IBDEI0CD ; ; 03-MAY-2022
 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;MAY 03, 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,$J,358.3,31015,1,3,0)
 ;;=3^INJ Epidural/Subarachnoid,C/T
 ;;^UTILITY(U,$J,358.3,31016,0)
 ;;=62322^^87^1242^10^^^^1
 ;;^UTILITY(U,$J,358.3,31016,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31016,1,2,0)
 ;;=2^62322
 ;;^UTILITY(U,$J,358.3,31016,1,3,0)
 ;;=3^INJ Epidural/Subarachnoid,L/S
 ;;^UTILITY(U,$J,358.3,31017,0)
 ;;=A6196^^87^1243^1^^^^1
 ;;^UTILITY(U,$J,358.3,31017,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31017,1,2,0)
 ;;=2^A6196
 ;;^UTILITY(U,$J,358.3,31017,1,3,0)
 ;;=3^Alginate dressing,16 sq IN or < EA
 ;;^UTILITY(U,$J,358.3,31018,0)
 ;;=A6222^^87^1243^3^^^^1
 ;;^UTILITY(U,$J,358.3,31018,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31018,1,2,0)
 ;;=2^A6222
 ;;^UTILITY(U,$J,358.3,31018,1,3,0)
 ;;=3^Gauze, 16 sq IN or <, saline
 ;;^UTILITY(U,$J,358.3,31019,0)
 ;;=A6234^^87^1243^4^^^^1
 ;;^UTILITY(U,$J,358.3,31019,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31019,1,2,0)
 ;;=2^A6234
 ;;^UTILITY(U,$J,358.3,31019,1,3,0)
 ;;=3^Hydrocolid drg 16<=IN w/o bdr
 ;;^UTILITY(U,$J,358.3,31020,0)
 ;;=A6242^^87^1243^5^^^^1
 ;;^UTILITY(U,$J,358.3,31020,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31020,1,2,0)
 ;;=2^A6242
 ;;^UTILITY(U,$J,358.3,31020,1,3,0)
 ;;=3^Hydrogel drg <=IN w/o bdr
 ;;^UTILITY(U,$J,358.3,31021,0)
 ;;=A6216^^87^1243^6^^^^1
 ;;^UTILITY(U,$J,358.3,31021,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31021,1,2,0)
 ;;=2^A6216
 ;;^UTILITY(U,$J,358.3,31021,1,3,0)
 ;;=3^Non-Sterile Gauze <=16 Sq IN
 ;;^UTILITY(U,$J,358.3,31022,0)
 ;;=A6250^^87^1243^8^^^^1
 ;;^UTILITY(U,$J,358.3,31022,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31022,1,2,0)
 ;;=2^A6250
 ;;^UTILITY(U,$J,358.3,31022,1,3,0)
 ;;=3^Skin Seal protect moisturizer
 ;;^UTILITY(U,$J,358.3,31023,0)
 ;;=A6257^^87^1243^9^^^^1
 ;;^UTILITY(U,$J,358.3,31023,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31023,1,2,0)
 ;;=2^A6257
 ;;^UTILITY(U,$J,358.3,31023,1,3,0)
 ;;=3^Transparent Film <= 16 Sq IN
 ;;^UTILITY(U,$J,358.3,31024,0)
 ;;=A6197^^87^1243^2^^^^1
 ;;^UTILITY(U,$J,358.3,31024,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31024,1,2,0)
 ;;=2^A6197
 ;;^UTILITY(U,$J,358.3,31024,1,3,0)
 ;;=3^Alginate Dressing,16-48 Sq In,Each
 ;;^UTILITY(U,$J,358.3,31025,0)
 ;;=A6217^^87^1243^7^^^^1
 ;;^UTILITY(U,$J,358.3,31025,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31025,1,2,0)
 ;;=2^A6217
 ;;^UTILITY(U,$J,358.3,31025,1,3,0)
 ;;=3^Non-Sterile Gauze,16-48 Sq In,Each
 ;;^UTILITY(U,$J,358.3,31026,0)
 ;;=97034^^87^1244^3^^^^1
 ;;^UTILITY(U,$J,358.3,31026,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31026,1,2,0)
 ;;=2^97034
 ;;^UTILITY(U,$J,358.3,31026,1,3,0)
 ;;=3^Contrast Baths, 15 Mins each
 ;;^UTILITY(U,$J,358.3,31027,0)
 ;;=97014^^87^1244^4^^^^1
 ;;^UTILITY(U,$J,358.3,31027,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31027,1,2,0)
 ;;=2^97014
 ;;^UTILITY(U,$J,358.3,31027,1,3,0)
 ;;=3^Electrical Stimulation
 ;;^UTILITY(U,$J,358.3,31028,0)
 ;;=97530^^87^1244^5^^^^1
 ;;^UTILITY(U,$J,358.3,31028,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31028,1,2,0)
 ;;=2^97530
 ;;^UTILITY(U,$J,358.3,31028,1,3,0)
 ;;=3^Functional Activities
 ;;^UTILITY(U,$J,358.3,31029,0)
 ;;=97116^^87^1244^6^^^^1
 ;;^UTILITY(U,$J,358.3,31029,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31029,1,2,0)
 ;;=2^97116
 ;;^UTILITY(U,$J,358.3,31029,1,3,0)
 ;;=3^Gait Training
 ;;^UTILITY(U,$J,358.3,31030,0)
 ;;=97010^^87^1244^7^^^^1
 ;;^UTILITY(U,$J,358.3,31030,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31030,1,2,0)
 ;;=2^97010
 ;;^UTILITY(U,$J,358.3,31030,1,3,0)
 ;;=3^Hot/Cold Therapies
 ;;^UTILITY(U,$J,358.3,31031,0)
 ;;=97033^^87^1244^8^^^^1
 ;;^UTILITY(U,$J,358.3,31031,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31031,1,2,0)
 ;;=2^97033
 ;;^UTILITY(U,$J,358.3,31031,1,3,0)
 ;;=3^Iontophoresis, 15 Mins each
 ;;^UTILITY(U,$J,358.3,31032,0)
 ;;=97530^^87^1244^9^^^^1
 ;;^UTILITY(U,$J,358.3,31032,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31032,1,2,0)
 ;;=2^97530
 ;;^UTILITY(U,$J,358.3,31032,1,3,0)
 ;;=3^Kinetic Therapy, 15 Mins each
 ;;^UTILITY(U,$J,358.3,31033,0)
 ;;=97140^^87^1244^10^^^^1
 ;;^UTILITY(U,$J,358.3,31033,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31033,1,2,0)
 ;;=2^97140
 ;;^UTILITY(U,$J,358.3,31033,1,3,0)
 ;;=3^Manipulation/Mobilization, 15 Mins each
 ;;^UTILITY(U,$J,358.3,31034,0)
 ;;=97112^^87^1244^11^^^^1
 ;;^UTILITY(U,$J,358.3,31034,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31034,1,2,0)
 ;;=2^97112
 ;;^UTILITY(U,$J,358.3,31034,1,3,0)
 ;;=3^Neuromuscular Re-Ed
 ;;^UTILITY(U,$J,358.3,31035,0)
 ;;=97018^^87^1244^12^^^^1
 ;;^UTILITY(U,$J,358.3,31035,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31035,1,2,0)
 ;;=2^97018
 ;;^UTILITY(U,$J,358.3,31035,1,3,0)
 ;;=3^Paraffin Bath
 ;;^UTILITY(U,$J,358.3,31036,0)
 ;;=97039^^87^1244^13^^^^1
 ;;^UTILITY(U,$J,358.3,31036,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31036,1,2,0)
 ;;=2^97039
 ;;^UTILITY(U,$J,358.3,31036,1,3,0)
 ;;=3^Physical Therapy Treatment
 ;;^UTILITY(U,$J,358.3,31037,0)
 ;;=97124^^87^1244^16^^^^1
 ;;^UTILITY(U,$J,358.3,31037,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31037,1,2,0)
 ;;=2^97124
 ;;^UTILITY(U,$J,358.3,31037,1,3,0)
 ;;=3^Soft Tissue Mobilization
 ;;^UTILITY(U,$J,358.3,31038,0)
 ;;=97110^^87^1244^17^^^^1
 ;;^UTILITY(U,$J,358.3,31038,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31038,1,2,0)
 ;;=2^97110
 ;;^UTILITY(U,$J,358.3,31038,1,3,0)
 ;;=3^Therapeutic Ex/Recond/Flex
