IBDEI08B ; ; 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,$J,358.3,20272,2)
;;=^5020693
;;^UTILITY(U,$J,358.3,20273,0)
;;=S06.0X0A^^68^838^3
;;^UTILITY(U,$J,358.3,20273,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20273,1,3,0)
;;=3^Concussion w/o LOC, initial encounter
;;^UTILITY(U,$J,358.3,20273,1,4,0)
;;=4^S06.0X0A
;;^UTILITY(U,$J,358.3,20273,2)
;;=^5020666
;;^UTILITY(U,$J,358.3,20274,0)
;;=Z13.850^^68^838^14
;;^UTILITY(U,$J,358.3,20274,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20274,1,3,0)
;;=3^TBI Screening
;;^UTILITY(U,$J,358.3,20274,1,4,0)
;;=4^Z13.850
;;^UTILITY(U,$J,358.3,20274,2)
;;=^5062717
;;^UTILITY(U,$J,358.3,20275,0)
;;=Z87.820^^68^838^13
;;^UTILITY(U,$J,358.3,20275,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20275,1,3,0)
;;=3^Personal history of traumatic brain injury
;;^UTILITY(U,$J,358.3,20275,1,4,0)
;;=4^Z87.820
;;^UTILITY(U,$J,358.3,20275,2)
;;=^5063514
;;^UTILITY(U,$J,358.3,20276,0)
;;=S06.890A^^68^838^11
;;^UTILITY(U,$J,358.3,20276,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20276,1,3,0)
;;=3^Intcrn inj w/o LOC, init encntr
;;^UTILITY(U,$J,358.3,20276,1,4,0)
;;=4^S06.890A
;;^UTILITY(U,$J,358.3,20276,2)
;;=^5021176
;;^UTILITY(U,$J,358.3,20277,0)
;;=S06.1X5A^^68^838^15
;;^UTILITY(U,$J,358.3,20277,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20277,1,3,0)
;;=3^Traumatic cerebral edema w LOC >24 hr w ret consc lev, init
;;^UTILITY(U,$J,358.3,20277,1,4,0)
;;=4^S06.1X5A
;;^UTILITY(U,$J,358.3,20277,2)
;;=^5020711
;;^UTILITY(U,$J,358.3,20278,0)
;;=S06.1X6A^^68^838^16
;;^UTILITY(U,$J,358.3,20278,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20278,1,3,0)
;;=3^Traumatic cerebral edema w LOC >24 hr w/o ret consc w surv, init
;;^UTILITY(U,$J,358.3,20278,1,4,0)
;;=4^S06.1X6A
;;^UTILITY(U,$J,358.3,20278,2)
;;=^5020714
;;^UTILITY(U,$J,358.3,20279,0)
;;=S06.1X3A^^68^838^17
;;^UTILITY(U,$J,358.3,20279,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20279,1,3,0)
;;=3^Traumatic cerebral edema w LOC of 1-5 hrs 59 min, init
;;^UTILITY(U,$J,358.3,20279,1,4,0)
;;=4^S06.1X3A
;;^UTILITY(U,$J,358.3,20279,2)
;;=^5020705
;;^UTILITY(U,$J,358.3,20280,0)
;;=S06.1X1A^^68^838^18
;;^UTILITY(U,$J,358.3,20280,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20280,1,3,0)
;;=3^Traumatic cerebral edema w LOC of 30 minutes or less, init
;;^UTILITY(U,$J,358.3,20280,1,4,0)
;;=4^S06.1X1A
;;^UTILITY(U,$J,358.3,20280,2)
;;=^5020699
;;^UTILITY(U,$J,358.3,20281,0)
;;=S06.1X2A^^68^838^19
;;^UTILITY(U,$J,358.3,20281,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20281,1,3,0)
;;=3^Traumatic cerebral edema w LOC of 31-59 min, init
;;^UTILITY(U,$J,358.3,20281,1,4,0)
;;=4^S06.1X2A
;;^UTILITY(U,$J,358.3,20281,2)
;;=^5020702
;;^UTILITY(U,$J,358.3,20282,0)
;;=S06.1X4A^^68^838^20
;;^UTILITY(U,$J,358.3,20282,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20282,1,3,0)
;;=3^Traumatic cerebral edema w LOC of 6 hours to 24 hours, init
;;^UTILITY(U,$J,358.3,20282,1,4,0)
;;=4^S06.1X4A
;;^UTILITY(U,$J,358.3,20282,2)
;;=^5020708
;;^UTILITY(U,$J,358.3,20283,0)
;;=S06.1X7A^^68^838^22
;;^UTILITY(U,$J,358.3,20283,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20283,1,3,0)
;;=3^Traumatic cerebral edema w LOC w death d/t brain inj bf consc, init
;;^UTILITY(U,$J,358.3,20283,1,4,0)
;;=4^S06.1X7A
;;^UTILITY(U,$J,358.3,20283,2)
;;=^5020717
;;^UTILITY(U,$J,358.3,20284,0)
;;=S06.1X8A^^68^838^23
;;^UTILITY(U,$J,358.3,20284,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20284,1,3,0)
;;=3^Traumatic cerebral edema w LOC w death d/t oth cause bf consc, init
;;^UTILITY(U,$J,358.3,20284,1,4,0)
;;=4^S06.1X8A
;;^UTILITY(U,$J,358.3,20284,2)
;;=^5020720
;;^UTILITY(U,$J,358.3,20285,0)
;;=S06.1X9A^^68^838^21
;;^UTILITY(U,$J,358.3,20285,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20285,1,3,0)
;;=3^Traumatic cerebral edema w LOC of unsp duration, init
;;^UTILITY(U,$J,358.3,20285,1,4,0)
;;=4^S06.1X9A
;;^UTILITY(U,$J,358.3,20285,2)
;;=^5020723
;;^UTILITY(U,$J,358.3,20286,0)
;;=S06.1X0A^^68^838^24
;;^UTILITY(U,$J,358.3,20286,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20286,1,3,0)
;;=3^Traumatic cerebral edema w/o LOC, init
;;^UTILITY(U,$J,358.3,20286,1,4,0)
;;=4^S06.1X0A
;;^UTILITY(U,$J,358.3,20286,2)
;;=^5020696
;;^UTILITY(U,$J,358.3,20287,0)
;;=S06.9X5A^^68^838^4
;;^UTILITY(U,$J,358.3,20287,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20287,1,3,0)
;;=3^Intcrn inj w LOC >24 hr w ret consc lev, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20287,1,4,0)
;;=4^S06.9X5A
;;^UTILITY(U,$J,358.3,20287,2)
;;=^5021221
;;^UTILITY(U,$J,358.3,20288,0)
;;=S06.9X6A^^68^838^5
;;^UTILITY(U,$J,358.3,20288,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20288,1,3,0)
;;=3^Intcrn inj w LOC >24 hr w/o ret consc w surv, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20288,1,4,0)
;;=4^S06.9X6A
;;^UTILITY(U,$J,358.3,20288,2)
;;=^5021224
;;^UTILITY(U,$J,358.3,20289,0)
;;=S06.9X3A^^68^838^6
;;^UTILITY(U,$J,358.3,20289,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20289,1,3,0)
;;=3^Intcrn inj w LOC of 1-5 hrs 59 min, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20289,1,4,0)
