IBDEI0A9 ; ; 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,$J,358.3,25095,0)
;;=R51.9^^74^992^40
;;^UTILITY(U,$J,358.3,25095,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25095,1,3,0)
;;=3^Headache,Unspecified
;;^UTILITY(U,$J,358.3,25095,1,4,0)
;;=4^R51.9
;;^UTILITY(U,$J,358.3,25095,2)
;;=^5159306
;;^UTILITY(U,$J,358.3,25096,0)
;;=R05.9^^74^992^23
;;^UTILITY(U,$J,358.3,25096,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25096,1,3,0)
;;=3^Cough,Unspec
;;^UTILITY(U,$J,358.3,25096,1,4,0)
;;=4^R05.9
;;^UTILITY(U,$J,358.3,25096,2)
;;=^5161232
;;^UTILITY(U,$J,358.3,25097,0)
;;=R45.851^^74^993^3
;;^UTILITY(U,$J,358.3,25097,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25097,1,3,0)
;;=3^Suicidal Ideations
;;^UTILITY(U,$J,358.3,25097,1,4,0)
;;=4^R45.851
;;^UTILITY(U,$J,358.3,25097,2)
;;=^5019474
;;^UTILITY(U,$J,358.3,25098,0)
;;=T14.91XA^^74^993^4
;;^UTILITY(U,$J,358.3,25098,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25098,1,3,0)
;;=3^Suicide Attempt,Initial Encntr
;;^UTILITY(U,$J,358.3,25098,1,4,0)
;;=4^T14.91XA
;;^UTILITY(U,$J,358.3,25098,2)
;;=^5151779
;;^UTILITY(U,$J,358.3,25099,0)
;;=T14.91XD^^74^993^6
;;^UTILITY(U,$J,358.3,25099,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25099,1,3,0)
;;=3^Suicide Attempt,Subsequent Encntr
;;^UTILITY(U,$J,358.3,25099,1,4,0)
;;=4^T14.91XD
;;^UTILITY(U,$J,358.3,25099,2)
;;=^5151780
;;^UTILITY(U,$J,358.3,25100,0)
;;=T14.91XS^^74^993^5
;;^UTILITY(U,$J,358.3,25100,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25100,1,3,0)
;;=3^Suicide Attempt,Sequela
;;^UTILITY(U,$J,358.3,25100,1,4,0)
;;=4^T14.91XS
;;^UTILITY(U,$J,358.3,25100,2)
;;=^5151781
;;^UTILITY(U,$J,358.3,25101,0)
;;=Z91.52^^74^993^1
;;^UTILITY(U,$J,358.3,25101,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25101,1,3,0)
;;=3^Personal Hx of Non-Suicidal Self-Harm
;;^UTILITY(U,$J,358.3,25101,1,4,0)
;;=4^Z91.52
;;^UTILITY(U,$J,358.3,25101,2)
;;=^5161318
;;^UTILITY(U,$J,358.3,25102,0)
;;=Z91.51^^74^993^2
;;^UTILITY(U,$J,358.3,25102,1,0)
;;=^358.31IA^4^2
;;^UTILITY(U,$J,358.3,25102,1,3,0)
;;=3^Personal Hx of Suicidal Behavior
;;^UTILITY(U,$J,358.3,25102,1,4,0)
;;=4^Z91.51
;;^UTILITY(U,$J,358.3,25102,2)
;;=^5161317
;;^UTILITY(U,$J,358.3,25103,0)
;;=90471^^75^994^1^^^^1
;;^UTILITY(U,$J,358.3,25103,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25103,1,2,0)
;;=2^90471
;;^UTILITY(U,$J,358.3,25103,1,3,0)
;;=3^Immunization Admin (use w/ Vaccs)
;;^UTILITY(U,$J,358.3,25104,0)
;;=90472^^75^994^2^^^^1
;;^UTILITY(U,$J,358.3,25104,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25104,1,2,0)
;;=2^90472
;;^UTILITY(U,$J,358.3,25104,1,3,0)
;;=3^Immunization Admin, ea add
;;^UTILITY(U,$J,358.3,25105,0)
;;=90632^^75^994^7^^^^1
;;^UTILITY(U,$J,358.3,25105,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25105,1,2,0)
;;=2^90632
;;^UTILITY(U,$J,358.3,25105,1,3,0)
;;=3^Hepatitis A Vaccine
;;^UTILITY(U,$J,358.3,25106,0)
;;=90746^^75^994^9^^^^1
;;^UTILITY(U,$J,358.3,25106,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25106,1,2,0)
;;=2^90746
;;^UTILITY(U,$J,358.3,25106,1,3,0)
;;=3^Hepatitis B Vaccine (3 Doses)
;;^UTILITY(U,$J,358.3,25107,0)
;;=90636^^75^994^8^^^^1
;;^UTILITY(U,$J,358.3,25107,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25107,1,2,0)
;;=2^90636
;;^UTILITY(U,$J,358.3,25107,1,3,0)
;;=3^Hepatitis A&B Vaccine
;;^UTILITY(U,$J,358.3,25108,0)
;;=90707^^75^994^10^^^^1
;;^UTILITY(U,$J,358.3,25108,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25108,1,2,0)
;;=2^90707
;;^UTILITY(U,$J,358.3,25108,1,3,0)
;;=3^MMR Virus
;;^UTILITY(U,$J,358.3,25109,0)
;;=90658^^75^994^4^^^^1
;;^UTILITY(U,$J,358.3,25109,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25109,1,2,0)
;;=2^90658
;;^UTILITY(U,$J,358.3,25109,1,3,0)
;;=3^Flu Vaccine IM (Flulaval)
;;^UTILITY(U,$J,358.3,25110,0)
;;=90732^^75^994^11^^^^1
;;^UTILITY(U,$J,358.3,25110,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25110,1,2,0)
;;=2^90732
;;^UTILITY(U,$J,358.3,25110,1,3,0)
;;=3^Pneumovax 23 (Pneumococcal Vaccine)
;;^UTILITY(U,$J,358.3,25111,0)
;;=90715^^75^994^14^^^^1
;;^UTILITY(U,$J,358.3,25111,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25111,1,2,0)
;;=2^90715
;;^UTILITY(U,$J,358.3,25111,1,3,0)
;;=3^TDaP Vaccine
;;^UTILITY(U,$J,358.3,25112,0)
;;=90736^^75^994^15^^^^1
;;^UTILITY(U,$J,358.3,25112,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25112,1,2,0)
;;=2^90736
;;^UTILITY(U,$J,358.3,25112,1,3,0)
;;=3^Zoster (Shingles) Vaccine
;;^UTILITY(U,$J,358.3,25113,0)
;;=90714^^75^994^13^^^^1
;;^UTILITY(U,$J,358.3,25113,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25113,1,2,0)
;;=2^90714
;;^UTILITY(U,$J,358.3,25113,1,3,0)
;;=3^TD Vaccine
;;^UTILITY(U,$J,358.3,25114,0)
;;=90656^^75^994^5^^^^1
;;^UTILITY(U,$J,358.3,25114,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25114,1,2,0)
;;=2^90656
;;^UTILITY(U,$J,358.3,25114,1,3,0)
;;=3^Flu Vaccine Single Dose Syringe (Afluria)
;;^UTILITY(U,$J,358.3,25115,0)
;;=90662^^75^994^3^^^^1
;;^UTILITY(U,$J,358.3,25115,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25115,1,2,0)
;;=2^90662
;;^UTILITY(U,$J,358.3,25115,1,3,0)
