IBDEI170 ; ; 01-FEB-2022
;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 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,$J,358.3,19365,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19365,1,2,0)
;;=2^Diphenhydramine/Benadryl up to 50 mg
;;^UTILITY(U,$J,358.3,19365,1,3,0)
;;=3^J1200
;;^UTILITY(U,$J,358.3,19366,0)
;;=J0585^^66^859^1^^^^1
;;^UTILITY(U,$J,358.3,19366,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19366,1,2,0)
;;=2^Botulinum Toxin Type A,Botox,Dysport per unit
;;^UTILITY(U,$J,358.3,19366,1,3,0)
;;=3^J0585
;;^UTILITY(U,$J,358.3,19367,0)
;;=J0587^^66^859^2^^^^1
;;^UTILITY(U,$J,358.3,19367,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19367,1,2,0)
;;=2^Botulinum Toxin Type B,Myobloc per 100 units
;;^UTILITY(U,$J,358.3,19367,1,3,0)
;;=3^J0587
;;^UTILITY(U,$J,358.3,19368,0)
;;=97760^^66^860^1^^^^1
;;^UTILITY(U,$J,358.3,19368,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19368,1,2,0)
;;=2^Orthotic Mgmt and Training,ea 15min
;;^UTILITY(U,$J,358.3,19368,1,3,0)
;;=3^97760
;;^UTILITY(U,$J,358.3,19369,0)
;;=97761^^66^860^2^^^^1
;;^UTILITY(U,$J,358.3,19369,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19369,1,2,0)
;;=2^Prosthetic Training,ea 15min
;;^UTILITY(U,$J,358.3,19369,1,3,0)
;;=3^97761
;;^UTILITY(U,$J,358.3,19370,0)
;;=97763^^66^860^3^^^^1
;;^UTILITY(U,$J,358.3,19370,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19370,1,2,0)
;;=2^Prosthetic/Orthotic F/U Mgmt/Trng,Ea 15 min
;;^UTILITY(U,$J,358.3,19370,1,3,0)
;;=3^97763
;;^UTILITY(U,$J,358.3,19371,0)
;;=97110^^66^861^7^^^^1
;;^UTILITY(U,$J,358.3,19371,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19371,1,2,0)
;;=2^Therapeutic Exercises, Ea 15 Min
;;^UTILITY(U,$J,358.3,19371,1,3,0)
;;=3^97110
;;^UTILITY(U,$J,358.3,19372,0)
;;=97750^^66^861^5^^^^1
;;^UTILITY(U,$J,358.3,19372,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19372,1,2,0)
;;=2^Physical Perform Test, Ea 15 Min
;;^UTILITY(U,$J,358.3,19372,1,3,0)
;;=3^97750
;;^UTILITY(U,$J,358.3,19373,0)
;;=97112^^66^861^4^^^^1
;;^UTILITY(U,$J,358.3,19373,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19373,1,2,0)
;;=2^Neuromuscular Reeduc, Ea 15 Min
;;^UTILITY(U,$J,358.3,19373,1,3,0)
;;=3^97112
;;^UTILITY(U,$J,358.3,19374,0)
;;=97113^^66^861^1^^^^1
;;^UTILITY(U,$J,358.3,19374,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19374,1,2,0)
;;=2^Aquatic Exercises,ea 15min
;;^UTILITY(U,$J,358.3,19374,1,3,0)
;;=3^97113
;;^UTILITY(U,$J,358.3,19375,0)
;;=97116^^66^861^3^^^^1