 ;;^UTILITY(U,$J,358.3,31039,0)
 ;;=97140^^87^1244^20^^^^1
 ;;^UTILITY(U,$J,358.3,31039,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31039,1,2,0)
 ;;=2^97140
 ;;^UTILITY(U,$J,358.3,31039,1,3,0)
 ;;=3^Traction, Manual, 15 Mins each
 ;;^UTILITY(U,$J,358.3,31040,0)
 ;;=97035^^87^1244^21^^^^1
 ;;^UTILITY(U,$J,358.3,31040,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31040,1,2,0)
 ;;=2^97035
 ;;^UTILITY(U,$J,358.3,31040,1,3,0)
 ;;=3^Ultrasound, 15 Mins each
 ;;^UTILITY(U,$J,358.3,31041,0)
 ;;=97016^^87^1244^22^^^^1
 ;;^UTILITY(U,$J,358.3,31041,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31041,1,2,0)
 ;;=2^97016
 ;;^UTILITY(U,$J,358.3,31041,1,3,0)
 ;;=3^Vasopneumatic device
 ;;^UTILITY(U,$J,358.3,31042,0)
 ;;=97022^^87^1244^23^^^^1
 ;;^UTILITY(U,$J,358.3,31042,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31042,1,2,0)
 ;;=2^97022
 ;;^UTILITY(U,$J,358.3,31042,1,3,0)
 ;;=3^Whirlpool
 ;;^UTILITY(U,$J,358.3,31043,0)
 ;;=95970^^87^1244^2^^^^1
 ;;^UTILITY(U,$J,358.3,31043,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31043,1,2,0)
 ;;=2^95970
 ;;^UTILITY(U,$J,358.3,31043,1,3,0)
 ;;=3^Analysis Spinal Cord Stim w/o Prog
 ;;^UTILITY(U,$J,358.3,31044,0)
 ;;=95971^^87^1244^1^^^^1
 ;;^UTILITY(U,$J,358.3,31044,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31044,1,2,0)
 ;;=2^95971
 ;;^UTILITY(U,$J,358.3,31044,1,3,0)
 ;;=3^Analysis Spinal Cord Stim w/ Prog
 ;;^UTILITY(U,$J,358.3,31045,0)
 ;;=95990^^87^1244^15^^^^1
 ;;^UTILITY(U,$J,358.3,31045,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31045,1,2,0)
 ;;=2^95990
 ;;^UTILITY(U,$J,358.3,31045,1,3,0)
 ;;=3^Refill of Intrathecal Pain Pump
 ;;^UTILITY(U,$J,358.3,31046,0)
 ;;=95991^^87^1244^14^^^^1
 ;;^UTILITY(U,$J,358.3,31046,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31046,1,2,0)
 ;;=2^95991
 ;;^UTILITY(U,$J,358.3,31046,1,3,0)
 ;;=3^Refill Intrathecal Pain Pump by MD
 ;;^UTILITY(U,$J,358.3,31047,0)
 ;;=97129^^87^1244^18^^^^1
 ;;^UTILITY(U,$J,358.3,31047,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31047,1,2,0)
 ;;=2^97129
 ;;^UTILITY(U,$J,358.3,31047,1,3,0)
 ;;=3^Therapeutic Intrvn,Cog Func,1st 15 min
 ;;^UTILITY(U,$J,358.3,31048,0)
 ;;=97130^^87^1244^19^^^^1
 ;;^UTILITY(U,$J,358.3,31048,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31048,1,2,0)
 ;;=2^97130
 ;;^UTILITY(U,$J,358.3,31048,1,3,0)
 ;;=3^Therapeutic Intrvn,Cog Func,Ea Addl 15 min
 ;;^UTILITY(U,$J,358.3,31049,0)
 ;;=20552^^87^1245^6^^^^1
 ;;^UTILITY(U,$J,358.3,31049,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31049,1,2,0)
 ;;=2^20552
 ;;^UTILITY(U,$J,358.3,31049,1,3,0)
 ;;=3^Trigger point INJ, 1 or 2 muscles
 ;;^UTILITY(U,$J,358.3,31050,0)
 ;;=20553^^87^1245^7^^^^1
 ;;^UTILITY(U,$J,358.3,31050,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31050,1,2,0)
 ;;=2^20553
 ;;^UTILITY(U,$J,358.3,31050,1,3,0)
 ;;=3^Trigger point INJ, 3 or more muscles
 ;;^UTILITY(U,$J,358.3,31051,0)
 ;;=20550^^87^1245^5^^^^1
 ;;^UTILITY(U,$J,358.3,31051,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31051,1,2,0)
 ;;=2^20550
 ;;^UTILITY(U,$J,358.3,31051,1,3,0)
 ;;=3^INJ tendon sheath/ligament
 ;;^UTILITY(U,$J,358.3,31052,0)
 ;;=20551^^87^1245^4^^^^1
 ;;^UTILITY(U,$J,358.3,31052,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31052,1,2,0)
 ;;=2^20551
 ;;^UTILITY(U,$J,358.3,31052,1,3,0)
 ;;=3^INJ tendon insertion/origin
 ;;^UTILITY(U,$J,358.3,31053,0)
 ;;=J0585^^87^1245^1^^^^1
 ;;^UTILITY(U,$J,358.3,31053,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31053,1,2,0)
 ;;=2^J0585
 ;;^UTILITY(U,$J,358.3,31053,1,3,0)
 ;;=3^Botulinum Toxin A, per unit
 ;;^UTILITY(U,$J,358.3,31054,0)
 ;;=J0587^^87^1245^2^^^^1
 ;;^UTILITY(U,$J,358.3,31054,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31054,1,2,0)
 ;;=2^J0587
 ;;^UTILITY(U,$J,358.3,31054,1,3,0)
 ;;=3^Botulinum Toxin B, 100 Units
 ;;^UTILITY(U,$J,358.3,31055,0)
 ;;=64615^^87^1245^3^^^^1
 ;;^UTILITY(U,$J,358.3,31055,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31055,1,2,0)
 ;;=2^64615
 ;;^UTILITY(U,$J,358.3,31055,1,3,0)
 ;;=3^Chemodenervation Muscle for Migraine
 ;;^UTILITY(U,$J,358.3,31056,0)
 ;;=97810^^87^1246^1^^^^1
 ;;^UTILITY(U,$J,358.3,31056,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31056,1,2,0)
 ;;=2^97810
 ;;^UTILITY(U,$J,358.3,31056,1,3,0)
 ;;=3^Acupuncture w/o Stimul 15 Min
 ;;^UTILITY(U,$J,358.3,31057,0)
 ;;=97811^^87^1246^2^^^^1
 ;;^UTILITY(U,$J,358.3,31057,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31057,1,2,0)
 ;;=2^97811
 ;;^UTILITY(U,$J,358.3,31057,1,3,0)
 ;;=3^Acupuncture w/o Stimul,Ea Addl 15 Min
 ;;^UTILITY(U,$J,358.3,31058,0)
 ;;=97813^^87^1246^3^^^^1
 ;;^UTILITY(U,$J,358.3,31058,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31058,1,2,0)
 ;;=2^97813
 ;;^UTILITY(U,$J,358.3,31058,1,3,0)
 ;;=3^Acupuncture w/ Stimul 15 Min
 ;;^UTILITY(U,$J,358.3,31059,0)
 ;;=97814^^87^1246^4^^^^1
 ;;^UTILITY(U,$J,358.3,31059,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31059,1,2,0)
 ;;=2^97814
 ;;^UTILITY(U,$J,358.3,31059,1,3,0)
 ;;=3^Acupuncture w/ Stimul,Ea Addl 15 Min
 ;;^UTILITY(U,$J,358.3,31060,0)
 ;;=11719^^87^1247^3^^^^1
 ;;^UTILITY(U,$J,358.3,31060,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31060,1,2,0)
 ;;=2^11719
 ;;^UTILITY(U,$J,358.3,31060,1,3,0)
 ;;=3^Trim Nondystrophic Nails,Any Number
 ;;^UTILITY(U,$J,358.3,31061,0)
 ;;=11720^^87^1247^1^^^^1
 ;;^UTILITY(U,$J,358.3,31061,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31061,1,2,0)
 ;;=2^11720
 ;;^UTILITY(U,$J,358.3,31061,1,3,0)
 ;;=3^Debride Nail(s);1-5
 ;;^UTILITY(U,$J,358.3,31062,0)
 ;;=11721^^87^1247^2^^^^1