;;=3^Flu Vaccine High Dose Syringe (Fluzone)
;;^UTILITY(U,$J,358.3,25116,0)
;;=90670^^75^994^12^^^^1
;;^UTILITY(U,$J,358.3,25116,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25116,1,2,0)
;;=2^90670
;;^UTILITY(U,$J,358.3,25116,1,3,0)
;;=3^Prevnar 13 (Pneumococcal Vaccine)
;;^UTILITY(U,$J,358.3,25117,0)
;;=90686^^75^994^6^^^^1
;;^UTILITY(U,$J,358.3,25117,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25117,1,2,0)
;;=2^90686
;;^UTILITY(U,$J,358.3,25117,1,3,0)
;;=3^Flu Vaccine Single Dose Syringe (Fluarix)
;;^UTILITY(U,$J,358.3,25118,0)
;;=96372^^75^995^1^^^^1
;;^UTILITY(U,$J,358.3,25118,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25118,1,2,0)
;;=2^96372
;;^UTILITY(U,$J,358.3,25118,1,3,0)
;;=3^Ther/Proph/Dx Inj SQ/IM
;;^UTILITY(U,$J,358.3,25119,0)
;;=20600^^75^995^2^^^^1
;;^UTILITY(U,$J,358.3,25119,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25119,1,2,0)
;;=2^20600
;;^UTILITY(U,$J,358.3,25119,1,3,0)
;;=3^Drain/Inject Small Joint/Bursa w/o US
;;^UTILITY(U,$J,358.3,25120,0)
;;=20605^^75^995^4^^^^1
;;^UTILITY(U,$J,358.3,25120,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25120,1,2,0)
;;=2^20605
;;^UTILITY(U,$J,358.3,25120,1,3,0)
;;=3^Drain/Inject Interm Joint/Bursa w/o US
;;^UTILITY(U,$J,358.3,25121,0)
;;=20610^^75^995^6^^^^1
;;^UTILITY(U,$J,358.3,25121,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25121,1,2,0)
;;=2^20610
;;^UTILITY(U,$J,358.3,25121,1,3,0)
;;=3^Drain/Inject Major Joint/Bursa w/o US
;;^UTILITY(U,$J,358.3,25122,0)
;;=20604^^75^995^3^^^^1
;;^UTILITY(U,$J,358.3,25122,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25122,1,2,0)
;;=2^20604
;;^UTILITY(U,$J,358.3,25122,1,3,0)
;;=3^Drain/Inject Small Joint/Bursa w/ US
;;^UTILITY(U,$J,358.3,25123,0)
;;=20606^^75^995^5^^^^1
;;^UTILITY(U,$J,358.3,25123,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25123,1,2,0)
;;=2^20606
;;^UTILITY(U,$J,358.3,25123,1,3,0)
;;=3^Drain/Inject Interm Joint/Bursa w/ US
;;^UTILITY(U,$J,358.3,25124,0)
;;=20611^^75^995^7^^^^1
;;^UTILITY(U,$J,358.3,25124,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25124,1,2,0)
;;=2^20611
;;^UTILITY(U,$J,358.3,25124,1,3,0)
;;=3^Drain/Inject Major Joint/Bursa w/ US
;;^UTILITY(U,$J,358.3,25125,0)
;;=99078^^75^996^2^^^^1
;;^UTILITY(U,$J,358.3,25125,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25125,1,2,0)
;;=2^99078
;;^UTILITY(U,$J,358.3,25125,1,3,0)
;;=3^Group Health Education
;;^UTILITY(U,$J,358.3,25126,0)
;;=98960^^75^996^3^^^^1
;;^UTILITY(U,$J,358.3,25126,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25126,1,2,0)
;;=2^98960
;;^UTILITY(U,$J,358.3,25126,1,3,0)
;;=3^Self-Mgmt Educ/Train 1 Pt
;;^UTILITY(U,$J,358.3,25127,0)
;;=98961^^75^996^4^^^^1
;;^UTILITY(U,$J,358.3,25127,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25127,1,2,0)
;;=2^98961
;;^UTILITY(U,$J,358.3,25127,1,3,0)
;;=3^Self-Mgmt Educ/Train 2-4 Pt
;;^UTILITY(U,$J,358.3,25128,0)
;;=98962^^75^996^5^^^^1
;;^UTILITY(U,$J,358.3,25128,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25128,1,2,0)
;;=2^98962
;;^UTILITY(U,$J,358.3,25128,1,3,0)
;;=3^Self-Mgmt Educ/Train 5-8 Pt
;;^UTILITY(U,$J,358.3,25129,0)
;;=90887^^75^997^1^^^^1
;;^UTILITY(U,$J,358.3,25129,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25129,1,2,0)
;;=2^90887
;;^UTILITY(U,$J,358.3,25129,1,3,0)
;;=3^CONSULTATION WITH FAMILY
;;^UTILITY(U,$J,358.3,25130,0)
;;=90846^^75^997^2^^^^1
;;^UTILITY(U,$J,358.3,25130,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25130,1,2,0)
;;=2^90846
;;^UTILITY(U,$J,358.3,25130,1,3,0)
;;=3^FAMILY PSYTX W/O PATIENT
;;^UTILITY(U,$J,358.3,25131,0)
;;=99401^^75^997^3^^^^1
;;^UTILITY(U,$J,358.3,25131,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25131,1,2,0)
;;=2^99401
;;^UTILITY(U,$J,358.3,25131,1,3,0)
;;=3^Preventive Counseling, IND (15 Mins)
;;^UTILITY(U,$J,358.3,25132,0)
;;=99402^^75^997^4^^^^1
;;^UTILITY(U,$J,358.3,25132,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25132,1,2,0)
;;=2^99402
;;^UTILITY(U,$J,358.3,25132,1,3,0)
;;=3^Preventive Counseling, IND (30 Mins)
;;^UTILITY(U,$J,358.3,25133,0)
;;=99403^^75^997^5^^^^1
;;^UTILITY(U,$J,358.3,25133,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25133,1,2,0)
;;=2^99403
;;^UTILITY(U,$J,358.3,25133,1,3,0)
;;=3^Preventive Counseling, IND (45 Mins)
;;^UTILITY(U,$J,358.3,25134,0)
;;=99404^^75^997^6^^^^1
;;^UTILITY(U,$J,358.3,25134,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25134,1,2,0)
;;=2^99404
;;^UTILITY(U,$J,358.3,25134,1,3,0)
;;=3^Preventive Counseling, IND (60 Mins)
;;^UTILITY(U,$J,358.3,25135,0)
;;=99411^^75^997^7^^^^1
;;^UTILITY(U,$J,358.3,25135,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25135,1,2,0)
;;=2^99411
;;^UTILITY(U,$J,358.3,25135,1,3,0)
;;=3^Preventive Counseling, Group (30 Mins)
;;^UTILITY(U,$J,358.3,25136,0)
;;=99412^^75^997^8^^^^1
;;^UTILITY(U,$J,358.3,25136,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25136,1,2,0)
;;=2^99412
;;^UTILITY(U,$J,358.3,25136,1,3,0)
;;=3^Preventive Counseling, Group (60 Mins)
;;^UTILITY(U,$J,358.3,25137,0)
;;=99366^^75^997^9^^^^1
;;^UTILITY(U,$J,358.3,25137,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25137,1,2,0)