;;=4^S06.9X3A
;;^UTILITY(U,$J,358.3,20289,2)
;;=^5021215
;;^UTILITY(U,$J,358.3,20290,0)
;;=S06.9X1A^^68^838^7
;;^UTILITY(U,$J,358.3,20290,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20290,1,3,0)
;;=3^Intcrn inj w LOC of 30 minutes or less, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20290,1,4,0)
;;=4^S06.9X1A
;;^UTILITY(U,$J,358.3,20290,2)
;;=^5021209
;;^UTILITY(U,$J,358.3,20291,0)
;;=S06.9X2A^^68^838^8
;;^UTILITY(U,$J,358.3,20291,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20291,1,3,0)
;;=3^Intcrn inj w LOC of 31-59 min, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20291,1,4,0)
;;=4^S06.9X2A
;;^UTILITY(U,$J,358.3,20291,2)
;;=^5021212
;;^UTILITY(U,$J,358.3,20292,0)
;;=S06.9X4A^^68^838^9
;;^UTILITY(U,$J,358.3,20292,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20292,1,3,0)
;;=3^Intcrn inj w LOC of 6 hours to 24 hours, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20292,1,4,0)
;;=4^S06.9X4A
;;^UTILITY(U,$J,358.3,20292,2)
;;=^5021218
;;^UTILITY(U,$J,358.3,20293,0)
;;=S06.9X9A^^68^838^10
;;^UTILITY(U,$J,358.3,20293,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20293,1,3,0)
;;=3^Intcrn inj w LOC of unsp duration, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20293,1,4,0)
;;=4^S06.9X9A
;;^UTILITY(U,$J,358.3,20293,2)
;;=^5021233
;;^UTILITY(U,$J,358.3,20294,0)
;;=S06.9X0A^^68^838^12
;;^UTILITY(U,$J,358.3,20294,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20294,1,3,0)
;;=3^Intcrn inj w/o LOC, init encntr,Unspec
;;^UTILITY(U,$J,358.3,20294,1,4,0)
;;=4^S06.9X0A
;;^UTILITY(U,$J,358.3,20294,2)
;;=^5021206
;;^UTILITY(U,$J,358.3,20295,0)
;;=S78.019S^^68^839^4
;;^UTILITY(U,$J,358.3,20295,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20295,1,3,0)
;;=3^Complete traumatic amputation at unsp hip joint, sequela
;;^UTILITY(U,$J,358.3,20295,1,4,0)
;;=4^S78.019S
;;^UTILITY(U,$J,358.3,20295,2)
;;=^5039710
;;^UTILITY(U,$J,358.3,20296,0)
;;=S68.419S^^68^839^1
;;^UTILITY(U,$J,358.3,20296,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20296,1,3,0)
;;=3^Complete traumatic amp of unsp hand at wrist level, sequela
;;^UTILITY(U,$J,358.3,20296,1,4,0)
;;=4^S68.419S
;;^UTILITY(U,$J,358.3,20296,2)
;;=^5036707
;;^UTILITY(U,$J,358.3,20297,0)
;;=S88.919S^^68^839^2
;;^UTILITY(U,$J,358.3,20297,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20297,1,3,0)
;;=3^Complete traumatic amp of unsp low leg, level unsp, sequela
;;^UTILITY(U,$J,358.3,20297,1,4,0)
;;=4^S88.919S
;;^UTILITY(U,$J,358.3,20297,2)
;;=^5137219
;;^UTILITY(U,$J,358.3,20298,0)
;;=S48.919S^^68^839^3
;;^UTILITY(U,$J,358.3,20298,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20298,1,3,0)
;;=3^Complete traumatic amp of unsp shldr/up arm, level unsp, sequela
;;^UTILITY(U,$J,358.3,20298,1,4,0)
;;=4^S48.919S
;;^UTILITY(U,$J,358.3,20298,2)
;;=^5028331
;;^UTILITY(U,$J,358.3,20299,0)
;;=S14.2XXS^^68^839^6
;;^UTILITY(U,$J,358.3,20299,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20299,1,3,0)
;;=3^Injury of nerve root of cervical spine, sequela
;;^UTILITY(U,$J,358.3,20299,1,4,0)
;;=4^S14.2XXS
;;^UTILITY(U,$J,358.3,20299,2)
;;=^5022204
;;^UTILITY(U,$J,358.3,20300,0)
;;=S34.21XS^^68^839^7
;;^UTILITY(U,$J,358.3,20300,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20300,1,3,0)
;;=3^Injury of nerve root of lumbar spine, sequela
;;^UTILITY(U,$J,358.3,20300,1,4,0)
;;=4^S34.21XS
;;^UTILITY(U,$J,358.3,20300,2)
;;=^5025252
;;^UTILITY(U,$J,358.3,20301,0)
;;=S34.22XS^^68^839^8
;;^UTILITY(U,$J,358.3,20301,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20301,1,3,0)
;;=3^Injury of nerve root of sacral spine, sequela
;;^UTILITY(U,$J,358.3,20301,1,4,0)
;;=4^S34.22XS
;;^UTILITY(U,$J,358.3,20301,2)
;;=^5025255
;;^UTILITY(U,$J,358.3,20302,0)
;;=S24.2XXS^^68^839^9
;;^UTILITY(U,$J,358.3,20302,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20302,1,3,0)
;;=3^Injury of nerve root of thoracic spine, sequela
;;^UTILITY(U,$J,358.3,20302,1,4,0)
;;=4^S24.2XXS
;;^UTILITY(U,$J,358.3,20302,2)
;;=^5023347
;;^UTILITY(U,$J,358.3,20303,0)
;;=S04.9XXS^^68^839^11
;;^UTILITY(U,$J,358.3,20303,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20303,1,3,0)
;;=3^Injury of unspec cranial nerve, sequela
;;^UTILITY(U,$J,358.3,20303,1,4,0)
;;=4^S04.9XXS
;;^UTILITY(U,$J,358.3,20303,2)
;;=^5020575
;;^UTILITY(U,$J,358.3,20304,0)
;;=S24.9XXS^^68^839^12
;;^UTILITY(U,$J,358.3,20304,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20304,1,3,0)
;;=3^Injury of unspec nerve of thorax, sequela
;;^UTILITY(U,$J,358.3,20304,1,4,0)
;;=4^S24.9XXS
;;^UTILITY(U,$J,358.3,20304,2)
;;=^5023359
;;^UTILITY(U,$J,358.3,20305,0)
;;=S34.9XXS^^68^839^18
;;^UTILITY(U,$J,358.3,20305,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20305,1,3,0)
;;=3^Injury to unspec nerves at abd/low back/pelvis level, sequela
;;^UTILITY(U,$J,358.3,20305,1,4,0)
;;=4^S34.9XXS
;;^UTILITY(U,$J,358.3,20305,2)
;;=^5025273
;;^UTILITY(U,$J,358.3,20306,0)
;;=S14.9XXS^^68^839^13
;;^UTILITY(U,$J,358.3,20306,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20306,1,3,0)