 ;;^UTILITY(U,$J,358.3,31062,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31062,1,2,0)
 ;;=2^11721
 ;;^UTILITY(U,$J,358.3,31062,1,3,0)
 ;;=3^Debride Nails;6 or more
 ;;^UTILITY(U,$J,358.3,31063,0)
 ;;=J0475^^87^1248^5^^^^1
 ;;^UTILITY(U,$J,358.3,31063,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31063,1,2,0)
 ;;=2^J0475
 ;;^UTILITY(U,$J,358.3,31063,1,3,0)
 ;;=3^Baclofen 10mg
 ;;^UTILITY(U,$J,358.3,31064,0)
 ;;=J0476^^87^1248^6^^^^1
 ;;^UTILITY(U,$J,358.3,31064,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31064,1,2,0)
 ;;=2^J0476
 ;;^UTILITY(U,$J,358.3,31064,1,3,0)
 ;;=3^Baclofen Intrathecal Trial 50mcg
 ;;^UTILITY(U,$J,358.3,31065,0)
 ;;=62322^^87^1248^7^^^^1
 ;;^UTILITY(U,$J,358.3,31065,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31065,1,2,0)
 ;;=2^62322
 ;;^UTILITY(U,$J,358.3,31065,1,3,0)
 ;;=3^Njx Interlaminar Lmbr/Sac
 ;;^UTILITY(U,$J,358.3,31066,0)
 ;;=62367^^87^1248^1^^^^1
 ;;^UTILITY(U,$J,358.3,31066,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31066,1,2,0)
 ;;=2^62367
 ;;^UTILITY(U,$J,358.3,31066,1,3,0)
 ;;=3^Analyze Spine Infus Pump
 ;;^UTILITY(U,$J,358.3,31067,0)
 ;;=62368^^87^1248^3^^^^1
 ;;^UTILITY(U,$J,358.3,31067,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31067,1,2,0)
 ;;=2^62368
 ;;^UTILITY(U,$J,358.3,31067,1,3,0)
 ;;=3^Analyze Spine Infus Pump w/ Reprog
 ;;^UTILITY(U,$J,358.3,31068,0)
 ;;=62369^^87^1248^4^^^^1
 ;;^UTILITY(U,$J,358.3,31068,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31068,1,2,0)
 ;;=2^62369
 ;;^UTILITY(U,$J,358.3,31068,1,3,0)
 ;;=3^Analyze Spine Infus Pump w/ Reprog/Fill
 ;;^UTILITY(U,$J,358.3,31069,0)
 ;;=62370^^87^1248^2^^^^1
 ;;^UTILITY(U,$J,358.3,31069,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31069,1,2,0)
 ;;=2^62370
 ;;^UTILITY(U,$J,358.3,31069,1,3,0)
 ;;=3^Analyze Spine Infus Pump w/ Mdreprg/Fill
 ;;^UTILITY(U,$J,358.3,31070,0)
 ;;=97750^^87^1248^8^^^^1
 ;;^UTILITY(U,$J,358.3,31070,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31070,1,2,0)
 ;;=2^97750
 ;;^UTILITY(U,$J,358.3,31070,1,3,0)
 ;;=3^Physical Performance Test
 ;;^UTILITY(U,$J,358.3,31071,0)
 ;;=95990^^87^1248^9^^^^1
 ;;^UTILITY(U,$J,358.3,31071,1,0)
 ;;=^358.31IA^3^2
 ;;^UTILITY(U,$J,358.3,31071,1,2,0)
 ;;=2^95990
 ;;^UTILITY(U,$J,358.3,31071,1,3,0)
 ;;=3^Spine/Brain Pump Refll/Maint
 ;;^UTILITY(U,$J,358.3,31072,0)
 ;;=99202^^88^1249^1
 ;;^UTILITY(U,$J,358.3,31072,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31072,1,1,0)
 ;;=1^SF MDM or 15-29 mins
 ;;^UTILITY(U,$J,358.3,31072,1,2,0)
 ;;=2^99202
 ;;^UTILITY(U,$J,358.3,31073,0)
 ;;=99203^^88^1249^2
 ;;^UTILITY(U,$J,358.3,31073,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31073,1,1,0)
 ;;=1^Low MDM or 30-44 mins
 ;;^UTILITY(U,$J,358.3,31073,1,2,0)
 ;;=2^99203
 ;;^UTILITY(U,$J,358.3,31074,0)
 ;;=99204^^88^1249^3
 ;;^UTILITY(U,$J,358.3,31074,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31074,1,1,0)
 ;;=1^Moderate MDM or 45-59 mins
 ;;^UTILITY(U,$J,358.3,31074,1,2,0)
 ;;=2^99204
 ;;^UTILITY(U,$J,358.3,31075,0)
 ;;=99205^^88^1249^4
 ;;^UTILITY(U,$J,358.3,31075,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31075,1,1,0)
 ;;=1^High MDM or 60-74 mins
 ;;^UTILITY(U,$J,358.3,31075,1,2,0)
 ;;=2^99205
 ;;^UTILITY(U,$J,358.3,31076,0)
 ;;=99211^^88^1250^1
 ;;^UTILITY(U,$J,358.3,31076,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31076,1,1,0)
 ;;=1^Brief Visit-MDM None/Minimal
 ;;^UTILITY(U,$J,358.3,31076,1,2,0)
 ;;=2^99211
 ;;^UTILITY(U,$J,358.3,31077,0)
 ;;=99212^^88^1250^2
 ;;^UTILITY(U,$J,358.3,31077,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31077,1,1,0)
 ;;=1^SF MDM or 10-19 mins
 ;;^UTILITY(U,$J,358.3,31077,1,2,0)
 ;;=2^99212
 ;;^UTILITY(U,$J,358.3,31078,0)
 ;;=99213^^88^1250^3
 ;;^UTILITY(U,$J,358.3,31078,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31078,1,1,0)
 ;;=1^Low MDM or 20-29 mins
 ;;^UTILITY(U,$J,358.3,31078,1,2,0)
 ;;=2^99213
 ;;^UTILITY(U,$J,358.3,31079,0)
 ;;=99214^^88^1250^4
 ;;^UTILITY(U,$J,358.3,31079,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31079,1,1,0)
 ;;=1^Moderate MDM or 30-39 mins
 ;;^UTILITY(U,$J,358.3,31079,1,2,0)
 ;;=2^99214
 ;;^UTILITY(U,$J,358.3,31080,0)
 ;;=99215^^88^1250^5
 ;;^UTILITY(U,$J,358.3,31080,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31080,1,1,0)
 ;;=1^High MDM or 40-54 mins
 ;;^UTILITY(U,$J,358.3,31080,1,2,0)
 ;;=2^99215
 ;;^UTILITY(U,$J,358.3,31081,0)
 ;;=99241^^88^1251^1
 ;;^UTILITY(U,$J,358.3,31081,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31081,1,1,0)
 ;;=1^Problem Focused Hx/PE & SF MDM
 ;;^UTILITY(U,$J,358.3,31081,1,2,0)
 ;;=2^99241
 ;;^UTILITY(U,$J,358.3,31082,0)
 ;;=99242^^88^1251^2
 ;;^UTILITY(U,$J,358.3,31082,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31082,1,1,0)
 ;;=1^Exp Problem Focused Hx/PE & SF MDM
 ;;^UTILITY(U,$J,358.3,31082,1,2,0)
 ;;=2^99242
 ;;^UTILITY(U,$J,358.3,31083,0)
 ;;=99243^^88^1251^3
 ;;^UTILITY(U,$J,358.3,31083,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31083,1,1,0)
 ;;=1^Detailed Hx/PE & Low Complex MDM
 ;;^UTILITY(U,$J,358.3,31083,1,2,0)
 ;;=2^99243
 ;;^UTILITY(U,$J,358.3,31084,0)
 ;;=99244^^88^1251^4
 ;;^UTILITY(U,$J,358.3,31084,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31084,1,1,0)
 ;;=1^Comprehensive Hx/PE & Moderate Complex MDM
 ;;^UTILITY(U,$J,358.3,31084,1,2,0)
 ;;=2^99244
 ;;^UTILITY(U,$J,358.3,31085,0)
 ;;=99245^^88^1251^5
 ;;^UTILITY(U,$J,358.3,31085,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31085,1,1,0)
 ;;=1^Comprehensive Hx/PE & High Complex MDM
 ;;^UTILITY(U,$J,358.3,31085,1,2,0)
 ;;=2^99245
 ;;^UTILITY(U,$J,358.3,31086,0)
 ;;=99347^^88^1252^1
 ;;^UTILITY(U,$J,358.3,31086,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31086,1,1,0)