;;^UTILITY(U,$J,358.3,19375,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19375,1,2,0)
;;=2^Gait Training, Ea 15 Min
;;^UTILITY(U,$J,358.3,19375,1,3,0)
;;=3^97116
;;^UTILITY(U,$J,358.3,19376,0)
;;=97150^^66^861^8^^^^1
;;^UTILITY(U,$J,358.3,19376,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19376,1,2,0)
;;=2^Therapeutic Proc, Group, 2+ Ind
;;^UTILITY(U,$J,358.3,19376,1,3,0)
;;=3^97150
;;^UTILITY(U,$J,358.3,19377,0)
;;=97530^^66^861^6^^^^1
;;^UTILITY(U,$J,358.3,19377,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19377,1,2,0)
;;=2^Therapeutic Dynamic Activity,1-1,ea 15min
;;^UTILITY(U,$J,358.3,19377,1,3,0)
;;=3^97530
;;^UTILITY(U,$J,358.3,19378,0)
;;=97537^^66^861^2^^^^1
;;^UTILITY(U,$J,358.3,19378,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19378,1,2,0)
;;=2^Community/Work Reintegration, Ea 15 Min
;;^UTILITY(U,$J,358.3,19378,1,3,0)
;;=3^97537
;;^UTILITY(U,$J,358.3,19379,0)
;;=97542^^66^861^9^^^^1
;;^UTILITY(U,$J,358.3,19379,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19379,1,2,0)
;;=2^Wheelchair Training,ea 15 Min
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI170 3784 printed Sep 23, 2025@19:38:59 Page 2
IBDEI170 ; ; 01-FEB-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 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,358.3,19365,1,0)
+2 ;;=^358.31IA^3^2
+3 ;;^UTILITY(U,$J,358.3,19365,1,2,0)
+4 ;;=2^Diphenhydramine/Benadryl up to 50 mg
+5 ;;^UTILITY(U,$J,358.3,19365,1,3,0)
+6 ;;=3^J1200
+7 ;;^UTILITY(U,$J,358.3,19366,0)
+8 ;;=J0585^^66^859^1^^^^1
+9 ;;^UTILITY(U,$J,358.3,19366,1,0)
+10 ;;=^358.31IA^3^2
+11 ;;^UTILITY(U,$J,358.3,19366,1,2,0)
+12 ;;=2^Botulinum Toxin Type A,Botox,Dysport per unit
+13 ;;^UTILITY(U,$J,358.3,19366,1,3,0)
+14 ;;=3^J0585
+15 ;;^UTILITY(U,$J,358.3,19367,0)
+16 ;;=J0587^^66^859^2^^^^1
+17 ;;^UTILITY(U,$J,358.3,19367,1,0)
+18 ;;=^358.31IA^3^2
+19 ;;^UTILITY(U,$J,358.3,19367,1,2,0)
+20 ;;=2^Botulinum Toxin Type B,Myobloc per 100 units
+21 ;;^UTILITY(U,$J,358.3,19367,1,3,0)
+22 ;;=3^J0587
+23 ;;^UTILITY(U,$J,358.3,19368,0)
+24 ;;=97760^^66^860^1^^^^1
+25 ;;^UTILITY(U,$J,358.3,19368,1,0)
+26 ;;=^358.31IA^3^2
+27 ;;^UTILITY(U,$J,358.3,19368,1,2,0)
+28 ;;=2^Orthotic Mgmt and Training,ea 15min
+29 ;;^UTILITY(U,$J,358.3,19368,1,3,0)
+30 ;;=3^97760
+31 ;;^UTILITY(U,$J,358.3,19369,0)
+32 ;;=97761^^66^860^2^^^^1
+33 ;;^UTILITY(U,$J,358.3,19369,1,0)
+34 ;;=^358.31IA^3^2
+35 ;;^UTILITY(U,$J,358.3,19369,1,2,0)
+36 ;;=2^Prosthetic Training,ea 15min
+37 ;;^UTILITY(U,$J,358.3,19369,1,3,0)
+38 ;;=3^97761
+39 ;;^UTILITY(U,$J,358.3,19370,0)