;;=3^Injury of unspec nerves of neck, sequela
;;^UTILITY(U,$J,358.3,20306,1,4,0)
;;=4^S14.9XXS
;;^UTILITY(U,$J,358.3,20306,2)
;;=^5022219
;;^UTILITY(U,$J,358.3,20307,0)
;;=S58.922S^^68^839^20
;;^UTILITY(U,$J,358.3,20307,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20307,1,3,0)
;;=3^Partial traumatic amp of l forearm, level unsp, sequela
;;^UTILITY(U,$J,358.3,20307,1,4,0)
;;=4^S58.922S
;;^UTILITY(U,$J,358.3,20307,2)
;;=^5031957
;;^UTILITY(U,$J,358.3,20308,0)
;;=S14.109S^^68^839^15
;;^UTILITY(U,$J,358.3,20308,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20308,1,3,0)
;;=3^Injury to unsp level of cervical spinal cord unspec, sequela
;;^UTILITY(U,$J,358.3,20308,1,4,0)
;;=4^S14.109S
;;^UTILITY(U,$J,358.3,20308,2)
;;=^5134243
;;^UTILITY(U,$J,358.3,20309,0)
;;=S24.109S^^68^839^17
;;^UTILITY(U,$J,358.3,20309,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20309,1,3,0)
;;=3^Injury to unsp level of thoracic spinal cord, sequela
;;^UTILITY(U,$J,358.3,20309,1,4,0)
;;=4^S24.109S
;;^UTILITY(U,$J,358.3,20309,2)
;;=^5134384
;;^UTILITY(U,$J,358.3,20310,0)
;;=S34.139S^^68^839^14
;;^UTILITY(U,$J,358.3,20310,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20310,1,3,0)
;;=3^Injury to sacral spinal cord, sequela
;;^UTILITY(U,$J,358.3,20310,1,4,0)
;;=4^S34.139S
;;^UTILITY(U,$J,358.3,20310,2)
;;=^5025249
;;^UTILITY(U,$J,358.3,20311,0)
;;=S34.109S^^68^839^16
;;^UTILITY(U,$J,358.3,20311,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20311,1,3,0)
;;=3^Injury to unsp level of lumbar spinal cord, sequela
;;^UTILITY(U,$J,358.3,20311,1,4,0)
;;=4^S34.109S
;;^UTILITY(U,$J,358.3,20311,2)
;;=^5134570
;;^UTILITY(U,$J,358.3,20312,0)
;;=S06.9X9S^^68^839^19
;;^UTILITY(U,$J,358.3,20312,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20312,1,3,0)
;;=3^Intracranial injury w LOC of unsp duration, sequela
;;^UTILITY(U,$J,358.3,20312,1,4,0)
;;=4^S06.9X9S
;;^UTILITY(U,$J,358.3,20312,2)
;;=^5021235
;;^UTILITY(U,$J,358.3,20313,0)
;;=S15.002A^^68^839^5
;;^UTILITY(U,$J,358.3,20313,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20313,1,3,0)
;;=3^Injury of left carotid artery, init encntr
;;^UTILITY(U,$J,358.3,20313,1,4,0)
;;=4^S15.002A
;;^UTILITY(U,$J,358.3,20313,2)
;;=^5022223
;;^UTILITY(U,$J,358.3,20314,0)
;;=S15.001A^^68^839^10
;;^UTILITY(U,$J,358.3,20314,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20314,1,3,0)
;;=3^Injury of right carotid artery, init encntr
;;^UTILITY(U,$J,358.3,20314,1,4,0)
;;=4^S15.001A
;;^UTILITY(U,$J,358.3,20314,2)
;;=^5022220
;;^UTILITY(U,$J,358.3,20315,0)
;;=I69.952^^68^840^12
;;^UTILITY(U,$J,358.3,20315,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20315,1,3,0)
;;=3^Hemiplagia,Left Dominant Side
;;^UTILITY(U,$J,358.3,20315,1,4,0)
;;=4^I69.952
;;^UTILITY(U,$J,358.3,20315,2)
;;=^5133586
;;^UTILITY(U,$J,358.3,20316,0)
;;=I69.954^^68^840^13
;;^UTILITY(U,$J,358.3,20316,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20316,1,3,0)
;;=3^Hemiplegia,Left Non-Dominant Side
;;^UTILITY(U,$J,358.3,20316,1,4,0)
;;=4^I69.954
;;^UTILITY(U,$J,358.3,20316,2)
;;=^5133587
;;^UTILITY(U,$J,358.3,20317,0)
;;=I69.951^^68^840^14
;;^UTILITY(U,$J,358.3,20317,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20317,1,3,0)
;;=3^Hemiplegia,Right Dominant Side
;;^UTILITY(U,$J,358.3,20317,1,4,0)
;;=4^I69.951
;;^UTILITY(U,$J,358.3,20317,2)
;;=^5007561
;;^UTILITY(U,$J,358.3,20318,0)
;;=I69.953^^68^840^15
;;^UTILITY(U,$J,358.3,20318,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20318,1,3,0)
;;=3^Hemiplegia,Right Non-Dominant Side
;;^UTILITY(U,$J,358.3,20318,1,4,0)
;;=4^I69.953
;;^UTILITY(U,$J,358.3,20318,2)
;;=^5007562
;;^UTILITY(U,$J,358.3,20319,0)
;;=I69.920^^68^840^1
;;^UTILITY(U,$J,358.3,20319,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20319,1,3,0)
;;=3^Aphasia
;;^UTILITY(U,$J,358.3,20319,1,4,0)
;;=4^I69.920
;;^UTILITY(U,$J,358.3,20319,2)
;;=^5007553
;;^UTILITY(U,$J,358.3,20320,0)
;;=I69.90^^68^840^30
;;^UTILITY(U,$J,358.3,20320,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20320,1,3,0)
;;=3^Unspec Sequela of Unspec CVA
;;^UTILITY(U,$J,358.3,20320,1,4,0)
;;=4^I69.90
;;^UTILITY(U,$J,358.3,20320,2)
;;=^5007551
;;^UTILITY(U,$J,358.3,20321,0)
;;=I69.910^^68^840^4
;;^UTILITY(U,$J,358.3,20321,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20321,1,3,0)
;;=3^Attention & Concentration Deficit
;;^UTILITY(U,$J,358.3,20321,1,4,0)
;;=4^I69.910
;;^UTILITY(U,$J,358.3,20321,2)
;;=^5138660
;;^UTILITY(U,$J,358.3,20322,0)
;;=I69.911^^68^840^16
;;^UTILITY(U,$J,358.3,20322,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20322,1,3,0)
;;=3^Memory Deficit
;;^UTILITY(U,$J,358.3,20322,1,4,0)
;;=4^I69.911
;;^UTILITY(U,$J,358.3,20322,2)
;;=^5138661
;;^UTILITY(U,$J,358.3,20323,0)
;;=I69.912^^68^840^31
;;^UTILITY(U,$J,358.3,20323,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20323,1,3,0)
;;=3^Visuspatial Deficit & Spatial Neglect
;;^UTILITY(U,$J,358.3,20323,1,4,0)
;;=4^I69.912
;;^UTILITY(U,$J,358.3,20323,2)
;;=^5138662
;;^UTILITY(U,$J,358.3,20324,0)
;;=I69.913^^68^840^27
;;^UTILITY(U,$J,358.3,20324,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20324,1,3,0)