 ;;=1^Problem Focused Hx/PE & SF MDM
 ;;^UTILITY(U,$J,358.3,31086,1,2,0)
 ;;=2^99347
 ;;^UTILITY(U,$J,358.3,31087,0)
 ;;=99348^^88^1252^2
 ;;^UTILITY(U,$J,358.3,31087,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31087,1,1,0)
 ;;=1^Exp Problem Focused Hx/PE & Low Complex MDM
 ;;^UTILITY(U,$J,358.3,31087,1,2,0)
 ;;=2^99348
 ;;^UTILITY(U,$J,358.3,31088,0)
 ;;=99349^^88^1252^3
 ;;^UTILITY(U,$J,358.3,31088,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31088,1,1,0)
 ;;=1^Detailed Hx/PE & Moderate Complex MDM
 ;;^UTILITY(U,$J,358.3,31088,1,2,0)
 ;;=2^99349
 ;;^UTILITY(U,$J,358.3,31089,0)
 ;;=99350^^88^1252^4
 ;;^UTILITY(U,$J,358.3,31089,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31089,1,1,0)
 ;;=1^Comprehensive Hx/PE & Mod or High Complex MDM
 ;;^UTILITY(U,$J,358.3,31089,1,2,0)
 ;;=2^99350
 ;;^UTILITY(U,$J,358.3,31090,0)
 ;;=99341^^88^1253^1
 ;;^UTILITY(U,$J,358.3,31090,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31090,1,1,0)
 ;;=1^Problem Focused Hx/PE & SF MDM
 ;;^UTILITY(U,$J,358.3,31090,1,2,0)
 ;;=2^99341
 ;;^UTILITY(U,$J,358.3,31091,0)
 ;;=99342^^88^1253^2
 ;;^UTILITY(U,$J,358.3,31091,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31091,1,1,0)
 ;;=1^Exp Problem Focused Hx/PE & Low Complex MDM
 ;;^UTILITY(U,$J,358.3,31091,1,2,0)
 ;;=2^99342
 ;;^UTILITY(U,$J,358.3,31092,0)
 ;;=99343^^88^1253^3
 ;;^UTILITY(U,$J,358.3,31092,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31092,1,1,0)
 ;;=1^Detailed Hx/PE & Moderate Complex MDM
 ;;^UTILITY(U,$J,358.3,31092,1,2,0)
 ;;=2^99343
 ;;^UTILITY(U,$J,358.3,31093,0)
 ;;=99344^^88^1253^4
 ;;^UTILITY(U,$J,358.3,31093,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31093,1,1,0)
 ;;=1^Comprehensive Hx/PE & Moderate Complex MDM
 ;;^UTILITY(U,$J,358.3,31093,1,2,0)
 ;;=2^99344
 ;;^UTILITY(U,$J,358.3,31094,0)
 ;;=99345^^88^1253^5
 ;;^UTILITY(U,$J,358.3,31094,1,0)
 ;;=^358.31IA^2^2
 ;;^UTILITY(U,$J,358.3,31094,1,1,0)
 ;;=1^Comprehensive Hx/PE & High Complex MDM
 ;;^UTILITY(U,$J,358.3,31094,1,2,0)
 ;;=2^99345
 ;;^UTILITY(U,$J,358.3,31095,0)
 ;;=I20.9^^89^1254^3
 ;;^UTILITY(U,$J,358.3,31095,1,0)
 ;;=^358.31IA^4^2
 ;;^UTILITY(U,$J,358.3,31095,1,3,0)
 ;;=3^Angina Pectoris,Unspec
 ;;^UTILITY(U,$J,358.3,31095,1,4,0)
 ;;=4^I20.9
 ;;^UTILITY(U,$J,358.3,31095,2)
 ;;=^5007079
 ;;^UTILITY(U,$J,358.3,31096,0)
 ;;=I25.10^^89^1254^14
 ;;^UTILITY(U,$J,358.3,31096,1,0)
 ;;=^358.31IA^4^2
 ;;^UTILITY(U,$J,358.3,31096,1,3,0)
 ;;=3^CAD w/o Angina
 ;;^UTILITY(U,$J,358.3,31096,1,4,0)
 ;;=4^I25.10
 ;;^UTILITY(U,$J,358.3,31096,2)
 ;;=^5007107
 ;;^UTILITY(U,$J,358.3,31097,0)
 ;;=I48.91^^89^1254^9
 ;;^UTILITY(U,$J,358.3,31097,1,0)
 ;;=^358.31IA^4^2
 ;;^UTILITY(U,$J,358.3,31097,1,3,0)
 ;;=3^Atrial Fibrillation,Unspec
 
--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI0CD   19768     printed  Sep 23, 2025@19:21:53                                                                                                                                                                                                   Page 2
IBDEI0CD  ; ; 03-MAY-2022
 +1       ;;3.0;IB ENCOUNTER FORM IMP/EXP;;MAY 03, 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,358.3,31015,1,3,0)
 +2       ;;=3^INJ Epidural/Subarachnoid,C/T
 +3       ;;^UTILITY(U,$J,358.3,31016,0)
 +4       ;;=62322^^87^1242^10^^^^1
 +5       ;;^UTILITY(U,$J,358.3,31016,1,0)
 +6       ;;=^358.31IA^3^2
 +7       ;;^UTILITY(U,$J,358.3,31016,1,2,0)
 +8       ;;=2^62322
 +9       ;;^UTILITY(U,$J,358.3,31016,1,3,0)
 +10      ;;=3^INJ Epidural/Subarachnoid,L/S
 +11      ;;^UTILITY(U,$J,358.3,31017,0)
 +12      ;;=A6196^^87^1243^1^^^^1
 +13      ;;^UTILITY(U,$J,358.3,31017,1,0)
 +14      ;;=^358.31IA^3^2
 +15      ;;^UTILITY(U,$J,358.3,31017,1,2,0)
 +16      ;;=2^A6196
 +17      ;;^UTILITY(U,$J,358.3,31017,1,3,0)
 +18      ;;=3^Alginate dressing,16 sq IN or < EA
 +19      ;;^UTILITY(U,$J,358.3,31018,0)
 +20      ;;=A6222^^87^1243^3^^^^1
 +21      ;;^UTILITY(U,$J,358.3,31018,1,0)
 +22      ;;=^358.31IA^3^2
 +23      ;;^UTILITY(U,$J,358.3,31018,1,2,0)
 +24      ;;=2^A6222
 +25      ;;^UTILITY(U,$J,358.3,31018,1,3,0)
 +26      ;;=3^Gauze, 16 sq IN or <, saline
 +27      ;;^UTILITY(U,$J,358.3,31019,0)
 +28      ;;=A6234^^87^1243^4^^^^1
 +29      ;;^UTILITY(U,$J,358.3,31019,1,0)
 +30      ;;=^358.31IA^3^2
 +31      ;;^UTILITY(U,$J,358.3,31019,1,2,0)
 +32      ;;=2^A6234
 +33      ;;^UTILITY(U,$J,358.3,31019,1,3,0)
 +34      ;;=3^Hydrocolid drg 16<=IN w/o bdr
 +35      ;;^UTILITY(U,$J,358.3,31020,0)
 +36      ;;=A6242^^87^1243^5^^^^1
 +37      ;;^UTILITY(U,$J,358.3,31020,1,0)
 +38      ;;=^358.31IA^3^2
 +39      ;;^UTILITY(U,$J,358.3,31020,1,2,0)
 +40      ;;=2^A6242
 +41      ;;^UTILITY(U,$J,358.3,31020,1,3,0)
 +42      ;;=3^Hydrogel drg <=IN w/o bdr
 +43      ;;^UTILITY(U,$J,358.3,31021,0)
 +44      ;;=A6216^^87^1243^6^^^^1
 +45      ;;^UTILITY(U,$J,358.3,31021,1,0)
 +46      ;;=^358.31IA^3^2
 +47      ;;^UTILITY(U,$J,358.3,31021,1,2,0)
 +48      ;;=2^A6216
 +49      ;;^UTILITY(U,$J,358.3,31021,1,3,0)
 +50      ;;=3^Non-Sterile Gauze <=16 Sq IN
 +51      ;;^UTILITY(U,$J,358.3,31022,0)
 +52      ;;=A6250^^87^1243^8^^^^1
 +53      ;;^UTILITY(U,$J,358.3,31022,1,0)
 +54      ;;=^358.31IA^3^2
 +55      ;;^UTILITY(U,$J,358.3,31022,1,2,0)
 +56      ;;=2^A6250
 +57      ;;^UTILITY(U,$J,358.3,31022,1,3,0)
 +58      ;;=3^Skin Seal protect moisturizer
 +59      ;;^UTILITY(U,$J,358.3,31023,0)
 +60      ;;=A6257^^87^1243^9^^^^1
 +61      ;;^UTILITY(U,$J,358.3,31023,1,0)
 +62      ;;=^358.31IA^3^2
 +63      ;;^UTILITY(U,$J,358.3,31023,1,2,0)
 +64      ;;=2^A6257
