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,$J,358.3,20272,1,4,0)
;;=4^S06.0X9A
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI08A 19790 printed Sep 23, 2025@19:19:35 Page 2
IBDEI08A ; ; 01-AUG-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
+2 if 'DIFQR(358.3)
QUIT
FOR I=1:2
SET X=$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