;;=3^Psychomotor Deficit
;;^UTILITY(U,$J,358.3,20324,1,4,0)
;;=4^I69.913
;;^UTILITY(U,$J,358.3,20324,2)
;;=^5138663
;;^UTILITY(U,$J,358.3,20325,0)
;;=I69.914^^68^840^11
;;^UTILITY(U,$J,358.3,20325,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20325,1,3,0)
;;=3^Frontal Lobe & Executive Function Deficit
;;^UTILITY(U,$J,358.3,20325,1,4,0)
;;=4^I69.914
;;^UTILITY(U,$J,358.3,20325,2)
;;=^5138664
;;^UTILITY(U,$J,358.3,20326,0)
;;=I69.915^^68^840^5
;;^UTILITY(U,$J,358.3,20326,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20326,1,3,0)
;;=3^Cognitive Social/Emotional Deficit
;;^UTILITY(U,$J,358.3,20326,1,4,0)
;;=4^I69.915
;;^UTILITY(U,$J,358.3,20326,2)
;;=^5138665
;;^UTILITY(U,$J,358.3,20327,0)
;;=I69.918^^68^840^29
;;^UTILITY(U,$J,358.3,20327,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20327,1,3,0)
;;=3^Symptoms/Signs Involving Cognitive Functions,Other
;;^UTILITY(U,$J,358.3,20327,1,4,0)
;;=4^I69.918
;;^UTILITY(U,$J,358.3,20327,2)
;;=^5138666
;;^UTILITY(U,$J,358.3,20328,0)
;;=I69.921^^68^840^8
;;^UTILITY(U,$J,358.3,20328,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20328,1,3,0)
;;=3^Dysphasia
;;^UTILITY(U,$J,358.3,20328,1,4,0)
;;=4^I69.921
;;^UTILITY(U,$J,358.3,20328,2)
;;=^5007554
;;^UTILITY(U,$J,358.3,20329,0)
;;=I69.922^^68^840^6
;;^UTILITY(U,$J,358.3,20329,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20329,1,3,0)
;;=3^Dysarthria
;;^UTILITY(U,$J,358.3,20329,1,4,0)
;;=4^I69.922
;;^UTILITY(U,$J,358.3,20329,2)
;;=^5007555
;;^UTILITY(U,$J,358.3,20330,0)
;;=I69.923^^68^840^10
;;^UTILITY(U,$J,358.3,20330,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20330,1,3,0)
;;=3^Fluency Disorder
;;^UTILITY(U,$J,358.3,20330,1,4,0)
;;=4^I69.923
;;^UTILITY(U,$J,358.3,20330,2)
;;=^5007556
;;^UTILITY(U,$J,358.3,20331,0)
;;=I69.928^^68^840^28
;;^UTILITY(U,$J,358.3,20331,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20331,1,3,0)
;;=3^Speech/Language Deficits,Other
;;^UTILITY(U,$J,358.3,20331,1,4,0)
;;=4^I69.928
;;^UTILITY(U,$J,358.3,20331,2)
;;=^5007557
;;^UTILITY(U,$J,358.3,20332,0)
;;=I69.961^^68^840^25
;;^UTILITY(U,$J,358.3,20332,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20332,1,3,0)
;;=3^Paralytic Syndrome,Right Dominant Side
;;^UTILITY(U,$J,358.3,20332,1,4,0)
;;=4^I69.961
;;^UTILITY(U,$J,358.3,20332,2)
;;=^5007564
;;^UTILITY(U,$J,358.3,20333,0)
;;=I69.962^^68^840^23
;;^UTILITY(U,$J,358.3,20333,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20333,1,3,0)
;;=3^Paralytic Syndrome,Left Dominant Side
;;^UTILITY(U,$J,358.3,20333,1,4,0)
;;=4^I69.962
;;^UTILITY(U,$J,358.3,20333,2)
;;=^5133588
;;^UTILITY(U,$J,358.3,20334,0)
;;=I69.963^^68^840^26
;;^UTILITY(U,$J,358.3,20334,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20334,1,3,0)
;;=3^Paralytic Syndrome,Right Non-Dominant Side
;;^UTILITY(U,$J,358.3,20334,1,4,0)
;;=4^I69.963
;;^UTILITY(U,$J,358.3,20334,2)
;;=^5007565
;;^UTILITY(U,$J,358.3,20335,0)
;;=I69.964^^68^840^24
;;^UTILITY(U,$J,358.3,20335,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20335,1,3,0)
;;=3^Paralytic Syndrome,Left Non-Dominant Side
;;^UTILITY(U,$J,358.3,20335,1,4,0)
;;=4^I69.964
;;^UTILITY(U,$J,358.3,20335,2)
;;=^5133589
;;^UTILITY(U,$J,358.3,20336,0)
;;=I69.965^^68^840^22
;;^UTILITY(U,$J,358.3,20336,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20336,1,3,0)
;;=3^Paralytic Syndrome,Bilateral
;;^UTILITY(U,$J,358.3,20336,1,4,0)
;;=4^I69.965
;;^UTILITY(U,$J,358.3,20336,2)
;;=^5007566
;;^UTILITY(U,$J,358.3,20337,0)
;;=I69.990^^68^840^2
;;^UTILITY(U,$J,358.3,20337,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,20337,1,3,0)
;;=3^Apraxia
;;^UTILITY(U,$J,358.3,20337,1,4,0)
;;=4^I69.990
;;^UTILITY(U,$J,358.3,20337,2)
;;=^5007568
;;^UTILITY(U,$J,358.3,20338,0)
;;=I69.991^^68^840^7
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI08B 19757 printed Sep 23, 2025@19:19:36 Page 2
IBDEI08B ; ; 01-AUG-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
+2 if 'DIFQR(358.3)
QUIT
FOR I=1:2
SET X=$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,358.3,20272,2)
+2 ;;=^5020693
+3 ;;^UTILITY(U,$J,358.3,20273,0)
+4 ;;=S06.0X0A^^68^838^3
+5 ;;^UTILITY(U,$J,358.3,20273,1,0)
+6 ;;=^358.31IA^4^2
+7 ;;^UTILITY(U,$J,358.3,20273,1,3,0)
+8 ;;=3^Concussion w/o LOC, initial encounter
+9 ;;^UTILITY(U,$J,358.3,20273,1,4,0)
+10 ;;=4^S06.0X0A
+11 ;;^UTILITY(U,$J,358.3,20273,2)
+12 ;;=^5020666
+13 ;;^UTILITY(U,$J,358.3,20274,0)
+14 ;;=Z13.850^^68^838^14
+15 ;;^UTILITY(U,$J,358.3,20274,1,0)
+16 ;;=^358.31IA^4^2
+17 ;;^UTILITY(U,$J,358.3,20274,1,3,0)
+18 ;;=3^TBI Screening
+19 ;;^UTILITY(U,$J,358.3,20274,1,4,0)
+20 ;;=4^Z13.850
+21 ;;^UTILITY(U,$J,358.3,20274,2)
+22 ;;=^5062717
+23 ;;^UTILITY(U,$J,358.3,20275,0)
+24 ;;=Z87.820^^68^838^13
+25 ;;^UTILITY(U,$J,358.3,20275,1,0)
+26 ;;=^358.31IA^4^2
+27 ;;^UTILITY(U,$J,358.3,20275,1,3,0)
+28 ;;=3^Personal history of traumatic brain injury
+29 ;;^UTILITY(U,$J,358.3,20275,1,4,0)
+30 ;;=4^Z87.820
+31 ;;^UTILITY(U,$J,358.3,20275,2)
+32 ;;=^5063514
+33 ;;^UTILITY(U,$J,358.3,20276,0)
+34 ;;=S06.890A^^68^838^11
+35 ;;^UTILITY(U,$J,358.3,20276,1,0)
+36 ;;=^358.31IA^4^2