 +65      ;;^UTILITY(U,$J,358.3,31023,1,3,0)
 +66      ;;=3^Transparent Film <= 16 Sq IN
 +67      ;;^UTILITY(U,$J,358.3,31024,0)
 +68      ;;=A6197^^87^1243^2^^^^1
 +69      ;;^UTILITY(U,$J,358.3,31024,1,0)
 +70      ;;=^358.31IA^3^2
 +71      ;;^UTILITY(U,$J,358.3,31024,1,2,0)
 +72      ;;=2^A6197
 +73      ;;^UTILITY(U,$J,358.3,31024,1,3,0)
 +74      ;;=3^Alginate Dressing,16-48 Sq In,Each
 +75      ;;^UTILITY(U,$J,358.3,31025,0)
 +76      ;;=A6217^^87^1243^7^^^^1
 +77      ;;^UTILITY(U,$J,358.3,31025,1,0)
 +78      ;;=^358.31IA^3^2
 +79      ;;^UTILITY(U,$J,358.3,31025,1,2,0)
 +80      ;;=2^A6217
 +81      ;;^UTILITY(U,$J,358.3,31025,1,3,0)
 +82      ;;=3^Non-Sterile Gauze,16-48 Sq In,Each
 +83      ;;^UTILITY(U,$J,358.3,31026,0)
 +84      ;;=97034^^87^1244^3^^^^1
 +85      ;;^UTILITY(U,$J,358.3,31026,1,0)
 +86      ;;=^358.31IA^3^2
 +87      ;;^UTILITY(U,$J,358.3,31026,1,2,0)
 +88      ;;=2^97034
 +89      ;;^UTILITY(U,$J,358.3,31026,1,3,0)
 +90      ;;=3^Contrast Baths, 15 Mins each
 +91      ;;^UTILITY(U,$J,358.3,31027,0)
 +92      ;;=97014^^87^1244^4^^^^1
 +93      ;;^UTILITY(U,$J,358.3,31027,1,0)
 +94      ;;=^358.31IA^3^2
 +95      ;;^UTILITY(U,$J,358.3,31027,1,2,0)
 +96      ;;=2^97014
 +97      ;;^UTILITY(U,$J,358.3,31027,1,3,0)
 +98      ;;=3^Electrical Stimulation
 +99      ;;^UTILITY(U,$J,358.3,31028,0)
 +100     ;;=97530^^87^1244^5^^^^1
 +101     ;;^UTILITY(U,$J,358.3,31028,1,0)
 +102     ;;=^358.31IA^3^2
 +103     ;;^UTILITY(U,$J,358.3,31028,1,2,0)
 +104     ;;=2^97530
 +105     ;;^UTILITY(U,$J,358.3,31028,1,3,0)
 +106     ;;=3^Functional Activities
 +107     ;;^UTILITY(U,$J,358.3,31029,0)
 +108     ;;=97116^^87^1244^6^^^^1
 +109     ;;^UTILITY(U,$J,358.3,31029,1,0)
 +110     ;;=^358.31IA^3^2
 +111     ;;^UTILITY(U,$J,358.3,31029,1,2,0)
 +112     ;;=2^97116
 +113     ;;^UTILITY(U,$J,358.3,31029,1,3,0)
 +114     ;;=3^Gait Training
 +115     ;;^UTILITY(U,$J,358.3,31030,0)
 +116     ;;=97010^^87^1244^7^^^^1
 +117     ;;^UTILITY(U,$J,358.3,31030,1,0)
 +118     ;;=^358.31IA^3^2
 +119     ;;^UTILITY(U,$J,358.3,31030,1,2,0)
 +120     ;;=2^97010
 +121     ;;^UTILITY(U,$J,358.3,31030,1,3,0)
 +122     ;;=3^Hot/Cold Therapies
 +123     ;;^UTILITY(U,$J,358.3,31031,0)
 +124     ;;=97033^^87^1244^8^^^^1
 +125     ;;^UTILITY(U,$J,358.3,31031,1,0)
 +126     ;;=^358.31IA^3^2
 +127     ;;^UTILITY(U,$J,358.3,31031,1,2,0)
 +128     ;;=2^97033
 +129     ;;^UTILITY(U,$J,358.3,31031,1,3,0)
 +130     ;;=3^Iontophoresis, 15 Mins each
 +131     ;;^UTILITY(U,$J,358.3,31032,0)
 +132     ;;=97530^^87^1244^9^^^^1
 +133     ;;^UTILITY(U,$J,358.3,31032,1,0)
 +134     ;;=^358.31IA^3^2
 +135     ;;^UTILITY(U,$J,358.3,31032,1,2,0)
 +136     ;;=2^97530
 +137     ;;^UTILITY(U,$J,358.3,31032,1,3,0)
 +138     ;;=3^Kinetic Therapy, 15 Mins each
 +139     ;;^UTILITY(U,$J,358.3,31033,0)
 +140     ;;=97140^^87^1244^10^^^^1
 +141     ;;^UTILITY(U,$J,358.3,31033,1,0)
 +142     ;;=^358.31IA^3^2
 +143     ;;^UTILITY(U,$J,358.3,31033,1,2,0)
 +144     ;;=2^97140
 +145     ;;^UTILITY(U,$J,358.3,31033,1,3,0)
 +146     ;;=3^Manipulation/Mobilization, 15 Mins each
 +147     ;;^UTILITY(U,$J,358.3,31034,0)
 +148     ;;=97112^^87^1244^11^^^^1
 +149     ;;^UTILITY(U,$J,358.3,31034,1,0)
 +150     ;;=^358.31IA^3^2
 +151     ;;^UTILITY(U,$J,358.3,31034,1,2,0)
 +152     ;;=2^97112
 +153     ;;^UTILITY(U,$J,358.3,31034,1,3,0)
 +154     ;;=3^Neuromuscular Re-Ed
 +155     ;;^UTILITY(U,$J,358.3,31035,0)
 +156     ;;=97018^^87^1244^12^^^^1
 +157     ;;^UTILITY(U,$J,358.3,31035,1,0)
 +158     ;;=^358.31IA^3^2
 +159     ;;^UTILITY(U,$J,358.3,31035,1,2,0)
 +160     ;;=2^97018
 +161     ;;^UTILITY(U,$J,358.3,31035,1,3,0)
 +162     ;;=3^Paraffin Bath
 +163     ;;^UTILITY(U,$J,358.3,31036,0)
 +164     ;;=97039^^87^1244^13^^^^1
 +165     ;;^UTILITY(U,$J,358.3,31036,1,0)
 +166     ;;=^358.31IA^3^2
 +167     ;;^UTILITY(U,$J,358.3,31036,1,2,0)
 +168     ;;=2^97039
 +169     ;;^UTILITY(U,$J,358.3,31036,1,3,0)
 +170     ;;=3^Physical Therapy Treatment
 +171     ;;^UTILITY(U,$J,358.3,31037,0)
 +172     ;;=97124^^87^1244^16^^^^1
 +173     ;;^UTILITY(U,$J,358.3,31037,1,0)
 +174     ;;=^358.31IA^3^2
 +175     ;;^UTILITY(U,$J,358.3,31037,1,2,0)
 +176     ;;=2^97124
 +177     ;;^UTILITY(U,$J,358.3,31037,1,3,0)
 +178     ;;=3^Soft Tissue Mobilization
 +179     ;;^UTILITY(U,$J,358.3,31038,0)
 +180     ;;=97110^^87^1244^17^^^^1
 +181     ;;^UTILITY(U,$J,358.3,31038,1,0)
 +182     ;;=^358.31IA^3^2
 +183     ;;^UTILITY(U,$J,358.3,31038,1,2,0)
 +184     ;;=2^97110
 +185     ;;^UTILITY(U,$J,358.3,31038,1,3,0)
 +186     ;;=3^Therapeutic Ex/Recond/Flex
 +187     ;;^UTILITY(U,$J,358.3,31039,0)
 +188     ;;=97140^^87^1244^20^^^^1
 +189     ;;^UTILITY(U,$J,358.3,31039,1,0)
 +190     ;;=^358.31IA^3^2
 +191     ;;^UTILITY(U,$J,358.3,31039,1,2,0)
 +192     ;;=2^97140
 +193     ;;^UTILITY(U,$J,358.3,31039,1,3,0)
 +194     ;;=3^Traction, Manual, 15 Mins each
 +195     ;;^UTILITY(U,$J,358.3,31040,0)
 +196     ;;=97035^^87^1244^21^^^^1
 +197     ;;^UTILITY(U,$J,358.3,31040,1,0)
 +198     ;;=^358.31IA^3^2
 +199     ;;^UTILITY(U,$J,358.3,31040,1,2,0)
 +200     ;;=2^97035
 +201     ;;^UTILITY(U,$J,358.3,31040,1,3,0)
 +202     ;;=3^Ultrasound, 15 Mins each
 +203     ;;^UTILITY(U,$J,358.3,31041,0)
 +204     ;;=97016^^87^1244^22^^^^1
 +205     ;;^UTILITY(U,$J,358.3,31041,1,0)
 +206     ;;=^358.31IA^3^2
 +207     ;;^UTILITY(U,$J,358.3,31041,1,2,0)
 +208     ;;=2^97016
 +209     ;;^UTILITY(U,$J,358.3,31041,1,3,0)
 +210     ;;=3^Vasopneumatic device
 +211     ;;^UTILITY(U,$J,358.3,31042,0)
 +212     ;;=97022^^87^1244^23^^^^1
 +213     ;;^UTILITY(U,$J,358.3,31042,1,0)
 +214     ;;=^358.31IA^3^2