;;=2^99366
;;^UTILITY(U,$J,358.3,25137,1,3,0)
;;=3^Team Conf w/ Pat by HC Pro (30 Mins)
;;^UTILITY(U,$J,358.3,25138,0)
;;=99367^^75^997^10^^^^1
;;^UTILITY(U,$J,358.3,25138,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25138,1,2,0)
;;=2^99367
;;^UTILITY(U,$J,358.3,25138,1,3,0)
;;=3^Team Conf w/o Pat by Phys (30 Mins)
;;^UTILITY(U,$J,358.3,25139,0)
;;=99368^^75^997^11^^^^1
;;^UTILITY(U,$J,358.3,25139,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25139,1,2,0)
;;=2^99368
;;^UTILITY(U,$J,358.3,25139,1,3,0)
;;=3^Team Conf w/o Pat by HC Prof (30 Mins)
;;^UTILITY(U,$J,358.3,25140,0)
;;=97535^^75^998^1^^^^1
;;^UTILITY(U,$J,358.3,25140,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25140,1,2,0)
;;=2^97535
;;^UTILITY(U,$J,358.3,25140,1,3,0)
;;=3^ADLS Training,Ea 15min
;;^UTILITY(U,$J,358.3,25141,0)
;;=96105^^75^998^2^^^^1
;;^UTILITY(U,$J,358.3,25141,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25141,1,2,0)
;;=2^96105
;;^UTILITY(U,$J,358.3,25141,1,3,0)
;;=3^Aphasia Assessment,Per Hr
;;^UTILITY(U,$J,358.3,25142,0)
;;=90901^^75^998^3^^^^1
;;^UTILITY(U,$J,358.3,25142,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25142,1,2,0)
;;=2^90901
;;^UTILITY(U,$J,358.3,25142,1,3,0)
;;=3^Biofeedback training any method
;;^UTILITY(U,$J,358.3,25143,0)
;;=97750^^75^998^6^^^^1
;;^UTILITY(U,$J,358.3,25143,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25143,1,2,0)
;;=2^97750
;;^UTILITY(U,$J,358.3,25143,1,3,0)
;;=3^Extrem Perf Testing,Ea 15min
;;^UTILITY(U,$J,358.3,25144,0)
;;=97161^^75^998^12^^^^1
;;^UTILITY(U,$J,358.3,25144,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25144,1,2,0)
;;=2^97161
;;^UTILITY(U,$J,358.3,25144,1,3,0)
;;=3^PT Evaluation,Low Complexity
;;^UTILITY(U,$J,358.3,25145,0)
;;=97162^^75^998^13^^^^1
;;^UTILITY(U,$J,358.3,25145,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25145,1,2,0)
;;=2^97162
;;^UTILITY(U,$J,358.3,25145,1,3,0)
;;=3^PT Evaluation,Moderate Complexity
;;^UTILITY(U,$J,358.3,25146,0)
;;=97163^^75^998^11^^^^1
;;^UTILITY(U,$J,358.3,25146,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25146,1,2,0)
;;=2^97163
;;^UTILITY(U,$J,358.3,25146,1,3,0)
;;=3^PT Evaluation,High Complexity
;;^UTILITY(U,$J,358.3,25147,0)
;;=97164^^75^998^14^^^^1
;;^UTILITY(U,$J,358.3,25147,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25147,1,2,0)
;;=2^97164
;;^UTILITY(U,$J,358.3,25147,1,3,0)
;;=3^PT Re-Evaluation
;;^UTILITY(U,$J,358.3,25148,0)
;;=97165^^75^998^8^^^^1
;;^UTILITY(U,$J,358.3,25148,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25148,1,2,0)
;;=2^97165
;;^UTILITY(U,$J,358.3,25148,1,3,0)
;;=3^OT Evaluation,Low Complexity
;;^UTILITY(U,$J,358.3,25149,0)
;;=97166^^75^998^9^^^^1
;;^UTILITY(U,$J,358.3,25149,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25149,1,2,0)
;;=2^97166
;;^UTILITY(U,$J,358.3,25149,1,3,0)
;;=3^OT Evaluation,Moderate Complexity
;;^UTILITY(U,$J,358.3,25150,0)
;;=97167^^75^998^7^^^^1
;;^UTILITY(U,$J,358.3,25150,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25150,1,2,0)
;;=2^97167
;;^UTILITY(U,$J,358.3,25150,1,3,0)
;;=3^OT Evaluation,High Complexity
;;^UTILITY(U,$J,358.3,25151,0)
;;=97168^^75^998^10^^^^1
;;^UTILITY(U,$J,358.3,25151,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25151,1,2,0)
;;=2^97168
;;^UTILITY(U,$J,358.3,25151,1,3,0)
;;=3^OT Re-Evaluation
;;^UTILITY(U,$J,358.3,25152,0)
;;=96112^^75^998^4^^^^1
;;^UTILITY(U,$J,358.3,25152,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25152,1,2,0)
;;=2^96112
;;^UTILITY(U,$J,358.3,25152,1,3,0)
;;=3^Developmental Test Admin,1st Hr
;;^UTILITY(U,$J,358.3,25153,0)
;;=96113^^75^998^5^^^^1
;;^UTILITY(U,$J,358.3,25153,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25153,1,2,0)
;;=2^96113
;;^UTILITY(U,$J,358.3,25153,1,3,0)
;;=3^Developmental Test Admin,Ea Addl 30 min
;;^UTILITY(U,$J,358.3,25154,0)
;;=64479^^75^999^6^^^^1
;;^UTILITY(U,$J,358.3,25154,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25154,1,2,0)
;;=2^64479
;;^UTILITY(U,$J,358.3,25154,1,3,0)
;;=3^INJ Epidural, foramen, C/T
;;^UTILITY(U,$J,358.3,25155,0)
;;=64480^^75^999^8^^^^1
;;^UTILITY(U,$J,358.3,25155,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25155,1,2,0)
;;=2^64480
;;^UTILITY(U,$J,358.3,25155,1,3,0)
;;=3^INJ Epidural,C/T Ea Addl Level
;;^UTILITY(U,$J,358.3,25156,0)
;;=64483^^75^999^7^^^^1
;;^UTILITY(U,$J,358.3,25156,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25156,1,2,0)
;;=2^64483
;;^UTILITY(U,$J,358.3,25156,1,3,0)
;;=3^INJ Epidural, foramen, L/S
;;^UTILITY(U,$J,358.3,25157,0)
;;=64484^^75^999^5^^^^1
;;^UTILITY(U,$J,358.3,25157,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25157,1,2,0)
;;=2^64484
;;^UTILITY(U,$J,358.3,25157,1,3,0)
;;=3^INJ Epidural, L/S Ea Addl Level
;;^UTILITY(U,$J,358.3,25158,0)
;;=64633^^75^999^1^^^^1
;;^UTILITY(U,$J,358.3,25158,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25158,1,2,0)
;;=2^64633
;;^UTILITY(U,$J,358.3,25158,1,3,0)
;;=3^DESTR PARAVERT Nerve C/T, single
;;^UTILITY(U,$J,358.3,25159,0)
;;=64634^^75^999^4^^^^1
;;^UTILITY(U,$J,358.3,25159,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25159,1,2,0)