+37 ;;^UTILITY(U,$J,358.3,20276,1,3,0)
+38 ;;=3^Intcrn inj w/o LOC, init encntr
+39 ;;^UTILITY(U,$J,358.3,20276,1,4,0)
+40 ;;=4^S06.890A
+41 ;;^UTILITY(U,$J,358.3,20276,2)
+42 ;;=^5021176
+43 ;;^UTILITY(U,$J,358.3,20277,0)
+44 ;;=S06.1X5A^^68^838^15
+45 ;;^UTILITY(U,$J,358.3,20277,1,0)
+46 ;;=^358.31IA^4^2
+47 ;;^UTILITY(U,$J,358.3,20277,1,3,0)
+48 ;;=3^Traumatic cerebral edema w LOC >24 hr w ret consc lev, init
+49 ;;^UTILITY(U,$J,358.3,20277,1,4,0)
+50 ;;=4^S06.1X5A
+51 ;;^UTILITY(U,$J,358.3,20277,2)
+52 ;;=^5020711
+53 ;;^UTILITY(U,$J,358.3,20278,0)
+54 ;;=S06.1X6A^^68^838^16
+55 ;;^UTILITY(U,$J,358.3,20278,1,0)
+56 ;;=^358.31IA^4^2
+57 ;;^UTILITY(U,$J,358.3,20278,1,3,0)
+58 ;;=3^Traumatic cerebral edema w LOC >24 hr w/o ret consc w surv, init
+59 ;;^UTILITY(U,$J,358.3,20278,1,4,0)
+60 ;;=4^S06.1X6A
+61 ;;^UTILITY(U,$J,358.3,20278,2)
+62 ;;=^5020714
+63 ;;^UTILITY(U,$J,358.3,20279,0)
+64 ;;=S06.1X3A^^68^838^17
+65 ;;^UTILITY(U,$J,358.3,20279,1,0)
+66 ;;=^358.31IA^4^2
+67 ;;^UTILITY(U,$J,358.3,20279,1,3,0)
+68 ;;=3^Traumatic cerebral edema w LOC of 1-5 hrs 59 min, init
+69 ;;^UTILITY(U,$J,358.3,20279,1,4,0)
+70 ;;=4^S06.1X3A
+71 ;;^UTILITY(U,$J,358.3,20279,2)
+72 ;;=^5020705
+73 ;;^UTILITY(U,$J,358.3,20280,0)
+74 ;;=S06.1X1A^^68^838^18
+75 ;;^UTILITY(U,$J,358.3,20280,1,0)
+76 ;;=^358.31IA^4^2
+77 ;;^UTILITY(U,$J,358.3,20280,1,3,0)
+78 ;;=3^Traumatic cerebral edema w LOC of 30 minutes or less, init
+79 ;;^UTILITY(U,$J,358.3,20280,1,4,0)
+80 ;;=4^S06.1X1A
+81 ;;^UTILITY(U,$J,358.3,20280,2)
+82 ;;=^5020699
+83 ;;^UTILITY(U,$J,358.3,20281,0)
+84 ;;=S06.1X2A^^68^838^19
+85 ;;^UTILITY(U,$J,358.3,20281,1,0)
+86 ;;=^358.31IA^4^2
+87 ;;^UTILITY(U,$J,358.3,20281,1,3,0)
+88 ;;=3^Traumatic cerebral edema w LOC of 31-59 min, init
+89 ;;^UTILITY(U,$J,358.3,20281,1,4,0)
+90 ;;=4^S06.1X2A
+91 ;;^UTILITY(U,$J,358.3,20281,2)
+92 ;;=^5020702
+93 ;;^UTILITY(U,$J,358.3,20282,0)
+94 ;;=S06.1X4A^^68^838^20
+95 ;;^UTILITY(U,$J,358.3,20282,1,0)
+96 ;;=^358.31IA^4^2
+97 ;;^UTILITY(U,$J,358.3,20282,1,3,0)
+98 ;;=3^Traumatic cerebral edema w LOC of 6 hours to 24 hours, init
+99 ;;^UTILITY(U,$J,358.3,20282,1,4,0)
+100 ;;=4^S06.1X4A
+101 ;;^UTILITY(U,$J,358.3,20282,2)
+102 ;;=^5020708
+103 ;;^UTILITY(U,$J,358.3,20283,0)
+104 ;;=S06.1X7A^^68^838^22
+105 ;;^UTILITY(U,$J,358.3,20283,1,0)
+106 ;;=^358.31IA^4^2
+107 ;;^UTILITY(U,$J,358.3,20283,1,3,0)
+108 ;;=3^Traumatic cerebral edema w LOC w death d/t brain inj bf consc, init
+109 ;;^UTILITY(U,$J,358.3,20283,1,4,0)
+110 ;;=4^S06.1X7A
+111 ;;^UTILITY(U,$J,358.3,20283,2)
+112 ;;=^5020717
+113 ;;^UTILITY(U,$J,358.3,20284,0)
+114 ;;=S06.1X8A^^68^838^23
+115 ;;^UTILITY(U,$J,358.3,20284,1,0)
+116 ;;=^358.31IA^4^2
+117 ;;^UTILITY(U,$J,358.3,20284,1,3,0)
+118 ;;=3^Traumatic cerebral edema w LOC w death d/t oth cause bf consc, init
+119 ;;^UTILITY(U,$J,358.3,20284,1,4,0)
+120 ;;=4^S06.1X8A
+121 ;;^UTILITY(U,$J,358.3,20284,2)
+122 ;;=^5020720
+123 ;;^UTILITY(U,$J,358.3,20285,0)
+124 ;;=S06.1X9A^^68^838^21
+125 ;;^UTILITY(U,$J,358.3,20285,1,0)
+126 ;;=^358.31IA^4^2
+127 ;;^UTILITY(U,$J,358.3,20285,1,3,0)
+128 ;;=3^Traumatic cerebral edema w LOC of unsp duration, init
+129 ;;^UTILITY(U,$J,358.3,20285,1,4,0)
+130 ;;=4^S06.1X9A
+131 ;;^UTILITY(U,$J,358.3,20285,2)
+132 ;;=^5020723
+133 ;;^UTILITY(U,$J,358.3,20286,0)
+134 ;;=S06.1X0A^^68^838^24
+135 ;;^UTILITY(U,$J,358.3,20286,1,0)
+136 ;;=^358.31IA^4^2
+137 ;;^UTILITY(U,$J,358.3,20286,1,3,0)
+138 ;;=3^Traumatic cerebral edema w/o LOC, init
+139 ;;^UTILITY(U,$J,358.3,20286,1,4,0)
+140 ;;=4^S06.1X0A
+141 ;;^UTILITY(U,$J,358.3,20286,2)
+142 ;;=^5020696
+143 ;;^UTILITY(U,$J,358.3,20287,0)
+144 ;;=S06.9X5A^^68^838^4
+145 ;;^UTILITY(U,$J,358.3,20287,1,0)
+146 ;;=^358.31IA^4^2
+147 ;;^UTILITY(U,$J,358.3,20287,1,3,0)
+148 ;;=3^Intcrn inj w LOC >24 hr w ret consc lev, init encntr,Unspec
+149 ;;^UTILITY(U,$J,358.3,20287,1,4,0)
+150 ;;=4^S06.9X5A
+151 ;;^UTILITY(U,$J,358.3,20287,2)
+152 ;;=^5021221
+153 ;;^UTILITY(U,$J,358.3,20288,0)
+154 ;;=S06.9X6A^^68^838^5
+155 ;;^UTILITY(U,$J,358.3,20288,1,0)
+156 ;;=^358.31IA^4^2
+157 ;;^UTILITY(U,$J,358.3,20288,1,3,0)
+158 ;;=3^Intcrn inj w LOC >24 hr w/o ret consc w surv, init encntr,Unspec
+159 ;;^UTILITY(U,$J,358.3,20288,1,4,0)
+160 ;;=4^S06.9X6A
+161 ;;^UTILITY(U,$J,358.3,20288,2)
+162 ;;=^5021224
+163 ;;^UTILITY(U,$J,358.3,20289,0)
+164 ;;=S06.9X3A^^68^838^6
+165 ;;^UTILITY(U,$J,358.3,20289,1,0)
+166 ;;=^358.31IA^4^2
+167 ;;^UTILITY(U,$J,358.3,20289,1,3,0)
+168 ;;=3^Intcrn inj w LOC of 1-5 hrs 59 min, init encntr,Unspec
+169 ;;^UTILITY(U,$J,358.3,20289,1,4,0)
+170 ;;=4^S06.9X3A
+171 ;;^UTILITY(U,$J,358.3,20289,2)
+172 ;;=^5021215
+173 ;;^UTILITY(U,$J,358.3,20290,0)
+174 ;;=S06.9X1A^^68^838^7
+175 ;;^UTILITY(U,$J,358.3,20290,1,0)
+176 ;;=^358.31IA^4^2
+177 ;;^UTILITY(U,$J,358.3,20290,1,3,0)
+178 ;;=3^Intcrn inj w LOC of 30 minutes or less, init encntr,Unspec
+179 ;;^UTILITY(U,$J,358.3,20290,1,4,0)
+180 ;;=4^S06.9X1A
+181 ;;^UTILITY(U,$J,358.3,20290,2)
+182 ;;=^5021209
+183 ;;^UTILITY(U,$J,358.3,20291,0)
+184 ;;=S06.9X2A^^68^838^8
+185 ;;^UTILITY(U,$J,358.3,20291,1,0)
+186 ;;=^358.31IA^4^2