+40 ;;=97763^^66^860^3^^^^1
+41 ;;^UTILITY(U,$J,358.3,19370,1,0)
+42 ;;=^358.31IA^3^2
+43 ;;^UTILITY(U,$J,358.3,19370,1,2,0)
+44 ;;=2^Prosthetic/Orthotic F/U Mgmt/Trng,Ea 15 min
+45 ;;^UTILITY(U,$J,358.3,19370,1,3,0)
+46 ;;=3^97763
+47 ;;^UTILITY(U,$J,358.3,19371,0)
+48 ;;=97110^^66^861^7^^^^1
+49 ;;^UTILITY(U,$J,358.3,19371,1,0)
+50 ;;=^358.31IA^3^2
+51 ;;^UTILITY(U,$J,358.3,19371,1,2,0)
+52 ;;=2^Therapeutic Exercises, Ea 15 Min
+53 ;;^UTILITY(U,$J,358.3,19371,1,3,0)
+54 ;;=3^97110
+55 ;;^UTILITY(U,$J,358.3,19372,0)
+56 ;;=97750^^66^861^5^^^^1
+57 ;;^UTILITY(U,$J,358.3,19372,1,0)
+58 ;;=^358.31IA^3^2
+59 ;;^UTILITY(U,$J,358.3,19372,1,2,0)
+60 ;;=2^Physical Perform Test, Ea 15 Min
+61 ;;^UTILITY(U,$J,358.3,19372,1,3,0)
+62 ;;=3^97750
+63 ;;^UTILITY(U,$J,358.3,19373,0)
+64 ;;=97112^^66^861^4^^^^1
+65 ;;^UTILITY(U,$J,358.3,19373,1,0)
+66 ;;=^358.31IA^3^2
+67 ;;^UTILITY(U,$J,358.3,19373,1,2,0)
+68 ;;=2^Neuromuscular Reeduc, Ea 15 Min
+69 ;;^UTILITY(U,$J,358.3,19373,1,3,0)
+70 ;;=3^97112
+71 ;;^UTILITY(U,$J,358.3,19374,0)
+72 ;;=97113^^66^861^1^^^^1
+73 ;;^UTILITY(U,$J,358.3,19374,1,0)
+74 ;;=^358.31IA^3^2
+75 ;;^UTILITY(U,$J,358.3,19374,1,2,0)
+76 ;;=2^Aquatic Exercises,ea 15min
+77 ;;^UTILITY(U,$J,358.3,19374,1,3,0)
+78 ;;=3^97113
+79 ;;^UTILITY(U,$J,358.3,19375,0)
+80 ;;=97116^^66^861^3^^^^1
+81 ;;^UTILITY(U,$J,358.3,19375,1,0)
+82 ;;=^358.31IA^3^2
+83 ;;^UTILITY(U,$J,358.3,19375,1,2,0)
+84 ;;=2^Gait Training, Ea 15 Min
+85 ;;^UTILITY(U,$J,358.3,19375,1,3,0)
+86 ;;=3^97116
+87 ;;^UTILITY(U,$J,358.3,19376,0)
+88 ;;=97150^^66^861^8^^^^1
+89 ;;^UTILITY(U,$J,358.3,19376,1,0)
+90 ;;=^358.31IA^3^2
+91 ;;^UTILITY(U,$J,358.3,19376,1,2,0)
+92 ;;=2^Therapeutic Proc, Group, 2+ Ind
+93 ;;^UTILITY(U,$J,358.3,19376,1,3,0)
+94 ;;=3^97150
+95 ;;^UTILITY(U,$J,358.3,19377,0)
+96 ;;=97530^^66^861^6^^^^1
+97 ;;^UTILITY(U,$J,358.3,19377,1,0)
+98 ;;=^358.31IA^3^2
+99 ;;^UTILITY(U,$J,358.3,19377,1,2,0)
+100 ;;=2^Therapeutic Dynamic Activity,1-1,ea 15min
+101 ;;^UTILITY(U,$J,358.3,19377,1,3,0)
+102 ;;=3^97530
+103 ;;^UTILITY(U,$J,358.3,19378,0)
+104 ;;=97537^^66^861^2^^^^1
+105 ;;^UTILITY(U,$J,358.3,19378,1,0)
+106 ;;=^358.31IA^3^2
+107 ;;^UTILITY(U,$J,358.3,19378,1,2,0)
+108 ;;=2^Community/Work Reintegration, Ea 15 Min
+109 ;;^UTILITY(U,$J,358.3,19378,1,3,0)
+110 ;;=3^97537
+111 ;;^UTILITY(U,$J,358.3,19379,0)
+112 ;;=97542^^66^861^9^^^^1
+113 ;;^UTILITY(U,$J,358.3,19379,1,0)
+114 ;;=^358.31IA^3^2
+115 ;;^UTILITY(U,$J,358.3,19379,1,2,0)
+116 ;;=2^Wheelchair Training,ea 15 Min