;;=2^64634
;;^UTILITY(U,$J,358.3,25159,1,3,0)
;;=3^Destr PN C/T,Ea Addl Level
;;^UTILITY(U,$J,358.3,25160,0)
;;=64635^^75^999^2^^^^1
;;^UTILITY(U,$J,358.3,25160,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25160,1,2,0)
;;=2^64635
;;^UTILITY(U,$J,358.3,25160,1,3,0)
;;=3^DESTR PARAVERT Nerve L/S, single
;;^UTILITY(U,$J,358.3,25161,0)
;;=64636^^75^999^3^^^^1
;;^UTILITY(U,$J,358.3,25161,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25161,1,2,0)
;;=2^64636
;;^UTILITY(U,$J,358.3,25161,1,3,0)
;;=3^DESTR PN L/S, Ea Addl Level
;;^UTILITY(U,$J,358.3,25162,0)
;;=64490^^75^999^11^^^^1
;;^UTILITY(U,$J,358.3,25162,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25162,1,2,0)
;;=2^64490
;;^UTILITY(U,$J,358.3,25162,1,3,0)
;;=3^INJ PARAVERT Joint C/T, Single
;;^UTILITY(U,$J,358.3,25163,0)
;;=64491^^75^999^13^^^^1
;;^UTILITY(U,$J,358.3,25163,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25163,1,2,0)
;;=2^64491
;;^UTILITY(U,$J,358.3,25163,1,3,0)
;;=3^INJ PV Joint C/T, second level
;;^UTILITY(U,$J,358.3,25164,0)
;;=64492^^75^999^14^^^^1
;;^UTILITY(U,$J,358.3,25164,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25164,1,2,0)
;;=2^64492
;;^UTILITY(U,$J,358.3,25164,1,3,0)
;;=3^INJ PV Joint C/T, third or more
;;^UTILITY(U,$J,358.3,25165,0)
;;=64493^^75^999^12^^^^1
;;^UTILITY(U,$J,358.3,25165,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25165,1,2,0)
;;=2^64493
;;^UTILITY(U,$J,358.3,25165,1,3,0)
;;=3^INJ PARAVERT Joint L/S, Single
;;^UTILITY(U,$J,358.3,25166,0)
;;=64494^^75^999^15^^^^1
;;^UTILITY(U,$J,358.3,25166,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25166,1,2,0)
;;=2^64494
;;^UTILITY(U,$J,358.3,25166,1,3,0)
;;=3^INJ PV Joint L/S, second level
;;^UTILITY(U,$J,358.3,25167,0)
;;=64495^^75^999^16^^^^1
;;^UTILITY(U,$J,358.3,25167,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25167,1,2,0)
;;=2^64495
;;^UTILITY(U,$J,358.3,25167,1,3,0)
;;=3^INJ PV Joint L/S, third or more
;;^UTILITY(U,$J,358.3,25168,0)
;;=62320^^75^999^9^^^^1
;;^UTILITY(U,$J,358.3,25168,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25168,1,2,0)
;;=2^62320
;;^UTILITY(U,$J,358.3,25168,1,3,0)
;;=3^INJ Epidural/Subarachnoid,C/T
;;^UTILITY(U,$J,358.3,25169,0)
;;=62322^^75^999^10^^^^1
;;^UTILITY(U,$J,358.3,25169,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25169,1,2,0)
;;=2^62322
;;^UTILITY(U,$J,358.3,25169,1,3,0)
;;=3^INJ Epidural/Subarachnoid,L/S
;;^UTILITY(U,$J,358.3,25170,0)
;;=A6196^^75^1000^1^^^^1
;;^UTILITY(U,$J,358.3,25170,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25170,1,2,0)
;;=2^A6196
;;^UTILITY(U,$J,358.3,25170,1,3,0)
;;=3^Alginate dressing,16 sq IN or < EA
;;^UTILITY(U,$J,358.3,25171,0)
;;=A6222^^75^1000^3^^^^1
;;^UTILITY(U,$J,358.3,25171,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25171,1,2,0)
;;=2^A6222
;;^UTILITY(U,$J,358.3,25171,1,3,0)
;;=3^Gauze, 16 sq IN or <, saline
;;^UTILITY(U,$J,358.3,25172,0)
;;=A6234^^75^1000^4^^^^1
;;^UTILITY(U,$J,358.3,25172,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25172,1,2,0)
;;=2^A6234
;;^UTILITY(U,$J,358.3,25172,1,3,0)
;;=3^Hydrocolid drg 16<=IN w/o bdr
;;^UTILITY(U,$J,358.3,25173,0)
;;=A6242^^75^1000^5^^^^1
;;^UTILITY(U,$J,358.3,25173,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25173,1,2,0)
;;=2^A6242
;;^UTILITY(U,$J,358.3,25173,1,3,0)
;;=3^Hydrogel drg <=IN w/o bdr
;;^UTILITY(U,$J,358.3,25174,0)
;;=A6216^^75^1000^6^^^^1
;;^UTILITY(U,$J,358.3,25174,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25174,1,2,0)
;;=2^A6216
;;^UTILITY(U,$J,358.3,25174,1,3,0)
;;=3^Non-Sterile Gauze <=16 Sq IN
;;^UTILITY(U,$J,358.3,25175,0)
;;=A6250^^75^1000^8^^^^1
;;^UTILITY(U,$J,358.3,25175,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,25175,1,2,0)
;;=2^A6250
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI0A9 19781 printed Apr 09, 2024@21:22:14 Page 2
IBDEI0A9 ; ; 01-AUG-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;AUG 01, 2022
+2 if 'DIFQR(358.3)
QUIT
FOR I=1:2
SET X=$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,358.3,25095,0)
+2 ;;=R51.9^^74^992^40
+3 ;;^UTILITY(U,$J,358.3,25095,1,0)
+4 ;;=^358.31IA^4^2
+5 ;;^UTILITY(U,$J,358.3,25095,1,3,0)
+6 ;;=3^Headache,Unspecified
+7 ;;^UTILITY(U,$J,358.3,25095,1,4,0)
+8 ;;=4^R51.9
+9 ;;^UTILITY(U,$J,358.3,25095,2)
+10 ;;=^5159306
+11 ;;^UTILITY(U,$J,358.3,25096,0)
+12 ;;=R05.9^^74^992^23
+13 ;;^UTILITY(U,$J,358.3,25096,1,0)
+14 ;;=^358.31IA^4^2
+15 ;;^UTILITY(U,$J,358.3,25096,1,3,0)
+16 ;;=3^Cough,Unspec
+17 ;;^UTILITY(U,$J,358.3,25096,1,4,0)
+18 ;;=4^R05.9
+19 ;;^UTILITY(U,$J,358.3,25096,2)
+20 ;;=^5161232
+21 ;;^UTILITY(U,$J,358.3,25097,0)
+22 ;;=R45.851^^74^993^3
+23 ;;^UTILITY(U,$J,358.3,25097,1,0)
+24 ;;=^358.31IA^4^2
+25 ;;^UTILITY(U,$J,358.3,25097,1,3,0)
+26 ;;=3^Suicidal Ideations
+27 ;;^UTILITY(U,$J,358.3,25097,1,4,0)
+28 ;;=4^R45.851
+29 ;;^UTILITY(U,$J,358.3,25097,2)
+30 ;;=^5019474
+31 ;;^UTILITY(U,$J,358.3,25098,0)
+32 ;;=T14.91XA^^74^993^4
+33 ;;^UTILITY(U,$J,358.3,25098,1,0)
+34 ;;=^358.31IA^4^2
+35 ;;^UTILITY(U,$J,358.3,25098,1,3,0)
+36 ;;=3^Suicide Attempt,Initial Encntr
+37 ;;^UTILITY(U,$J,358.3,25098,1,4,0)