+187 ;;^UTILITY(U,$J,358.3,20291,1,3,0)
+188 ;;=3^Intcrn inj w LOC of 31-59 min, init encntr,Unspec
+189 ;;^UTILITY(U,$J,358.3,20291,1,4,0)
+190 ;;=4^S06.9X2A
+191 ;;^UTILITY(U,$J,358.3,20291,2)
+192 ;;=^5021212
+193 ;;^UTILITY(U,$J,358.3,20292,0)
+194 ;;=S06.9X4A^^68^838^9
+195 ;;^UTILITY(U,$J,358.3,20292,1,0)
+196 ;;=^358.31IA^4^2
+197 ;;^UTILITY(U,$J,358.3,20292,1,3,0)
+198 ;;=3^Intcrn inj w LOC of 6 hours to 24 hours, init encntr,Unspec
+199 ;;^UTILITY(U,$J,358.3,20292,1,4,0)
+200 ;;=4^S06.9X4A
+201 ;;^UTILITY(U,$J,358.3,20292,2)
+202 ;;=^5021218
+203 ;;^UTILITY(U,$J,358.3,20293,0)
+204 ;;=S06.9X9A^^68^838^10
+205 ;;^UTILITY(U,$J,358.3,20293,1,0)
+206 ;;=^358.31IA^4^2
+207 ;;^UTILITY(U,$J,358.3,20293,1,3,0)
+208 ;;=3^Intcrn inj w LOC of unsp duration, init encntr,Unspec
+209 ;;^UTILITY(U,$J,358.3,20293,1,4,0)
+210 ;;=4^S06.9X9A
+211 ;;^UTILITY(U,$J,358.3,20293,2)
+212 ;;=^5021233
+213 ;;^UTILITY(U,$J,358.3,20294,0)
+214 ;;=S06.9X0A^^68^838^12
+215 ;;^UTILITY(U,$J,358.3,20294,1,0)
+216 ;;=^358.31IA^4^2
+217 ;;^UTILITY(U,$J,358.3,20294,1,3,0)
+218 ;;=3^Intcrn inj w/o LOC, init encntr,Unspec
+219 ;;^UTILITY(U,$J,358.3,20294,1,4,0)
+220 ;;=4^S06.9X0A
+221 ;;^UTILITY(U,$J,358.3,20294,2)
+222 ;;=^5021206
+223 ;;^UTILITY(U,$J,358.3,20295,0)
+224 ;;=S78.019S^^68^839^4
+225 ;;^UTILITY(U,$J,358.3,20295,1,0)
+226 ;;=^358.31IA^4^2
+227 ;;^UTILITY(U,$J,358.3,20295,1,3,0)
+228 ;;=3^Complete traumatic amputation at unsp hip joint, sequela
+229 ;;^UTILITY(U,$J,358.3,20295,1,4,0)
+230 ;;=4^S78.019S
+231 ;;^UTILITY(U,$J,358.3,20295,2)
+232 ;;=^5039710
+233 ;;^UTILITY(U,$J,358.3,20296,0)
+234 ;;=S68.419S^^68^839^1
+235 ;;^UTILITY(U,$J,358.3,20296,1,0)
+236 ;;=^358.31IA^4^2
+237 ;;^UTILITY(U,$J,358.3,20296,1,3,0)
+238 ;;=3^Complete traumatic amp of unsp hand at wrist level, sequela
+239 ;;^UTILITY(U,$J,358.3,20296,1,4,0)
+240 ;;=4^S68.419S
+241 ;;^UTILITY(U,$J,358.3,20296,2)
+242 ;;=^5036707
+243 ;;^UTILITY(U,$J,358.3,20297,0)
+244 ;;=S88.919S^^68^839^2
+245 ;;^UTILITY(U,$J,358.3,20297,1,0)
+246 ;;=^358.31IA^4^2
+247 ;;^UTILITY(U,$J,358.3,20297,1,3,0)
+248 ;;=3^Complete traumatic amp of unsp low leg, level unsp, sequela
+249 ;;^UTILITY(U,$J,358.3,20297,1,4,0)
+250 ;;=4^S88.919S
+251 ;;^UTILITY(U,$J,358.3,20297,2)
+252 ;;=^5137219
+253 ;;^UTILITY(U,$J,358.3,20298,0)
+254 ;;=S48.919S^^68^839^3
+255 ;;^UTILITY(U,$J,358.3,20298,1,0)
+256 ;;=^358.31IA^4^2
+257 ;;^UTILITY(U,$J,358.3,20298,1,3,0)
+258 ;;=3^Complete traumatic amp of unsp shldr/up arm, level unsp, sequela
+259 ;;^UTILITY(U,$J,358.3,20298,1,4,0)
+260 ;;=4^S48.919S
+261 ;;^UTILITY(U,$J,358.3,20298,2)
+262 ;;=^5028331
+263 ;;^UTILITY(U,$J,358.3,20299,0)
+264 ;;=S14.2XXS^^68^839^6
+265 ;;^UTILITY(U,$J,358.3,20299,1,0)
+266 ;;=^358.31IA^4^2
+267 ;;^UTILITY(U,$J,358.3,20299,1,3,0)
+268 ;;=3^Injury of nerve root of cervical spine, sequela
+269 ;;^UTILITY(U,$J,358.3,20299,1,4,0)
+270 ;;=4^S14.2XXS
+271 ;;^UTILITY(U,$J,358.3,20299,2)
+272 ;;=^5022204
+273 ;;^UTILITY(U,$J,358.3,20300,0)
+274 ;;=S34.21XS^^68^839^7
+275 ;;^UTILITY(U,$J,358.3,20300,1,0)
+276 ;;=^358.31IA^4^2
+277 ;;^UTILITY(U,$J,358.3,20300,1,3,0)
+278 ;;=3^Injury of nerve root of lumbar spine, sequela
+279 ;;^UTILITY(U,$J,358.3,20300,1,4,0)
+280 ;;=4^S34.21XS
+281 ;;^UTILITY(U,$J,358.3,20300,2)
+282 ;;=^5025252
+283 ;;^UTILITY(U,$J,358.3,20301,0)
+284 ;;=S34.22XS^^68^839^8
+285 ;;^UTILITY(U,$J,358.3,20301,1,0)
+286 ;;=^358.31IA^4^2
+287 ;;^UTILITY(U,$J,358.3,20301,1,3,0)
+288 ;;=3^Injury of nerve root of sacral spine, sequela
+289 ;;^UTILITY(U,$J,358.3,20301,1,4,0)
+290 ;;=4^S34.22XS
+291 ;;^UTILITY(U,$J,358.3,20301,2)
+292 ;;=^5025255
+293 ;;^UTILITY(U,$J,358.3,20302,0)
+294 ;;=S24.2XXS^^68^839^9
+295 ;;^UTILITY(U,$J,358.3,20302,1,0)
+296 ;;=^358.31IA^4^2
+297 ;;^UTILITY(U,$J,358.3,20302,1,3,0)
+298 ;;=3^Injury of nerve root of thoracic spine, sequela
+299 ;;^UTILITY(U,$J,358.3,20302,1,4,0)
+300 ;;=4^S24.2XXS
+301 ;;^UTILITY(U,$J,358.3,20302,2)
+302 ;;=^5023347
+303 ;;^UTILITY(U,$J,358.3,20303,0)
+304 ;;=S04.9XXS^^68^839^11
+305 ;;^UTILITY(U,$J,358.3,20303,1,0)
+306 ;;=^358.31IA^4^2
+307 ;;^UTILITY(U,$J,358.3,20303,1,3,0)
+308 ;;=3^Injury of unspec cranial nerve, sequela
+309 ;;^UTILITY(U,$J,358.3,20303,1,4,0)
+310 ;;=4^S04.9XXS
+311 ;;^UTILITY(U,$J,358.3,20303,2)
+312 ;;=^5020575
+313 ;;^UTILITY(U,$J,358.3,20304,0)
+314 ;;=S24.9XXS^^68^839^12
+315 ;;^UTILITY(U,$J,358.3,20304,1,0)
+316 ;;=^358.31IA^4^2
+317 ;;^UTILITY(U,$J,358.3,20304,1,3,0)
+318 ;;=3^Injury of unspec nerve of thorax, sequela
+319 ;;^UTILITY(U,$J,358.3,20304,1,4,0)
+320 ;;=4^S24.9XXS
+321 ;;^UTILITY(U,$J,358.3,20304,2)
+322 ;;=^5023359
+323 ;;^UTILITY(U,$J,358.3,20305,0)
+324 ;;=S34.9XXS^^68^839^18
+325 ;;^UTILITY(U,$J,358.3,20305,1,0)
+326 ;;=^358.31IA^4^2
+327 ;;^UTILITY(U,$J,358.3,20305,1,3,0)
+328 ;;=3^Injury to unspec nerves at abd/low back/pelvis level, sequela
+329 ;;^UTILITY(U,$J,358.3,20305,1,4,0)
+330 ;;=4^S34.9XXS
+331 ;;^UTILITY(U,$J,358.3,20305,2)
+332 ;;=^5025273
+333 ;;^UTILITY(U,$J,358.3,20306,0)
+334 ;;=S14.9XXS^^68^839^13
+335 ;;^UTILITY(U,$J,358.3,20306,1,0)
+336 ;;=^358.31IA^4^2
