY(U,$J,358.3,20266,0)
- +606 ;;=20553^^67^835^2^^^^1
- +607 ;;^UTILITY(U,$J,358.3,20266,1,0)
- +608 ;;=^358.31IA^3^2
- +609 ;;^UTILITY(U,$J,358.3,20266,1,2,0)
- +610 ;;=2^Inject 3 or More Muscles
- +611 ;;^UTILITY(U,$J,358.3,20266,1,3,0)
- +612 ;;=3^20553
- +613 ;;^UTILITY(U,$J,358.3,20267,0)
- +614 ;;=76881^^67^836^2^^^^1
- +615 ;;^UTILITY(U,$J,358.3,20267,1,0)
- +616 ;;=^358.31IA^3^2
- +617 ;;^UTILITY(U,$J,358.3,20267,1,2,0)
- +618 ;;=2^US Guided w/ Image
- +619 ;;^UTILITY(U,$J,358.3,20267,1,3,0)
- +620 ;;=3^76881
- +621 ;;^UTILITY(U,$J,358.3,20268,0)
- +622 ;;=76882^^67^836^1^^^^1
- +623 ;;^UTILITY(U,$J,358.3,20268,1,0)
- +624 ;;=^358.31IA^3^2
- +625 ;;^UTILITY(U,$J,358.3,20268,1,2,0)
- +626 ;;=2^Completed US Guided w/ Image
- +627 ;;^UTILITY(U,$J,358.3,20268,1,3,0)
- +628 ;;=3^76882
- +629 ;;^UTILITY(U,$J,358.3,20269,0)
- +630 ;;=76942^^67^836^3^^^^1
- +631 ;;^UTILITY(U,$J,358.3,20269,1,0)
- +632 ;;=^358.31IA^3^2
- +633 ;;^UTILITY(U,$J,358.3,20269,1,2,0)
- +634 ;;=2^US Guided w/o Image
- +635 ;;^UTILITY(U,$J,358.3,20269,1,3,0)
- +636 ;;=3^76942
- +637 ;;^UTILITY(U,$J,358.3,20270,0)
- +638 ;;=97112^^67^837^1^^^^1
- +639 ;;^UTILITY(U,$J,358.3,20270,1,0)
- +640 ;;=^358.31IA^3^2
- +641 ;;^UTILITY(U,$J,358.3,20270,1,2,0)
- +642 ;;=2^Neuromuscular Re-Education
- +643 ;;^UTILITY(U,$J,358.3,20270,1,3,0)
- +644 ;;=3^97112
- +645 ;;^UTILITY(U,$J,358.3,20271,0)
- +646 ;;=S06.0X1A^^68^838^1
- +647 ;;^UTILITY(U,$J,358.3,20271,1,0)
- +648 ;;=^358.31IA^4^2
- +649 ;;^UTILITY(U,$J,358.3,20271,1,3,0)
- +650 ;;=3^Concussion w LOC of 30 minutes or less, init
- +651 ;;^UTILITY(U,$J,358.3,20271,1,4,0)
- +652 ;;=4^S06.0X1A
- +653 ;;^UTILITY(U,$J,358.3,20271,2)
- +654 ;;=^5020669
- +655 ;;^UTILITY(U,$J,358.3,20272,0)
- +656 ;;=S06.0X9A^^68^838^2
- +657 ;;^UTILITY(U,$J,358.3,20272,1,0)
- +658 ;;=^358.31IA^4^2
- +659 ;;^UTILITY(U,$J,358.3,20272,1,3,0)
- +660 ;;=3^Concussion w LOC of unsp duration, init
- +661 ;;^UTILITY(U,$J,358.3,20272,1,4,0)
- +662 ;;=4^S06.0X9A