+38 ;;=4^T14.91XA
+39 ;;^UTILITY(U,$J,358.3,25098,2)
+40 ;;=^5151779
+41 ;;^UTILITY(U,$J,358.3,25099,0)
+42 ;;=T14.91XD^^74^993^6
+43 ;;^UTILITY(U,$J,358.3,25099,1,0)
+44 ;;=^358.31IA^4^2
+45 ;;^UTILITY(U,$J,358.3,25099,1,3,0)
+46 ;;=3^Suicide Attempt,Subsequent Encntr
+47 ;;^UTILITY(U,$J,358.3,25099,1,4,0)
+48 ;;=4^T14.91XD
+49 ;;^UTILITY(U,$J,358.3,25099,2)
+50 ;;=^5151780
+51 ;;^UTILITY(U,$J,358.3,25100,0)
+52 ;;=T14.91XS^^74^993^5
+53 ;;^UTILITY(U,$J,358.3,25100,1,0)
+54 ;;=^358.31IA^4^2
+55 ;;^UTILITY(U,$J,358.3,25100,1,3,0)
+56 ;;=3^Suicide Attempt,Sequela
+57 ;;^UTILITY(U,$J,358.3,25100,1,4,0)
+58 ;;=4^T14.91XS
+59 ;;^UTILITY(U,$J,358.3,25100,2)
+60 ;;=^5151781
+61 ;;^UTILITY(U,$J,358.3,25101,0)
+62 ;;=Z91.52^^74^993^1
+63 ;;^UTILITY(U,$J,358.3,25101,1,0)
+64 ;;=^358.31IA^4^2
+65 ;;^UTILITY(U,$J,358.3,25101,1,3,0)
+66 ;;=3^Personal Hx of Non-Suicidal Self-Harm
+67 ;;^UTILITY(U,$J,358.3,25101,1,4,0)
+68 ;;=4^Z91.52
+69 ;;^UTILITY(U,$J,358.3,25101,2)
+70 ;;=^5161318
+71 ;;^UTILITY(U,$J,358.3,25102,0)
+72 ;;=Z91.51^^74^993^2
+73 ;;^UTILITY(U,$J,358.3,25102,1,0)
+74 ;;=^358.31IA^4^2
+75 ;;^UTILITY(U,$J,358.3,25102,1,3,0)
+76 ;;=3^Personal Hx of Suicidal Behavior
+77 ;;^UTILITY(U,$J,358.3,25102,1,4,0)
+78 ;;=4^Z91.51
+79 ;;^UTILITY(U,$J,358.3,25102,2)
+80 ;;=^5161317
+81 ;;^UTILITY(U,$J,358.3,25103,0)
+82 ;;=90471^^75^994^1^^^^1
+83 ;;^UTILITY(U,$J,358.3,25103,1,0)
+84 ;;=^358.31IA^3^2
+85 ;;^UTILITY(U,$J,358.3,25103,1,2,0)
+86 ;;=2^90471
+87 ;;^UTILITY(U,$J,358.3,25103,1,3,0)
+88 ;;=3^Immunization Admin (use w/ Vaccs)
+89 ;;^UTILITY(U,$J,358.3,25104,0)
+90 ;;=90472^^75^994^2^^^^1
+91 ;;^UTILITY(U,$J,358.3,25104,1,0)
+92 ;;=^358.31IA^3^2
+93 ;;^UTILITY(U,$J,358.3,25104,1,2,0)
+94 ;;=2^90472
+95 ;;^UTILITY(U,$J,358.3,25104,1,3,0)
+96 ;;=3^Immunization Admin, ea add
+97 ;;^UTILITY(U,$J,358.3,25105,0)
+98 ;;=90632^^75^994^7^^^^1
+99 ;;^UTILITY(U,$J,358.3,25105,1,0)
+100 ;;=^358.31IA^3^2
+101 ;;^UTILITY(U,$J,358.3,25105,1,2,0)
+102 ;;=2^90632
+103 ;;^UTILITY(U,$J,358.3,25105,1,3,0)
+104 ;;=3^Hepatitis A Vaccine
+105 ;;^UTILITY(U,$J,358.3,25106,0)
+106 ;;=90746^^75^994^9^^^^1
+107 ;;^UTILITY(U,$J,358.3,25106,1,0)
+108 ;;=^358.31IA^3^2
+109 ;;^UTILITY(U,$J,358.3,25106,1,2,0)
+110 ;;=2^90746
+111 ;;^UTILITY(U,$J,358.3,25106,1,3,0)
+112 ;;=3^Hepatitis B Vaccine (3 Doses)
+113 ;;^UTILITY(U,$J,358.3,25107,0)
+114 ;;=90636^^75^994^8^^^^1
+115 ;;^UTILITY(U,$J,358.3,25107,1,0)
+116 ;;=^358.31IA^3^2
+117 ;;^UTILITY(U,$J,358.3,25107,1,2,0)
+118 ;;=2^90636
+119 ;;^UTILITY(U,$J,358.3,25107,1,3,0)
+120 ;;=3^Hepatitis A&B Vaccine
+121 ;;^UTILITY(U,$J,358.3,25108,0)
+122 ;;=90707^^75^994^10^^^^1
+123 ;;^UTILITY(U,$J,358.3,25108,1,0)
+124 ;;=^358.31IA^3^2
+125 ;;^UTILITY(U,$J,358.3,25108,1,2,0)
+126 ;;=2^90707
+127 ;;^UTILITY(U,$J,358.3,25108,1,3,0)
+128 ;;=3^MMR Virus
+129 ;;^UTILITY(U,$J,358.3,25109,0)
+130 ;;=90658^^75^994^4^^^^1
+131 ;;^UTILITY(U,$J,358.3,25109,1,0)
+132 ;;=^358.31IA^3^2
+133 ;;^UTILITY(U,$J,358.3,25109,1,2,0)
+134 ;;=2^90658
+135 ;;^UTILITY(U,$J,358.3,25109,1,3,0)
+136 ;;=3^Flu Vaccine IM (Flulaval)
+137 ;;^UTILITY(U,$J,358.3,25110,0)
+138 ;;=90732^^75^994^11^^^^1
+139 ;;^UTILITY(U,$J,358.3,25110,1,0)
+140 ;;=^358.31IA^3^2
+141 ;;^UTILITY(U,$J,358.3,25110,1,2,0)
+142 ;;=2^90732
+143 ;;^UTILITY(U,$J,358.3,25110,1,3,0)
+144 ;;=3^Pneumovax 23 (Pneumococcal Vaccine)
+145 ;;^UTILITY(U,$J,358.3,25111,0)
+146 ;;=90715^^75^994^14^^^^1
+147 ;;^UTILITY(U,$J,358.3,25111,1,0)
+148 ;;=^358.31IA^3^2
+149 ;;^UTILITY(U,$J,358.3,25111,1,2,0)
+150 ;;=2^90715
+151 ;;^UTILITY(U,$J,358.3,25111,1,3,0)
+152 ;;=3^TDaP Vaccine
+153 ;;^UTILITY(U,$J,358.3,25112,0)
+154 ;;=90736^^75^994^15^^^^1
+155 ;;^UTILITY(U,$J,358.3,25112,1,0)
+156 ;;=^358.31IA^3^2
+157 ;;^UTILITY(U,$J,358.3,25112,1,2,0)
+158 ;;=2^90736
+159 ;;^UTILITY(U,$J,358.3,25112,1,3,0)
+160 ;;=3^Zoster (Shingles) Vaccine
+161 ;;^UTILITY(U,$J,358.3,25113,0)
+162 ;;=90714^^75^994^13^^^^1
+163 ;;^UTILITY(U,$J,358.3,25113,1,0)
+164 ;;=^358.31IA^3^2
+165 ;;^UTILITY(U,$J,358.3,25113,1,2,0)
+166 ;;=2^90714
+167 ;;^UTILITY(U,$J,358.3,25113,1,3,0)
+168 ;;=3^TD Vaccine
+169 ;;^UTILITY(U,$J,358.3,25114,0)
+170 ;;=90656^^75^994^5^^^^1
+171 ;;^UTILITY(U,$J,358.3,25114,1,0)
+172 ;;=^358.31IA^3^2
+173 ;;^UTILITY(U,$J,358.3,25114,1,2,0)
+174 ;;=2^90656
+175 ;;^UTILITY(U,$J,358.3,25114,1,3,0)
+176 ;;=3^Flu Vaccine Single Dose Syringe (Afluria)
+177 ;;^UTILITY(U,$J,358.3,25115,0)
+178 ;;=90662^^75^994^3^^^^1
+179 ;;^UTILITY(U,$J,358.3,25115,1,0)
+180 ;;=^358.31IA^3^2
+181 ;;^UTILITY(U,$J,358.3,25115,1,2,0)
+182 ;;=2^90662
+183 ;;^UTILITY(U,$J,358.3,25115,1,3,0)
+184 ;;=3^Flu Vaccine High Dose Syringe (Fluzone)
+185 ;;^UTILITY(U,$J,358.3,25116,0)
+186 ;;=90670^^75^994^12^^^^1
+187 ;;^UTILITY(U,$J,358.3,25116,1,0)
+188 ;;=^358.31IA^3^2
+189 ;;^UTILITY(U,$J,358.3,25116,1,2,0)
+190 ;;=2^90670
+191 ;;^UTILITY(U,$J,358.3,25116,1,3,0)
+192 ;;=3^Prevnar 13 (Pneumococcal Vaccine)
+193 ;;^UTILITY(U,$J,358.3,25117,0)
+194 ;;=90686^^75^994^6^^^^1
+195 ;;^UTILITY(U,$J,358.3,25117,1,0)
+196 ;;=^358.31IA^3^2
+197 ;;^UTILITY(U,$J,358.3,25117,1,2,0)
+198 ;;=2^90686