+337 ;;^UTILITY(U,$J,358.3,20306,1,3,0)
+338 ;;=3^Injury of unspec nerves of neck, sequela
+339 ;;^UTILITY(U,$J,358.3,20306,1,4,0)
+340 ;;=4^S14.9XXS
+341 ;;^UTILITY(U,$J,358.3,20306,2)
+342 ;;=^5022219
+343 ;;^UTILITY(U,$J,358.3,20307,0)
+344 ;;=S58.922S^^68^839^20
+345 ;;^UTILITY(U,$J,358.3,20307,1,0)
+346 ;;=^358.31IA^4^2
+347 ;;^UTILITY(U,$J,358.3,20307,1,3,0)
+348 ;;=3^Partial traumatic amp of l forearm, level unsp, sequela
+349 ;;^UTILITY(U,$J,358.3,20307,1,4,0)
+350 ;;=4^S58.922S
+351 ;;^UTILITY(U,$J,358.3,20307,2)
+352 ;;=^5031957
+353 ;;^UTILITY(U,$J,358.3,20308,0)
+354 ;;=S14.109S^^68^839^15
+355 ;;^UTILITY(U,$J,358.3,20308,1,0)
+356 ;;=^358.31IA^4^2
+357 ;;^UTILITY(U,$J,358.3,20308,1,3,0)
+358 ;;=3^Injury to unsp level of cervical spinal cord unspec, sequela
+359 ;;^UTILITY(U,$J,358.3,20308,1,4,0)
+360 ;;=4^S14.109S
+361 ;;^UTILITY(U,$J,358.3,20308,2)
+362 ;;=^5134243
+363 ;;^UTILITY(U,$J,358.3,20309,0)
+364 ;;=S24.109S^^68^839^17
+365 ;;^UTILITY(U,$J,358.3,20309,1,0)
+366 ;;=^358.31IA^4^2
+367 ;;^UTILITY(U,$J,358.3,20309,1,3,0)
+368 ;;=3^Injury to unsp level of thoracic spinal cord, sequela
+369 ;;^UTILITY(U,$J,358.3,20309,1,4,0)
+370 ;;=4^S24.109S
+371 ;;^UTILITY(U,$J,358.3,20309,2)
+372 ;;=^5134384
+373 ;;^UTILITY(U,$J,358.3,20310,0)
+374 ;;=S34.139S^^68^839^14
+375 ;;^UTILITY(U,$J,358.3,20310,1,0)
+376 ;;=^358.31IA^4^2
+377 ;;^UTILITY(U,$J,358.3,20310,1,3,0)
+378 ;;=3^Injury to sacral spinal cord, sequela
+379 ;;^UTILITY(U,$J,358.3,20310,1,4,0)
+380 ;;=4^S34.139S
+381 ;;^UTILITY(U,$J,358.3,20310,2)
+382 ;;=^5025249
+383 ;;^UTILITY(U,$J,358.3,20311,0)
+384 ;;=S34.109S^^68^839^16
+385 ;;^UTILITY(U,$J,358.3,20311,1,0)
+386 ;;=^358.31IA^4^2
+387 ;;^UTILITY(U,$J,358.3,20311,1,3,0)
+388 ;;=3^Injury to unsp level of lumbar spinal cord, sequela
+389 ;;^UTILITY(U,$J,358.3,20311,1,4,0)
+390 ;;=4^S34.109S
+391 ;;^UTILITY(U,$J,358.3,20311,2)
+392 ;;=^5134570
+393 ;;^UTILITY(U,$J,358.3,20312,0)
+394 ;;=S06.9X9S^^68^839^19
+395 ;;^UTILITY(U,$J,358.3,20312,1,0)
+396 ;;=^358.31IA^4^2
+397 ;;^UTILITY(U,$J,358.3,20312,1,3,0)
+398 ;;=3^Intracranial injury w LOC of unsp duration, sequela
+399 ;;^UTILITY(U,$J,358.3,20312,1,4,0)
+400 ;;=4^S06.9X9S
+401 ;;^UTILITY(U,$J,358.3,20312,2)
+402 ;;=^5021235
+403 ;;^UTILITY(U,$J,358.3,20313,0)
+404 ;;=S15.002A^^68^839^5
+405 ;;^UTILITY(U,$J,358.3,20313,1,0)
+406 ;;=^358.31IA^4^2
+407 ;;^UTILITY(U,$J,358.3,20313,1,3,0)
+408 ;;=3^Injury of left carotid artery, init encntr
+409 ;;^UTILITY(U,$J,358.3,20313,1,4,0)
+410 ;;=4^S15.002A
+411 ;;^UTILITY(U,$J,358.3,20313,2)
+412 ;;=^5022223
+413 ;;^UTILITY(U,$J,358.3,20314,0)
+414 ;;=S15.001A^^68^839^10
+415 ;;^UTILITY(U,$J,358.3,20314,1,0)
+416 ;;=^358.31IA^4^2
+417 ;;^UTILITY(U,$J,358.3,20314,1,3,0)
+418 ;;=3^Injury of right carotid artery, init encntr
+419 ;;^UTILITY(U,$J,358.3,20314,1,4,0)
+420 ;;=4^S15.001A
+421 ;;^UTILITY(U,$J,358.3,20314,2)
+422 ;;=^5022220
+423 ;;^UTILITY(U,$J,358.3,20315,0)
+424 ;;=I69.952^^68^840^12
+425 ;;^UTILITY(U,$J,358.3,20315,1,0)
+426 ;;=^358.31IA^4^2
+427 ;;^UTILITY(U,$J,358.3,20315,1,3,0)
+428 ;;=3^Hemiplagia,Left Dominant Side
+429 ;;^UTILITY(U,$J,358.3,20315,1,4,0)
+430 ;;=4^I69.952
+431 ;;^UTILITY(U,$J,358.3,20315,2)
+432 ;;=^5133586
+433 ;;^UTILITY(U,$J,358.3,20316,0)
+434 ;;=I69.954^^68^840^13
+435 ;;^UTILITY(U,$J,358.3,20316,1,0)
+436 ;;=^358.31IA^4^2
+437 ;;^UTILITY(U,$J,358.3,20316,1,3,0)
+438 ;;=3^Hemiplegia,Left Non-Dominant Side
+439 ;;^UTILITY(U,$J,358.3,20316,1,4,0)
+440 ;;=4^I69.954
+441 ;;^UTILITY(U,$J,358.3,20316,2)
+442 ;;=^5133587
+443 ;;^UTILITY(U,$J,358.3,20317,0)
+444 ;;=I69.951^^68^840^14
+445 ;;^UTILITY(U,$J,358.3,20317,1,0)
+446 ;;=^358.31IA^4^2
+447 ;;^UTILITY(U,$J,358.3,20317,1,3,0)
+448 ;;=3^Hemiplegia,Right Dominant Side
+449 ;;^UTILITY(U,$J,358.3,20317,1,4,0)
+450 ;;=4^I69.951
+451 ;;^UTILITY(U,$J,358.3,20317,2)
+452 ;;=^5007561
+453 ;;^UTILITY(U,$J,358.3,20318,0)
+454 ;;=I69.953^^68^840^15
+455 ;;^UTILITY(U,$J,358.3,20318,1,0)
+456 ;;=^358.31IA^4^2
+457 ;;^UTILITY(U,$J,358.3,20318,1,3,0)
+458 ;;=3^Hemiplegia,Right Non-Dominant Side
+459 ;;^UTILITY(U,$J,358.3,20318,1,4,0)
+460 ;;=4^I69.953
+461 ;;^UTILITY(U,$J,358.3,20318,2)
+462 ;;=^5007562
+463 ;;^UTILITY(U,$J,358.3,20319,0)
+464 ;;=I69.920^^68^840^1
+465 ;;^UTILITY(U,$J,358.3,20319,1,0)
+466 ;;=^358.31IA^4^2
+467 ;;^UTILITY(U,$J,358.3,20319,1,3,0)
+468 ;;=3^Aphasia
+469 ;;^UTILITY(U,$J,358.3,20319,1,4,0)
+470 ;;=4^I69.920
+471 ;;^UTILITY(U,$J,358.3,20319,2)
+472 ;;=^5007553
+473 ;;^UTILITY(U,$J,358.3,20320,0)
+474 ;;=I69.90^^68^840^30
+475 ;;^UTILITY(U,$J,358.3,20320,1,0)
+476 ;;=^358.31IA^4^2
+477 ;;^UTILITY(U,$J,358.3,20320,1,3,0)
+478 ;;=3^Unspec Sequela of Unspec CVA
+479 ;;^UTILITY(U,$J,358.3,20320,1,4,0)
+480 ;;=4^I69.90
+481 ;;^UTILITY(U,$J,358.3,20320,2)
+482 ;;=^5007551
+483 ;;^UTILITY(U,$J,358.3,20321,0)
+484 ;;=I69.910^^68^840^4
+485 ;;^UTILITY(U,$J,358.3,20321,1,0)
+486 ;;=^358.31IA^4^2
+487 ;;^UTILITY(U,$J,358.3,20321,1,3,0)
+488 ;;=3^Attention & Concentration Deficit
+489 ;;^UTILITY(U,$J,358.3,20321,1,4,0)
+490 ;;=4^I69.910
+491 ;;^UTILITY(U,$J,358.3,20321,2)
+492 ;;=^5138660