 +215     ;;^UTILITY(U,$J,358.3,31042,1,2,0)
 +216     ;;=2^97022
 +217     ;;^UTILITY(U,$J,358.3,31042,1,3,0)
 +218     ;;=3^Whirlpool
 +219     ;;^UTILITY(U,$J,358.3,31043,0)
 +220     ;;=95970^^87^1244^2^^^^1
 +221     ;;^UTILITY(U,$J,358.3,31043,1,0)
 +222     ;;=^358.31IA^3^2
 +223     ;;^UTILITY(U,$J,358.3,31043,1,2,0)
 +224     ;;=2^95970
 +225     ;;^UTILITY(U,$J,358.3,31043,1,3,0)
 +226     ;;=3^Analysis Spinal Cord Stim w/o Prog
 +227     ;;^UTILITY(U,$J,358.3,31044,0)
 +228     ;;=95971^^87^1244^1^^^^1
 +229     ;;^UTILITY(U,$J,358.3,31044,1,0)
 +230     ;;=^358.31IA^3^2
 +231     ;;^UTILITY(U,$J,358.3,31044,1,2,0)
 +232     ;;=2^95971
 +233     ;;^UTILITY(U,$J,358.3,31044,1,3,0)
 +234     ;;=3^Analysis Spinal Cord Stim w/ Prog
 +235     ;;^UTILITY(U,$J,358.3,31045,0)
 +236     ;;=95990^^87^1244^15^^^^1
 +237     ;;^UTILITY(U,$J,358.3,31045,1,0)
 +238     ;;=^358.31IA^3^2
 +239     ;;^UTILITY(U,$J,358.3,31045,1,2,0)
 +240     ;;=2^95990
 +241     ;;^UTILITY(U,$J,358.3,31045,1,3,0)
 +242     ;;=3^Refill of Intrathecal Pain Pump
 +243     ;;^UTILITY(U,$J,358.3,31046,0)
 +244     ;;=95991^^87^1244^14^^^^1
 +245     ;;^UTILITY(U,$J,358.3,31046,1,0)
 +246     ;;=^358.31IA^3^2
 +247     ;;^UTILITY(U,$J,358.3,31046,1,2,0)
 +248     ;;=2^95991
 +249     ;;^UTILITY(U,$J,358.3,31046,1,3,0)
 +250     ;;=3^Refill Intrathecal Pain Pump by MD
 +251     ;;^UTILITY(U,$J,358.3,31047,0)
 +252     ;;=97129^^87^1244^18^^^^1
 +253     ;;^UTILITY(U,$J,358.3,31047,1,0)
 +254     ;;=^358.31IA^3^2
 +255     ;;^UTILITY(U,$J,358.3,31047,1,2,0)
 +256     ;;=2^97129
 +257     ;;^UTILITY(U,$J,358.3,31047,1,3,0)
 +258     ;;=3^Therapeutic Intrvn,Cog Func,1st 15 min
 +259     ;;^UTILITY(U,$J,358.3,31048,0)
 +260     ;;=97130^^87^1244^19^^^^1
 +261     ;;^UTILITY(U,$J,358.3,31048,1,0)
 +262     ;;=^358.31IA^3^2
 +263     ;;^UTILITY(U,$J,358.3,31048,1,2,0)
 +264     ;;=2^97130
 +265     ;;^UTILITY(U,$J,358.3,31048,1,3,0)
 +266     ;;=3^Therapeutic Intrvn,Cog Func,Ea Addl 15 min
 +267     ;;^UTILITY(U,$J,358.3,31049,0)
 +268     ;;=20552^^87^1245^6^^^^1
 +269     ;;^UTILITY(U,$J,358.3,31049,1,0)
 +270     ;;=^358.31IA^3^2
 +271     ;;^UTILITY(U,$J,358.3,31049,1,2,0)
 +272     ;;=2^20552
 +273     ;;^UTILITY(U,$J,358.3,31049,1,3,0)
 +274     ;;=3^Trigger point INJ, 1 or 2 muscles
 +275     ;;^UTILITY(U,$J,358.3,31050,0)
 +276     ;;=20553^^87^1245^7^^^^1
 +277     ;;^UTILITY(U,$J,358.3,31050,1,0)
 +278     ;;=^358.31IA^3^2
 +279     ;;^UTILITY(U,$J,358.3,31050,1,2,0)
 +280     ;;=2^20553
 +281     ;;^UTILITY(U,$J,358.3,31050,1,3,0)
 +282     ;;=3^Trigger point INJ, 3 or more muscles
 +283     ;;^UTILITY(U,$J,358.3,31051,0)
 +284     ;;=20550^^87^1245^5^^^^1
 +285     ;;^UTILITY(U,$J,358.3,31051,1,0)
 +286     ;;=^358.31IA^3^2
 +287     ;;^UTILITY(U,$J,358.3,31051,1,2,0)
 +288     ;;=2^20550
 +289     ;;^UTILITY(U,$J,358.3,31051,1,3,0)
 +290     ;;=3^INJ tendon sheath/ligament
 +291     ;;^UTILITY(U,$J,358.3,31052,0)
 +292     ;;=20551^^87^1245^4^^^^1
 +293     ;;^UTILITY(U,$J,358.3,31052,1,0)
 +294     ;;=^358.31IA^3^2
 +295     ;;^UTILITY(U,$J,358.3,31052,1,2,0)
 +296     ;;=2^20551
 +297     ;;^UTILITY(U,$J,358.3,31052,1,3,0)
 +298     ;;=3^INJ tendon insertion/origin
 +299     ;;^UTILITY(U,$J,358.3,31053,0)
 +300     ;;=J0585^^87^1245^1^^^^1
 +301     ;;^UTILITY(U,$J,358.3,31053,1,0)
 +302     ;;=^358.31IA^3^2
 +303     ;;^UTILITY(U,$J,358.3,31053,1,2,0)
 +304     ;;=2^J0585
 +305     ;;^UTILITY(U,$J,358.3,31053,1,3,0)
 +306     ;;=3^Botulinum Toxin A, per unit
 +307     ;;^UTILITY(U,$J,358.3,31054,0)
 +308     ;;=J0587^^87^1245^2^^^^1
 +309     ;;^UTILITY(U,$J,358.3,31054,1,0)
 +310     ;;=^358.31IA^3^2
 +311     ;;^UTILITY(U,$J,358.3,31054,1,2,0)
 +312     ;;=2^J0587
 +313     ;;^UTILITY(U,$J,358.3,31054,1,3,0)
 +314     ;;=3^Botulinum Toxin B, 100 Units
 +315     ;;^UTILITY(U,$J,358.3,31055,0)
 +316     ;;=64615^^87^1245^3^^^^1
 +317     ;;^UTILITY(U,$J,358.3,31055,1,0)
 +318     ;;=^358.31IA^3^2
 +319     ;;^UTILITY(U,$J,358.3,31055,1,2,0)
 +320     ;;=2^64615
 +321     ;;^UTILITY(U,$J,358.3,31055,1,3,0)
 +322     ;;=3^Chemodenervation Muscle for Migraine
 +323     ;;^UTILITY(U,$J,358.3,31056,0)
 +324     ;;=97810^^87^1246^1^^^^1
 +325     ;;^UTILITY(U,$J,358.3,31056,1,0)
 +326     ;;=^358.31IA^3^2
 +327     ;;^UTILITY(U,$J,358.3,31056,1,2,0)
 +328     ;;=2^97810
 +329     ;;^UTILITY(U,$J,358.3,31056,1,3,0)
 +330     ;;=3^Acupuncture w/o Stimul 15 Min
 +331     ;;^UTILITY(U,$J,358.3,31057,0)
 +332     ;;=97811^^87^1246^2^^^^1
 +333     ;;^UTILITY(U,$J,358.3,31057,1,0)
 +334     ;;=^358.31IA^3^2
 +335     ;;^UTILITY(U,$J,358.3,31057,1,2,0)
 +336     ;;=2^97811
 +337     ;;^UTILITY(U,$J,358.3,31057,1,3,0)
 +338     ;;=3^Acupuncture w/o Stimul,Ea Addl 15 Min
 +339     ;;^UTILITY(U,$J,358.3,31058,0)
 +340     ;;=97813^^87^1246^3^^^^1
 +341     ;;^UTILITY(U,$J,358.3,31058,1,0)
 +342     ;;=^358.31IA^3^2
 +343     ;;^UTILITY(U,$J,358.3,31058,1,2,0)
 +344     ;;=2^97813
 +345     ;;^UTILITY(U,$J,358.3,31058,1,3,0)
 +346     ;;=3^Acupuncture w/ Stimul 15 Min
 +347     ;;^UTILITY(U,$J,358.3,31059,0)
 +348     ;;=97814^^87^1246^4^^^^1
 +349     ;;^UTILITY(U,$J,358.3,31059,1,0)
 +350     ;;=^358.31IA^3^2
 +351     ;;^UTILITY(U,$J,358.3,31059,1,2,0)
 +352     ;;=2^97814
 +353     ;;^UTILITY(U,$J,358.3,31059,1,3,0)
 +354     ;;=3^Acupuncture w/ Stimul,Ea Addl 15 Min
 +355     ;;^UTILITY(U,$J,358.3,31060,0)
 +356     ;;=11719^^87^1247^3^^^^1
 +357     ;;^UTILITY(U,$J,358.3,31060,1,0)
 +358     ;;=^358.31IA^3^2
 +359     ;;^UTILITY(U,$J,358.3,31060,1,2,0)
 +360     ;;=2^11719
 +361     ;;^UTILITY(U,$J,358.3,31060,1,3,0)