+199 ;;^UTILITY(U,$J,358.3,25117,1,3,0)
+200 ;;=3^Flu Vaccine Single Dose Syringe (Fluarix)
+201 ;;^UTILITY(U,$J,358.3,25118,0)
+202 ;;=96372^^75^995^1^^^^1
+203 ;;^UTILITY(U,$J,358.3,25118,1,0)
+204 ;;=^358.31IA^3^2
+205 ;;^UTILITY(U,$J,358.3,25118,1,2,0)
+206 ;;=2^96372
+207 ;;^UTILITY(U,$J,358.3,25118,1,3,0)
+208 ;;=3^Ther/Proph/Dx Inj SQ/IM
+209 ;;^UTILITY(U,$J,358.3,25119,0)
+210 ;;=20600^^75^995^2^^^^1
+211 ;;^UTILITY(U,$J,358.3,25119,1,0)
+212 ;;=^358.31IA^3^2
+213 ;;^UTILITY(U,$J,358.3,25119,1,2,0)
+214 ;;=2^20600
+215 ;;^UTILITY(U,$J,358.3,25119,1,3,0)
+216 ;;=3^Drain/Inject Small Joint/Bursa w/o US
+217 ;;^UTILITY(U,$J,358.3,25120,0)
+218 ;;=20605^^75^995^4^^^^1
+219 ;;^UTILITY(U,$J,358.3,25120,1,0)
+220 ;;=^358.31IA^3^2
+221 ;;^UTILITY(U,$J,358.3,25120,1,2,0)
+222 ;;=2^20605
+223 ;;^UTILITY(U,$J,358.3,25120,1,3,0)
+224 ;;=3^Drain/Inject Interm Joint/Bursa w/o US
+225 ;;^UTILITY(U,$J,358.3,25121,0)
+226 ;;=20610^^75^995^6^^^^1
+227 ;;^UTILITY(U,$J,358.3,25121,1,0)
+228 ;;=^358.31IA^3^2
+229 ;;^UTILITY(U,$J,358.3,25121,1,2,0)
+230 ;;=2^20610
+231 ;;^UTILITY(U,$J,358.3,25121,1,3,0)
+232 ;;=3^Drain/Inject Major Joint/Bursa w/o US
+233 ;;^UTILITY(U,$J,358.3,25122,0)
+234 ;;=20604^^75^995^3^^^^1
+235 ;;^UTILITY(U,$J,358.3,25122,1,0)
+236 ;;=^358.31IA^3^2
+237 ;;^UTILITY(U,$J,358.3,25122,1,2,0)
+238 ;;=2^20604
+239 ;;^UTILITY(U,$J,358.3,25122,1,3,0)
+240 ;;=3^Drain/Inject Small Joint/Bursa w/ US
+241 ;;^UTILITY(U,$J,358.3,25123,0)
+242 ;;=20606^^75^995^5^^^^1
+243 ;;^UTILITY(U,$J,358.3,25123,1,0)
+244 ;;=^358.31IA^3^2
+245 ;;^UTILITY(U,$J,358.3,25123,1,2,0)
+246 ;;=2^20606
+247 ;;^UTILITY(U,$J,358.3,25123,1,3,0)
+248 ;;=3^Drain/Inject Interm Joint/Bursa w/ US
+249 ;;^UTILITY(U,$J,358.3,25124,0)
+250 ;;=20611^^75^995^7^^^^1
+251 ;;^UTILITY(U,$J,358.3,25124,1,0)
+252 ;;=^358.31IA^3^2
+253 ;;^UTILITY(U,$J,358.3,25124,1,2,0)
+254 ;;=2^20611
+255 ;;^UTILITY(U,$J,358.3,25124,1,3,0)
+256 ;;=3^Drain/Inject Major Joint/Bursa w/ US
+257 ;;^UTILITY(U,$J,358.3,25125,0)
+258 ;;=99078^^75^996^2^^^^1
+259 ;;^UTILITY(U,$J,358.3,25125,1,0)
+260 ;;=^358.31IA^3^2
+261 ;;^UTILITY(U,$J,358.3,25125,1,2,0)
+262 ;;=2^99078
+263 ;;^UTILITY(U,$J,358.3,25125,1,3,0)
+264 ;;=3^Group Health Education
+265 ;;^UTILITY(U,$J,358.3,25126,0)
+266 ;;=98960^^75^996^3^^^^1
+267 ;;^UTILITY(U,$J,358.3,25126,1,0)
+268 ;;=^358.31IA^3^2
+269 ;;^UTILITY(U,$J,358.3,25126,1,2,0)
+270 ;;=2^98960
+271 ;;^UTILITY(U,$J,358.3,25126,1,3,0)
+272 ;;=3^Self-Mgmt Educ/Train 1 Pt
+273 ;;^UTILITY(U,$J,358.3,25127,0)
+274 ;;=98961^^75^996^4^^^^1
+275 ;;^UTILITY(U,$J,358.3,25127,1,0)
+276 ;;=^358.31IA^3^2
+277 ;;^UTILITY(U,$J,358.3,25127,1,2,0)
+278 ;;=2^98961
+279 ;;^UTILITY(U,$J,358.3,25127,1,3,0)
+280 ;;=3^Self-Mgmt Educ/Train 2-4 Pt
+281 ;;^UTILITY(U,$J,358.3,25128,0)
+282 ;;=98962^^75^996^5^^^^1
+283 ;;^UTILITY(U,$J,358.3,25128,1,0)
+284 ;;=^358.31IA^3^2
+285 ;;^UTILITY(U,$J,358.3,25128,1,2,0)
+286 ;;=2^98962
+287 ;;^UTILITY(U,$J,358.3,25128,1,3,0)
+288 ;;=3^Self-Mgmt Educ/Train 5-8 Pt
+289 ;;^UTILITY(U,$J,358.3,25129,0)
+290 ;;=90887^^75^997^1^^^^1
+291 ;;^UTILITY(U,$J,358.3,25129,1,0)
+292 ;;=^358.31IA^3^2
+293 ;;^UTILITY(U,$J,358.3,25129,1,2,0)
+294 ;;=2^90887
+295 ;;^UTILITY(U,$J,358.3,25129,1,3,0)
+296 ;;=3^CONSULTATION WITH FAMILY
+297 ;;^UTILITY(U,$J,358.3,25130,0)
+298 ;;=90846^^75^997^2^^^^1
+299 ;;^UTILITY(U,$J,358.3,25130,1,0)
+300 ;;=^358.31IA^3^2
+301 ;;^UTILITY(U,$J,358.3,25130,1,2,0)
+302 ;;=2^90846
+303 ;;^UTILITY(U,$J,358.3,25130,1,3,0)
+304 ;;=3^FAMILY PSYTX W/O PATIENT
+305 ;;^UTILITY(U,$J,358.3,25131,0)
+306 ;;=99401^^75^997^3^^^^1
+307 ;;^UTILITY(U,$J,358.3,25131,1,0)
+308 ;;=^358.31IA^3^2
+309 ;;^UTILITY(U,$J,358.3,25131,1,2,0)
+310 ;;=2^99401
+311 ;;^UTILITY(U,$J,358.3,25131,1,3,0)
+312 ;;=3^Preventive Counseling, IND (15 Mins)
+313 ;;^UTILITY(U,$J,358.3,25132,0)
+314 ;;=99402^^75^997^4^^^^1
+315 ;;^UTILITY(U,$J,358.3,25132,1,0)
+316 ;;=^358.31IA^3^2
+317 ;;^UTILITY(U,$J,358.3,25132,1,2,0)
+318 ;;=2^99402
+319 ;;^UTILITY(U,$J,358.3,25132,1,3,0)
+320 ;;=3^Preventive Counseling, IND (30 Mins)
+321 ;;^UTILITY(U,$J,358.3,25133,0)
+322 ;;=99403^^75^997^5^^^^1
+323 ;;^UTILITY(U,$J,358.3,25133,1,0)
+324 ;;=^358.31IA^3^2
+325 ;;^UTILITY(U,$J,358.3,25133,1,2,0)
+326 ;;=2^99403
+327 ;;^UTILITY(U,$J,358.3,25133,1,3,0)
+328 ;;=3^Preventive Counseling, IND (45 Mins)
+329 ;;^UTILITY(U,$J,358.3,25134,0)
+330 ;;=99404^^75^997^6^^^^1
+331 ;;^UTILITY(U,$J,358.3,25134,1,0)
+332 ;;=^358.31IA^3^2
+333 ;;^UTILITY(U,$J,358.3,25134,1,2,0)
+334 ;;=2^99404
+335 ;;^UTILITY(U,$J,358.3,25134,1,3,0)
+336 ;;=3^Preventive Counseling, IND (60 Mins)
+337 ;;^UTILITY(U,$J,358.3,25135,0)
+338 ;;=99411^^75^997^7^^^^1
+339 ;;^UTILITY(U,$J,358.3,25135,1,0)
+340 ;;=^358.31IA^3^2
+341 ;;^UTILITY(U,$J,358.3,25135,1,2,0)
+342 ;;=2^99411
+343 ;;^UTILITY(U,$J,358.3,25135,1,3,0)
+344 ;;=3^Preventive Counseling, Group (30 Mins)
+345 ;;^UTILITY(U,$J,358.3,25136,0)
+346 ;;=99412^^75^997^8^^^^1
+347 ;;^UTILITY(U,$J,358.3,25136,1,0)
+348 ;;=^358.31IA^3^2
+349 ;;^UTILITY(U,$J,358.3,25136,1,2,0)
+350 ;;=2^99412
+351 ;;^UTILITY(U,$J,358.3,25136,1,3,0)