+493 ;;^UTILITY(U,$J,358.3,20322,0)
+494 ;;=I69.911^^68^840^16
+495 ;;^UTILITY(U,$J,358.3,20322,1,0)
+496 ;;=^358.31IA^4^2
+497 ;;^UTILITY(U,$J,358.3,20322,1,3,0)
+498 ;;=3^Memory Deficit
+499 ;;^UTILITY(U,$J,358.3,20322,1,4,0)
+500 ;;=4^I69.911
+501 ;;^UTILITY(U,$J,358.3,20322,2)
+502 ;;=^5138661
+503 ;;^UTILITY(U,$J,358.3,20323,0)
+504 ;;=I69.912^^68^840^31
+505 ;;^UTILITY(U,$J,358.3,20323,1,0)
+506 ;;=^358.31IA^4^2
+507 ;;^UTILITY(U,$J,358.3,20323,1,3,0)
+508 ;;=3^Visuspatial Deficit & Spatial Neglect
+509 ;;^UTILITY(U,$J,358.3,20323,1,4,0)
+510 ;;=4^I69.912
+511 ;;^UTILITY(U,$J,358.3,20323,2)
+512 ;;=^5138662
+513 ;;^UTILITY(U,$J,358.3,20324,0)
+514 ;;=I69.913^^68^840^27
+515 ;;^UTILITY(U,$J,358.3,20324,1,0)
+516 ;;=^358.31IA^4^2
+517 ;;^UTILITY(U,$J,358.3,20324,1,3,0)
+518 ;;=3^Psychomotor Deficit
+519 ;;^UTILITY(U,$J,358.3,20324,1,4,0)
+520 ;;=4^I69.913
+521 ;;^UTILITY(U,$J,358.3,20324,2)
+522 ;;=^5138663
+523 ;;^UTILITY(U,$J,358.3,20325,0)
+524 ;;=I69.914^^68^840^11
+525 ;;^UTILITY(U,$J,358.3,20325,1,0)
+526 ;;=^358.31IA^4^2
+527 ;;^UTILITY(U,$J,358.3,20325,1,3,0)
+528 ;;=3^Frontal Lobe & Executive Function Deficit
+529 ;;^UTILITY(U,$J,358.3,20325,1,4,0)
+530 ;;=4^I69.914
+531 ;;^UTILITY(U,$J,358.3,20325,2)
+532 ;;=^5138664
+533 ;;^UTILITY(U,$J,358.3,20326,0)
+534 ;;=I69.915^^68^840^5
+535 ;;^UTILITY(U,$J,358.3,20326,1,0)
+536 ;;=^358.31IA^4^2
+537 ;;^UTILITY(U,$J,358.3,20326,1,3,0)
+538 ;;=3^Cognitive Social/Emotional Deficit
+539 ;;^UTILITY(U,$J,358.3,20326,1,4,0)
+540 ;;=4^I69.915
+541 ;;^UTILITY(U,$J,358.3,20326,2)
+542 ;;=^5138665
+543 ;;^UTILITY(U,$J,358.3,20327,0)
+544 ;;=I69.918^^68^840^29
+545 ;;^UTILITY(U,$J,358.3,20327,1,0)
+546 ;;=^358.31IA^4^2
+547 ;;^UTILITY(U,$J,358.3,20327,1,3,0)
+548 ;;=3^Symptoms/Signs Involving Cognitive Functions,Other
+549 ;;^UTILITY(U,$J,358.3,20327,1,4,0)
+550 ;;=4^I69.918
+551 ;;^UTILITY(U,$J,358.3,20327,2)
+552 ;;=^5138666
+553 ;;^UTILITY(U,$J,358.3,20328,0)
+554 ;;=I69.921^^68^840^8
+555 ;;^UTILITY(U,$J,358.3,20328,1,0)
+556 ;;=^358.31IA^4^2
+557 ;;^UTILITY(U,$J,358.3,20328,1,3,0)
+558 ;;=3^Dysphasia
+559 ;;^UTILITY(U,$J,358.3,20328,1,4,0)
+560 ;;=4^I69.921
+561 ;;^UTILITY(U,$J,358.3,20328,2)
+562 ;;=^5007554
+563 ;;^UTILITY(U,$J,358.3,20329,0)
+564 ;;=I69.922^^68^840^6
+565 ;;^UTILITY(U,$J,358.3,20329,1,0)
+566 ;;=^358.31IA^4^2
+567 ;;^UTILITY(U,$J,358.3,20329,1,3,0)
+568 ;;=3^Dysarthria
+569 ;;^UTILITY(U,$J,358.3,20329,1,4,0)
+570 ;;=4^I69.922
+571 ;;^UTILITY(U,$J,358.3,20329,2)
+572 ;;=^5007555
+573 ;;^UTILITY(U,$J,358.3,20330,0)
+574 ;;=I69.923^^68^840^10
+575 ;;^UTILITY(U,$J,358.3,20330,1,0)
+576 ;;=^358.31IA^4^2
+577 ;;^UTILITY(U,$J,358.3,20330,1,3,0)
+578 ;;=3^Fluency Disorder
+579 ;;^UTILITY(U,$J,358.3,20330,1,4,0)
+580 ;;=4^I69.923
+581 ;;^UTILITY(U,$J,358.3,20330,2)
+582 ;;=^5007556
+583 ;;^UTILITY(U,$J,358.3,20331,0)
+584 ;;=I69.928^^68^840^28
+585 ;;^UTILITY(U,$J,358.3,20331,1,0)
+586 ;;=^358.31IA^4^2
+587 ;;^UTILITY(U,$J,358.3,20331,1,3,0)
+588 ;;=3^Speech/Language Deficits,Other
+589 ;;^UTILITY(U,$J,358.3,20331,1,4,0)
+590 ;;=4^I69.928
+591 ;;^UTILITY(U,$J,358.3,20331,2)
+592 ;;=^5007557
+593 ;;^UTILITY(U,$J,358.3,20332,0)
+594 ;;=I69.961^^68^840^25
+595 ;;^UTILITY(U,$J,358.3,20332,1,0)
+596 ;;=^358.31IA^4^2
+597 ;;^UTILITY(U,$J,358.3,20332,1,3,0)
+598 ;;=3^Paralytic Syndrome,Right Dominant Side
+599 ;;^UTILITY(U,$J,358.3,20332,1,4,0)
+600 ;;=4^I69.961
+601 ;;^UTILITY(U,$J,358.3,20332,2)
+602 ;;=^5007564
+603 ;;^UTILITY(U,$J,358.3,20333,0)
+604 ;;=I69.962^^68^840^23
+605 ;;^UTILITY(U,$J,358.3,20333,1,0)
+606 ;;=^358.31IA^4^2
+607 ;;^UTILITY(U,$J,358.3,20333,1,3,0)
+608 ;;=3^Paralytic Syndrome,Left Dominant Side
+609 ;;^UTILITY(U,$J,358.3,20333,1,4,0)
+610 ;;=4^I69.962
+611 ;;^UTILITY(U,$J,358.3,20333,2)
+612 ;;=^5133588
+613 ;;^UTILITY(U,$J,358.3,20334,0)
+614 ;;=I69.963^^68^840^26
+615 ;;^UTILITY(U,$J,358.3,20334,1,0)
+616 ;;=^358.31IA^4^2
+617 ;;^UTILITY(U,$J,358.3,20334,1,3,0)
+618 ;;=3^Paralytic Syndrome,Right Non-Dominant Side
+619 ;;^UTILITY(U,$J,358.3,20334,1,4,0)
+620 ;;=4^I69.963
+621 ;;^UTILITY(U,$J,358.3,20334,2)
+622 ;;=^5007565
+623 ;;^UTILITY(U,$J,358.3,20335,0)
+624 ;;=I69.964^^68^840^24
+625 ;;^UTILITY(U,$J,358.3,20335,1,0)
+626 ;;=^358.31IA^4^2
+627 ;;^UTILITY(U,$J,358.3,20335,1,3,0)
+628 ;;=3^Paralytic Syndrome,Left Non-Dominant Side
+629 ;;^UTILITY(U,$J,358.3,20335,1,4,0)
+630 ;;=4^I69.964
+631 ;;^UTILITY(U,$J,358.3,20335,2)
+632 ;;=^5133589
+633 ;;^UTILITY(U,$J,358.3,20336,0)
+634 ;;=I69.965^^68^840^22
+635 ;;^UTILITY(U,$J,358.3,20336,1,0)
+636 ;;=^358.31IA^4^2
+637 ;;^UTILITY(U,$J,358.3,20336,1,3,0)
+638 ;;=3^Paralytic Syndrome,Bilateral
+639 ;;^UTILITY(U,$J,358.3,20336,1,4,0)
+640 ;;=4^I69.965
+641 ;;^UTILITY(U,$J,358.3,20336,2)
+642 ;;=^5007566
+643 ;;^UTILITY(U,$J,358.3,20337,0)
+644 ;;=I69.990^^68^840^2
+645 ;;^UTILITY(U,$J,358.3,20337,1,0)
+646 ;;=^358.31IA^4^2
+647 ;;^UTILITY(U,$J,358.3,20337,1,3,0)
+648 ;;=3^Apraxia
+649 ;;^UTILITY(U,$J,358.3,20337,1,4,0)
+650 ;;=4^I69.990
+651 ;;^UTILITY(U,$J,358.3,20337,2)
+652 ;;=^5007568
+653 ;;^UTILITY(U,$J,358.3,20338,0)
+654 ;;=I69.991^^68^840^7