 +362     ;;=3^Trim Nondystrophic Nails,Any Number
 +363     ;;^UTILITY(U,$J,358.3,31061,0)
 +364     ;;=11720^^87^1247^1^^^^1
 +365     ;;^UTILITY(U,$J,358.3,31061,1,0)
 +366     ;;=^358.31IA^3^2
 +367     ;;^UTILITY(U,$J,358.3,31061,1,2,0)
 +368     ;;=2^11720
 +369     ;;^UTILITY(U,$J,358.3,31061,1,3,0)
 +370     ;;=3^Debride Nail(s);1-5
 +371     ;;^UTILITY(U,$J,358.3,31062,0)
 +372     ;;=11721^^87^1247^2^^^^1
 +373     ;;^UTILITY(U,$J,358.3,31062,1,0)
 +374     ;;=^358.31IA^3^2
 +375     ;;^UTILITY(U,$J,358.3,31062,1,2,0)
 +376     ;;=2^11721
 +377     ;;^UTILITY(U,$J,358.3,31062,1,3,0)
 +378     ;;=3^Debride Nails;6 or more
 +379     ;;^UTILITY(U,$J,358.3,31063,0)
 +380     ;;=J0475^^87^1248^5^^^^1
 +381     ;;^UTILITY(U,$J,358.3,31063,1,0)
 +382     ;;=^358.31IA^3^2
 +383     ;;^UTILITY(U,$J,358.3,31063,1,2,0)
 +384     ;;=2^J0475
 +385     ;;^UTILITY(U,$J,358.3,31063,1,3,0)
 +386     ;;=3^Baclofen 10mg
 +387     ;;^UTILITY(U,$J,358.3,31064,0)
 +388     ;;=J0476^^87^1248^6^^^^1
 +389     ;;^UTILITY(U,$J,358.3,31064,1,0)
 +390     ;;=^358.31IA^3^2
 +391     ;;^UTILITY(U,$J,358.3,31064,1,2,0)
 +392     ;;=2^J0476
 +393     ;;^UTILITY(U,$J,358.3,31064,1,3,0)
 +394     ;;=3^Baclofen Intrathecal Trial 50mcg
 +395     ;;^UTILITY(U,$J,358.3,31065,0)
 +396     ;;=62322^^87^1248^7^^^^1
 +397     ;;^UTILITY(U,$J,358.3,31065,1,0)
 +398     ;;=^358.31IA^3^2
 +399     ;;^UTILITY(U,$J,358.3,31065,1,2,0)
 +400     ;;=2^62322
 +401     ;;^UTILITY(U,$J,358.3,31065,1,3,0)
 +402     ;;=3^Njx Interlaminar Lmbr/Sac
 +403     ;;^UTILITY(U,$J,358.3,31066,0)
 +404     ;;=62367^^87^1248^1^^^^1
 +405     ;;^UTILITY(U,$J,358.3,31066,1,0)
 +406     ;;=^358.31IA^3^2
 +407     ;;^UTILITY(U,$J,358.3,31066,1,2,0)
 +408     ;;=2^62367
 +409     ;;^UTILITY(U,$J,358.3,31066,1,3,0)
 +410     ;;=3^Analyze Spine Infus Pump
 +411     ;;^UTILITY(U,$J,358.3,31067,0)
 +412     ;;=62368^^87^1248^3^^^^1
 +413     ;;^UTILITY(U,$J,358.3,31067,1,0)
 +414     ;;=^358.31IA^3^2
 +415     ;;^UTILITY(U,$J,358.3,31067,1,2,0)
 +416     ;;=2^62368
 +417     ;;^UTILITY(U,$J,358.3,31067,1,3,0)
 +418     ;;=3^Analyze Spine Infus Pump w/ Reprog
 +419     ;;^UTILITY(U,$J,358.3,31068,0)
 +420     ;;=62369^^87^1248^4^^^^1
 +421     ;;^UTILITY(U,$J,358.3,31068,1,0)
 +422     ;;=^358.31IA^3^2
 +423     ;;^UTILITY(U,$J,358.3,31068,1,2,0)
 +424     ;;=2^62369
 +425     ;;^UTILITY(U,$J,358.3,31068,1,3,0)
 +426     ;;=3^Analyze Spine Infus Pump w/ Reprog/Fill
 +427     ;;^UTILITY(U,$J,358.3,31069,0)
 +428     ;;=62370^^87^1248^2^^^^1
 +429     ;;^UTILITY(U,$J,358.3,31069,1,0)
 +430     ;;=^358.31IA^3^2
 +431     ;;^UTILITY(U,$J,358.3,31069,1,2,0)
 +432     ;;=2^62370
 +433     ;;^UTILITY(U,$J,358.3,31069,1,3,0)
 +434     ;;=3^Analyze Spine Infus Pump w/ Mdreprg/Fill
 +435     ;;^UTILITY(U,$J,358.3,31070,0)
 +436     ;;=97750^^87^1248^8^^^^1
 +437     ;;^UTILITY(U,$J,358.3,31070,1,0)
 +438     ;;=^358.31IA^3^2
 +439     ;;^UTILITY(U,$J,358.3,31070,1,2,0)
 +440     ;;=2^97750
 +441     ;;^UTILITY(U,$J,358.3,31070,1,3,0)
 +442     ;;=3^Physical Performance Test
 +443     ;;^UTILITY(U,$J,358.3,31071,0)
 +444     ;;=95990^^87^1248^9^^^^1
 +445     ;;^UTILITY(U,$J,358.3,31071,1,0)
 +446     ;;=^358.31IA^3^2
 +447     ;;^UTILITY(U,$J,358.3,31071,1,2,0)
 +448     ;;=2^95990
 +449     ;;^UTILITY(U,$J,358.3,31071,1,3,0)
 +450     ;;=3^Spine/Brain Pump Refll/Maint
 +451     ;;^UTILITY(U,$J,358.3,31072,0)
 +452     ;;=99202^^88^1249^1
 +453     ;;^UTILITY(U,$J,358.3,31072,1,0)
 +454     ;;=^358.31IA^2^2
 +455     ;;^UTILITY(U,$J,358.3,31072,1,1,0)
 +456     ;;=1^SF MDM or 15-29 mins
 +457     ;;^UTILITY(U,$J,358.3,31072,1,2,0)
 +458     ;;=2^99202
 +459     ;;^UTILITY(U,$J,358.3,31073,0)
 +460     ;;=99203^^88^1249^2
 +461     ;;^UTILITY(U,$J,358.3,31073,1,0)
 +462     ;;=^358.31IA^2^2
 +463     ;;^UTILITY(U,$J,358.3,31073,1,1,0)
 +464     ;;=1^Low MDM or 30-44 mins
 +465     ;;^UTILITY(U,$J,358.3,31073,1,2,0)
 +466     ;;=2^99203
 +467     ;;^UTILITY(U,$J,358.3,31074,0)
 +468     ;;=99204^^88^1249^3
 +469     ;;^UTILITY(U,$J,358.3,31074,1,0)
 +470     ;;=^358.31IA^2^2
 +471     ;;^UTILITY(U,$J,358.3,31074,1,1,0)
 +472     ;;=1^Moderate MDM or 45-59 mins
 +473     ;;^UTILITY(U,$J,358.3,31074,1,2,0)
 +474     ;;=2^99204
 +475     ;;^UTILITY(U,$J,358.3,31075,0)
 +476     ;;=99205^^88^1249^4
 +477     ;;^UTILITY(U,$J,358.3,31075,1,0)
 +478     ;;=^358.31IA^2^2
 +479     ;;^UTILITY(U,$J,358.3,31075,1,1,0)
 +480     ;;=1^High MDM or 60-74 mins
 +481     ;;^UTILITY(U,$J,358.3,31075,1,2,0)
 +482     ;;=2^99205
 +483     ;;^UTILITY(U,$J,358.3,31076,0)
 +484     ;;=99211^^88^1250^1
 +485     ;;^UTILITY(U,$J,358.3,31076,1,0)
 +486     ;;=^358.31IA^2^2
 +487     ;;^UTILITY(U,$J,358.3,31076,1,1,0)
 +488     ;;=1^Brief Visit-MDM None/Minimal
 +489     ;;^UTILITY(U,$J,358.3,31076,1,2,0)
 +490     ;;=2^99211
 +491     ;;^UTILITY(U,$J,358.3,31077,0)
 +492     ;;=99212^^88^1250^2
 +493     ;;^UTILITY(U,$J,358.3,31077,1,0)
 +494     ;;=^358.31IA^2^2
 +495     ;;^UTILITY(U,$J,358.3,31077,1,1,0)
 +496     ;;=1^SF MDM or 10-19 mins
 +497     ;;^UTILITY(U,$J,358.3,31077,1,2,0)
 +498     ;;=2^99212
 +499     ;;^UTILITY(U,$J,358.3,31078,0)
 +500     ;;=99213^^88^1250^3
 +501     ;;^UTILITY(U,$J,358.3,31078,1,0)
 +502     ;;=^358.31IA^2^2
 +503     ;;^UTILITY(U,$J,358.3,31078,1,1,0)
 +504     ;;=1^Low MDM or 20-29 mins
 +505     ;;^UTILITY(U,$J,358.3,31078,1,2,0)
 +506     ;;=2^99213
 +507     ;;^UTILITY(U,$J,358.3,31079,0)
 +508     ;;=99214^^88^1250^4
 +509     ;;^UTILITY(U,$J,358.3,31079,1,0)
 +510     ;;=^358.31IA^2^2
 +511     ;;^UTILITY(U,$J,358.3,31079,1,1,0)