+352 ;;=3^Preventive Counseling, Group (60 Mins)
+353 ;;^UTILITY(U,$J,358.3,25137,0)
+354 ;;=99366^^75^997^9^^^^1
+355 ;;^UTILITY(U,$J,358.3,25137,1,0)
+356 ;;=^358.31IA^3^2
+357 ;;^UTILITY(U,$J,358.3,25137,1,2,0)
+358 ;;=2^99366
+359 ;;^UTILITY(U,$J,358.3,25137,1,3,0)
+360 ;;=3^Team Conf w/ Pat by HC Pro (30 Mins)
+361 ;;^UTILITY(U,$J,358.3,25138,0)
+362 ;;=99367^^75^997^10^^^^1
+363 ;;^UTILITY(U,$J,358.3,25138,1,0)
+364 ;;=^358.31IA^3^2
+365 ;;^UTILITY(U,$J,358.3,25138,1,2,0)
+366 ;;=2^99367
+367 ;;^UTILITY(U,$J,358.3,25138,1,3,0)
+368 ;;=3^Team Conf w/o Pat by Phys (30 Mins)
+369 ;;^UTILITY(U,$J,358.3,25139,0)
+370 ;;=99368^^75^997^11^^^^1
+371 ;;^UTILITY(U,$J,358.3,25139,1,0)
+372 ;;=^358.31IA^3^2
+373 ;;^UTILITY(U,$J,358.3,25139,1,2,0)
+374 ;;=2^99368
+375 ;;^UTILITY(U,$J,358.3,25139,1,3,0)
+376 ;;=3^Team Conf w/o Pat by HC Prof (30 Mins)
+377 ;;^UTILITY(U,$J,358.3,25140,0)
+378 ;;=97535^^75^998^1^^^^1
+379 ;;^UTILITY(U,$J,358.3,25140,1,0)
+380 ;;=^358.31IA^3^2
+381 ;;^UTILITY(U,$J,358.3,25140,1,2,0)
+382 ;;=2^97535
+383 ;;^UTILITY(U,$J,358.3,25140,1,3,0)
+384 ;;=3^ADLS Training,Ea 15min
+385 ;;^UTILITY(U,$J,358.3,25141,0)
+386 ;;=96105^^75^998^2^^^^1
+387 ;;^UTILITY(U,$J,358.3,25141,1,0)
+388 ;;=^358.31IA^3^2
+389 ;;^UTILITY(U,$J,358.3,25141,1,2,0)
+390 ;;=2^96105
+391 ;;^UTILITY(U,$J,358.3,25141,1,3,0)
+392 ;;=3^Aphasia Assessment,Per Hr
+393 ;;^UTILITY(U,$J,358.3,25142,0)
+394 ;;=90901^^75^998^3^^^^1
+395 ;;^UTILITY(U,$J,358.3,25142,1,0)
+396 ;;=^358.31IA^3^2
+397 ;;^UTILITY(U,$J,358.3,25142,1,2,0)
+398 ;;=2^90901
+399 ;;^UTILITY(U,$J,358.3,25142,1,3,0)
+400 ;;=3^Biofeedback training any method
+401 ;;^UTILITY(U,$J,358.3,25143,0)
+402 ;;=97750^^75^998^6^^^^1
+403 ;;^UTILITY(U,$J,358.3,25143,1,0)
+404 ;;=^358.31IA^3^2
+405 ;;^UTILITY(U,$J,358.3,25143,1,2,0)
+406 ;;=2^97750
+407 ;;^UTILITY(U,$J,358.3,25143,1,3,0)
+408 ;;=3^Extrem Perf Testing,Ea 15min
+409 ;;^UTILITY(U,$J,358.3,25144,0)
+410 ;;=97161^^75^998^12^^^^1
+411 ;;^UTILITY(U,$J,358.3,25144,1,0)
+412 ;;=^358.31IA^3^2
+413 ;;^UTILITY(U,$J,358.3,25144,1,2,0)
+414 ;;=2^97161
+415 ;;^UTILITY(U,$J,358.3,25144,1,3,0)
+416 ;;=3^PT Evaluation,Low Complexity
+417 ;;^UTILITY(U,$J,358.3,25145,0)
+418 ;;=97162^^75^998^13^^^^1
+419 ;;^UTILITY(U,$J,358.3,25145,1,0)
+420 ;;=^358.31IA^3^2
+421 ;;^UTILITY(U,$J,358.3,25145,1,2,0)
+422 ;;=2^97162
+423 ;;^UTILITY(U,$J,358.3,25145,1,3,0)
+424 ;;=3^PT Evaluation,Moderate Complexity
+425 ;;^UTILITY(U,$J,358.3,25146,0)
+426 ;;=97163^^75^998^11^^^^1
+427 ;;^UTILITY(U,$J,358.3,25146,1,0)
+428 ;;=^358.31IA^3^2
+429 ;;^UTILITY(U,$J,358.3,25146,1,2,0)
+430 ;;=2^97163
+431 ;;^UTILITY(U,$J,358.3,25146,1,3,0)
+432 ;;=3^PT Evaluation,High Complexity
+433 ;;^UTILITY(U,$J,358.3,25147,0)
+434 ;;=97164^^75^998^14^^^^1
+435 ;;^UTILITY(U,$J,358.3,25147,1,0)
+436 ;;=^358.31IA^3^2
+437 ;;^UTILITY(U,$J,358.3,25147,1,2,0)
+438 ;;=2^97164
+439 ;;^UTILITY(U,$J,358.3,25147,1,3,0)
+440 ;;=3^PT Re-Evaluation
+441 ;;^UTILITY(U,$J,358.3,25148,0)
+442 ;;=97165^^75^998^8^^^^1
+443 ;;^UTILITY(U,$J,358.3,25148,1,0)
+444 ;;=^358.31IA^3^2
+445 ;;^UTILITY(U,$J,358.3,25148,1,2,0)
+446 ;;=2^97165
+447 ;;^UTILITY(U,$J,358.3,25148,1,3,0)
+448 ;;=3^OT Evaluation,Low Complexity
+449 ;;^UTILITY(U,$J,358.3,25149,0)
+450 ;;=97166^^75^998^9^^^^1
+451 ;;^UTILITY(U,$J,358.3,25149,1,0)
+452 ;;=^358.31IA^3^2
+453 ;;^UTILITY(U,$J,358.3,25149,1,2,0)
+454 ;;=2^97166
+455 ;;^UTILITY(U,$J,358.3,25149,1,3,0)
+456 ;;=3^OT Evaluation,Moderate Complexity
+457 ;;^UTILITY(U,$J,358.3,25150,0)
+458 ;;=97167^^75^998^7^^^^1
+459 ;;^UTILITY(U,$J,358.3,25150,1,0)
+460 ;;=^358.31IA^3^2
+461 ;;^UTILITY(U,$J,358.3,25150,1,2,0)
+462 ;;=2^97167
+463 ;;^UTILITY(U,$J,358.3,25150,1,3,0)
+464 ;;=3^OT Evaluation,High Complexity
+465 ;;^UTILITY(U,$J,358.3,25151,0)
+466 ;;=97168^^75^998^10^^^^1
+467 ;;^UTILITY(U,$J,358.3,25151,1,0)
+468 ;;=^358.31IA^3^2
+469 ;;^UTILITY(U,$J,358.3,25151,1,2,0)
+470 ;;=2^97168
+471 ;;^UTILITY(U,$J,358.3,25151,1,3,0)
+472 ;;=3^OT Re-Evaluation
+473 ;;^UTILITY(U,$J,358.3,25152,0)
+474 ;;=96112^^75^998^4^^^^1
+475 ;;^UTILITY(U,$J,358.3,25152,1,0)
+476 ;;=^358.31IA^3^2
+477 ;;^UTILITY(U,$J,358.3,25152,1,2,0)
+478 ;;=2^96112
+479 ;;^UTILITY(U,$J,358.3,25152,1,3,0)
+480 ;;=3^Developmental Test Admin,1st Hr
+481 ;;^UTILITY(U,$J,358.3,25153,0)
+482 ;;=96113^^75^998^5^^^^1
+483 ;;^UTILITY(U,$J,358.3,25153,1,0)
+484 ;;=^358.31IA^3^2
+485 ;;^UTILITY(U,$J,358.3,25153,1,2,0)
+486 ;;=2^96113
+487 ;;^UTILITY(U,$J,358.3,25153,1,3,0)
+488 ;;=3^Developmental Test Admin,Ea Addl 30 min
+489 ;;^UTILITY(U,$J,358.3,25154,0)
+490 ;;=64479^^75^999^6^^^^1
+491 ;;^UTILITY(U,$J,358.3,25154,1,0)
+492 ;;=^358.31IA^3^2
+493 ;;^UTILITY(U,$J,358.3,25154,1,2,0)
+494 ;;=2^64479
+495 ;;^UTILITY(U,$J,358.3,25154,1,3,0)
+496 ;;=3^INJ Epidural, foramen, C/T
+497 ;;^UTILITY(U,$J,358.3,25155,0)
+498 ;;=64480^^75^999^8^^^^1
+499 ;;^UTILITY(U,$J,358.3,25155,1,0)
+500 ;;=^358.31IA^3^2
+501 ;;^UTILITY(U,$J,358.3,25155,1,2,0)
+502 ;;=2^64480
+503 ;;^UTILITY(U,$J,358.3,25155,1,3,0)
+504 ;;=3^INJ Epidural,C/T Ea Addl Level
+505 ;;^UTILITY(U,$J,358.3,25156,0)
+506 ;;=64483^^75^999^7^^^^1
+507 ;;^UTILITY(U,$J,358.3,25156,1,0)
+508 ;;=^358.31IA^3^2
+509 ;;^UTILITY(U,$J,358.3,25156,1,2,0)
+510 ;;=2^64483
+511 ;;^UTILITY(U,$J,358.3,25156,1,3,0)
+512 ;;=3^INJ Epidural, foramen, L/S
+513 ;;^UTILITY(U,$J,358.3,25157,0)
+514 ;;=64484^^75^999^5^^^^1
+515 ;;^UTILITY(U,$J,358.3,25157,1,0)
+516 ;;=^358.31IA^3^2
+517 ;;^UTILITY(U,$J,358.3,25157,1,2,0)
+518 ;;=2^64484
+519 ;;^UTILITY(U,$J,358.3,25157,1,3,0)
+520 ;;=3^INJ Epidural, L/S Ea Addl Level
+521 ;;^UTILITY(U,$J,358.3,25158,0)
+522 ;;=64633^^75^999^1^^^^1
+523 ;;^UTILITY(U,$J,358.3,25158,1,0)
+524 ;;=^358.31IA^3^2
+525 ;;^UTILITY(U,$J,358.3,25158,1,2,0)
+526 ;;=2^64633
+527 ;;^UTILITY(U,$J,358.3,25158,1,3,0)
+528 ;;=3^DESTR PARAVERT Nerve C/T, single
+529 ;;^UTILITY(U,$J,358.3,25159,0)
+530 ;;=64634^^75^999^4^^^^1
+531 ;;^UTILITY(U,$J,358.3,25159,1,0)
+532 ;;=^358.31IA^3^2
+533 ;;^UTILITY(U,$J,358.3,25159,1,2,0)
+534 ;;=2^64634
+535 ;;^UTILITY(U,$J,358.3,25159,1,3,0)
+536 ;;=3^Destr PN C/T,Ea Addl Level
+537 ;;^UTILITY(U,$J,358.3,25160,0)
+538 ;;=64635^^75^999^2^^^^1
+539 ;;^UTILITY(U,$J,358.3,25160,1,0)
+540 ;;=^358.31IA^3^2
+541 ;;^UTILITY(U,$J,358.3,25160,1,2,0)
+542 ;;=2^64635
+543 ;;^UTILITY(U,$J,358.3,25160,1,3,0)
+544 ;;=3^DESTR PARAVERT Nerve L/S, single
+545 ;;^UTILITY(U,$J,358.3,25161,0)
+546 ;;=64636^^75^999^3^^^^1
+547 ;;^UTILITY(U,$J,358.3,25161,1,0)
+548 ;;=^358.31IA^3^2
+549 ;;^UTILITY(U,$J,358.3,25161,1,2,0)
+550 ;;=2^64636
+551 ;;^UTILITY(U,$J,358.3,25161,1,3,0)
+552 ;;=3^DESTR PN L/S, Ea Addl Level
+553 ;;^UTILITY(U,$J,358.3,25162,0)
+554 ;;=64490^^75^999^11^^^^1
+555 ;;^UTILITY(U,$J,358.3,25162,1,0)
+556 ;;=^358.31IA^3^2
+557 ;;^UTILITY(U,$J,358.3,25162,1,2,0)
+558 ;;=2^64490
+559 ;;^UTILITY(U,$J,358.3,25162,1,3,0)
+560 ;;=3^INJ PARAVERT Joint C/T, Single
+561 ;;^UTILITY(U,$J,358.3,25163,0)
+562 ;;=64491^^75^999^13^^^^1
+563 ;;^UTILITY(U,$J,358.3,25163,1,0)
+564 ;;=^358.31IA^3^2
+565 ;;^UTILITY(U,$J,358.3,25163,1,2,0)
+566 ;;=2^64491
+567 ;;^UTILITY(U,$J,358.3,25163,1,3,0)
+568 ;;=3^INJ PV Joint C/T, second level
+569 ;;^UTILITY(U,$J,358.3,25164,0)
+570 ;;=64492^^75^999^14^^^^1
+571 ;;^UTILITY(U,$J,358.3,25164,1,0)
+572 ;;=^358.31IA^3^2
+573 ;;^UTILITY(U,$J,358.3,25164,1,2,0)
+574 ;;=2^64492
+575 ;;^UTILITY(U,$J,358.3,25164,1,3,0)
+576 ;;=3^INJ PV Joint C/T, third or more
+577 ;;^UTILITY(U,$J,358.3,25165,0)
+578 ;;=64493^^75^999^12^^^^1
+579 ;;^UTILITY(U,$J,358.3,25165,1,0)
+580 ;;=^358.31IA^3^2
+581 ;;^UTILITY(U,$J,358.3,25165,1,2,0)
+582 ;;=2^64493
+583 ;;^UTILITY(U,$J,358.3,25165,1,3,0)
+584 ;;=3^INJ PARAVERT Joint L/S, Single
+585 ;;^UTILITY(U,$J,358.3,25166,0)
+586 ;;=64494^^75^999^15^^^^1
+587 ;;^UTILITY(U,$J,358.3,25166,1,0)
+588 ;;=^358.31IA^3^2
+589 ;;^UTILITY(U,$J,358.3,25166,1,2,0)
+590 ;;=2^64494
+591 ;;^UTILITY(U,$J,358.3,25166,1,3,0)
+592 ;;=3^INJ PV Joint L/S, second level
+593 ;;^UTILITY(U,$J,358.3,25167,0)
+594 ;;=64495^^75^999^16^^^^1
+595 ;;^UTILITY(U,$J,358.3,25167,1,0)
+596 ;;=^358.31IA^3^2
+597 ;;^UTILITY(U,$J,358.3,25167,1,2,0)
+598 ;;=2^64495
+599 ;;^UTILITY(U,$J,358.3,25167,1,3,0)
+600 ;;=3^INJ PV Joint L/S, third or more
+601 ;;^UTILITY(U,$J,358.3,25168,0)
+602 ;;=62320^^75^999^9^^^^1
+603 ;;^UTILITY(U,$J,358.3,25168,1,0)
+604 ;;=^358.31IA^3^2
+605 ;;^UTILITY(U,$J,358.3,25168,1,2,0)
+606 ;;=2^62320
+607 ;;^UTILITY(U,$J,358.3,25168,1,3,0)
+608 ;;=3^INJ Epidural/Subarachnoid,C/T
+609 ;;^UTILITY(U,$J,358.3,25169,0)
+610 ;;=62322^^75^999^10^^^^1
+611 ;;^UTILITY(U,$J,358.3,25169,1,0)
+612 ;;=^358.31IA^3^2
+613 ;;^UTILITY(U,$J,358.3,25169,1,2,0)
+614 ;;=2^62322
+615 ;;^UTILITY(U,$J,358.3,25169,1,3,0)
+616 ;;=3^INJ Epidural/Subarachnoid,L/S
+617 ;;^UTILITY(U,$J,358.3,25170,0)
+618 ;;=A6196^^75^1000^1^^^^1
+619 ;;^UTILITY(U,$J,358.3,25170,1,0)
+620 ;;=^358.31IA^3^2
+621 ;;^UTILITY(U,$J,358.3,25170,1,2,0)
+622 ;;=2^A6196
+623 ;;^UTILITY(U,$J,358.3,25170,1,3,0)
+624 ;;=3^Alginate dressing,16 sq IN or < EA
+625 ;;^UTILITY(U,$J,358.3,25171,0)
+626 ;;=A6222^^75^1000^3^^^^1
+627 ;;^UTILITY(U,$J,358.3,25171,1,0)
+628 ;;=^358.31IA^3^2
+629 ;;^UTILITY(U,$J,358.3,25171,1,2,0)
+630 ;;=2^A6222
+631 ;;^UTILITY(U,$J,358.3,25171,1,3,0)
+632 ;;=3^Gauze, 16 sq IN or <, saline
+633 ;;^UTILITY(U,$J,358.3,25172,0)
+634 ;;=A6234^^75^1000^4^^^^1
+635 ;;^UTILITY(U,$J,358.3,25172,1,0)
+636 ;;=^358.31IA^3^2
+637 ;;^UTILITY(U,$J,358.3,25172,1,2,0)
+638 ;;=2^A6234
+639 ;;^UTILITY(U,$J,358.3,25172,1,3,0)
+640 ;;=3^Hydrocolid drg 16<=IN w/o bdr
+641 ;;^UTILITY(U,$J,358.3,25173,0)
+642 ;;=A6242^^75^1000^5^^^^1
+643 ;;^UTILITY(U,$J,358.3,25173,1,0)
+644 ;;=^358.31IA^3^2
+645 ;;^UTILITY(U,$J,358.3,25173,1,2,0)
+646 ;;=2^A6242
+647 ;;^UTILITY(U,$J,358.3,25173,1,3,0)
+648 ;;=3^Hydrogel drg <=IN w/o bdr
+649 ;;^UTILITY(U,$J,358.3,25174,0)
+650 ;;=A6216^^75^1000^6^^^^1
+651 ;;^UTILITY(U,$J,358.3,25174,1,0)
+652 ;;=^358.31IA^3^2
+653 ;;^UTILITY(U,$J,358.3,25174,1,2,0)
+654 ;;=2^A6216
+655 ;;^UTILITY(U,$J,358.3,25174,1,3,0)
+656 ;;=3^Non-Sterile Gauze <=16 Sq IN
+657 ;;^UTILITY(U,$J,358.3,25175,0)
+658 ;;=A6250^^75^1000^8^^^^1
+659 ;;^UTILITY(U,$J,358.3,25175,1,0)
+660 ;;=^358.31IA^3^2
+661 ;;^UTILITY(U,$J,358.3,25175,1,2,0)
+662 ;;=2^A6250