 +512     ;;=1^Moderate MDM or 30-39 mins
 +513     ;;^UTILITY(U,$J,358.3,31079,1,2,0)
 +514     ;;=2^99214
 +515     ;;^UTILITY(U,$J,358.3,31080,0)
 +516     ;;=99215^^88^1250^5
 +517     ;;^UTILITY(U,$J,358.3,31080,1,0)
 +518     ;;=^358.31IA^2^2
 +519     ;;^UTILITY(U,$J,358.3,31080,1,1,0)
 +520     ;;=1^High MDM or 40-54 mins
 +521     ;;^UTILITY(U,$J,358.3,31080,1,2,0)
 +522     ;;=2^99215
 +523     ;;^UTILITY(U,$J,358.3,31081,0)
 +524     ;;=99241^^88^1251^1
 +525     ;;^UTILITY(U,$J,358.3,31081,1,0)
 +526     ;;=^358.31IA^2^2
 +527     ;;^UTILITY(U,$J,358.3,31081,1,1,0)
 +528     ;;=1^Problem Focused Hx/PE & SF MDM
 +529     ;;^UTILITY(U,$J,358.3,31081,1,2,0)
 +530     ;;=2^99241
 +531     ;;^UTILITY(U,$J,358.3,31082,0)
 +532     ;;=99242^^88^1251^2
 +533     ;;^UTILITY(U,$J,358.3,31082,1,0)
 +534     ;;=^358.31IA^2^2
 +535     ;;^UTILITY(U,$J,358.3,31082,1,1,0)
 +536     ;;=1^Exp Problem Focused Hx/PE & SF MDM
 +537     ;;^UTILITY(U,$J,358.3,31082,1,2,0)
 +538     ;;=2^99242
 +539     ;;^UTILITY(U,$J,358.3,31083,0)
 +540     ;;=99243^^88^1251^3
 +541     ;;^UTILITY(U,$J,358.3,31083,1,0)
 +542     ;;=^358.31IA^2^2
 +543     ;;^UTILITY(U,$J,358.3,31083,1,1,0)
 +544     ;;=1^Detailed Hx/PE & Low Complex MDM
 +545     ;;^UTILITY(U,$J,358.3,31083,1,2,0)
 +546     ;;=2^99243
 +547     ;;^UTILITY(U,$J,358.3,31084,0)
 +548     ;;=99244^^88^1251^4
 +549     ;;^UTILITY(U,$J,358.3,31084,1,0)
 +550     ;;=^358.31IA^2^2
 +551     ;;^UTILITY(U,$J,358.3,31084,1,1,0)
 +552     ;;=1^Comprehensive Hx/PE & Moderate Complex MDM
 +553     ;;^UTILITY(U,$J,358.3,31084,1,2,0)
 +554     ;;=2^99244
 +555     ;;^UTILITY(U,$J,358.3,31085,0)
 +556     ;;=99245^^88^1251^5
 +557     ;;^UTILITY(U,$J,358.3,31085,1,0)
 +558     ;;=^358.31IA^2^2
 +559     ;;^UTILITY(U,$J,358.3,31085,1,1,0)
 +560     ;;=1^Comprehensive Hx/PE & High Complex MDM
 +561     ;;^UTILITY(U,$J,358.3,31085,1,2,0)
 +562     ;;=2^99245
 +563     ;;^UTILITY(U,$J,358.3,31086,0)
 +564     ;;=99347^^88^1252^1
 +565     ;;^UTILITY(U,$J,358.3,31086,1,0)
 +566     ;;=^358.31IA^2^2
 +567     ;;^UTILITY(U,$J,358.3,31086,1,1,0)
 +568     ;;=1^Problem Focused Hx/PE & SF MDM
 +569     ;;^UTILITY(U,$J,358.3,31086,1,2,0)
 +570     ;;=2^99347
 +571     ;;^UTILITY(U,$J,358.3,31087,0)
 +572     ;;=99348^^88^1252^2
 +573     ;;^UTILITY(U,$J,358.3,31087,1,0)
 +574     ;;=^358.31IA^2^2
 +575     ;;^UTILITY(U,$J,358.3,31087,1,1,0)
 +576     ;;=1^Exp Problem Focused Hx/PE & Low Complex MDM
 +577     ;;^UTILITY(U,$J,358.3,31087,1,2,0)
 +578     ;;=2^99348
 +579     ;;^UTILITY(U,$J,358.3,31088,0)
 +580     ;;=99349^^88^1252^3
 +581     ;;^UTILITY(U,$J,358.3,31088,1,0)
 +582     ;;=^358.31IA^2^2
 +583     ;;^UTILITY(U,$J,358.3,31088,1,1,0)
 +584     ;;=1^Detailed Hx/PE & Moderate Complex MDM
 +585     ;;^UTILITY(U,$J,358.3,31088,1,2,0)
 +586     ;;=2^99349
 +587     ;;^UTILITY(U,$J,358.3,31089,0)
 +588     ;;=99350^^88^1252^4
 +589     ;;^UTILITY(U,$J,358.3,31089,1,0)
 +590     ;;=^358.31IA^2^2
 +591     ;;^UTILITY(U,$J,358.3,31089,1,1,0)
 +592     ;;=1^Comprehensive Hx/PE & Mod or High Complex MDM
 +593     ;;^UTILITY(U,$J,358.3,31089,1,2,0)
 +594     ;;=2^99350
 +595     ;;^UTILITY(U,$J,358.3,31090,0)
 +596     ;;=99341^^88^1253^1
 +597     ;;^UTILITY(U,$J,358.3,31090,1,0)
 +598     ;;=^358.31IA^2^2
 +599     ;;^UTILITY(U,$J,358.3,31090,1,1,0)
 +600     ;;=1^Problem Focused Hx/PE & SF MDM
 +601     ;;^UTILITY(U,$J,358.3,31090,1,2,0)
 +602     ;;=2^99341
 +603     ;;^UTILITY(U,$J,358.3,31091,0)
 +604     ;;=99342^^88^1253^2
 +605     ;;^UTILITY(U,$J,358.3,31091,1,0)
 +606     ;;=^358.31IA^2^2
 +607     ;;^UTILITY(U,$J,358.3,31091,1,1,0)
 +608     ;;=1^Exp Problem Focused Hx/PE & Low Complex MDM
 +609     ;;^UTILITY(U,$J,358.3,31091,1,2,0)
 +610     ;;=2^99342
 +611     ;;^UTILITY(U,$J,358.3,31092,0)
 +612     ;;=99343^^88^1253^3
 +613     ;;^UTILITY(U,$J,358.3,31092,1,0)
 +614     ;;=^358.31IA^2^2
 +615     ;;^UTILITY(U,$J,358.3,31092,1,1,0)
 +616     ;;=1^Detailed Hx/PE & Moderate Complex MDM
 +617     ;;^UTILITY(U,$J,358.3,31092,1,2,0)
 +618     ;;=2^99343
 +619     ;;^UTILITY(U,$J,358.3,31093,0)
 +620     ;;=99344^^88^1253^4
 +621     ;;^UTILITY(U,$J,358.3,31093,1,0)
 +622     ;;=^358.31IA^2^2
 +623     ;;^UTILITY(U,$J,358.3,31093,1,1,0)
 +624     ;;=1^Comprehensive Hx/PE & Moderate Complex MDM
 +625     ;;^UTILITY(U,$J,358.3,31093,1,2,0)
 +626     ;;=2^99344
 +627     ;;^UTILITY(U,$J,358.3,31094,0)
 +628     ;;=99345^^88^1253^5
 +629     ;;^UTILITY(U,$J,358.3,31094,1,0)
 +630     ;;=^358.31IA^2^2
 +631     ;;^UTILITY(U,$J,358.3,31094,1,1,0)
 +632     ;;=1^Comprehensive Hx/PE & High Complex MDM
 +633     ;;^UTILITY(U,$J,358.3,31094,1,2,0)
 +634     ;;=2^99345
 +635     ;;^UTILITY(U,$J,358.3,31095,0)
 +636     ;;=I20.9^^89^1254^3
 +637     ;;^UTILITY(U,$J,358.3,31095,1,0)
 +638     ;;=^358.31IA^4^2
 +639     ;;^UTILITY(U,$J,358.3,31095,1,3,0)
 +640     ;;=3^Angina Pectoris,Unspec
 +641     ;;^UTILITY(U,$J,358.3,31095,1,4,0)
 +642     ;;=4^I20.9
 +643     ;;^UTILITY(U,$J,358.3,31095,2)
 +644     ;;=^5007079
 +645     ;;^UTILITY(U,$J,358.3,31096,0)
 +646     ;;=I25.10^^89^1254^14
 +647     ;;^UTILITY(U,$J,358.3,31096,1,0)
 +648     ;;=^358.31IA^4^2
 +649     ;;^UTILITY(U,$J,358.3,31096,1,3,0)
 +650     ;;=3^CAD w/o Angina
 +651     ;;^UTILITY(U,$J,358.3,31096,1,4,0)
 +652     ;;=4^I25.10
 +653     ;;^UTILITY(U,$J,358.3,31096,2)
 +654     ;;=^5007107
 +655     ;;^UTILITY(U,$J,358.3,31097,0)
 +656     ;;=I48.91^^89^1254^9
 +657     ;;^UTILITY(U,$J,358.3,31097,1,0)
 +658     ;;=^358.31IA^4^2
 +659     ;;^UTILITY(U,$J,358.3,31097,1,3,0)
 +660     ;;=3^Atrial Fibrillation,Unspec