IBDEI171 ; ; 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,$J,358.3,19379,1,3,0)
;;=3^97542
;;^UTILITY(U,$J,358.3,19380,0)
;;=97750^^66^862^9^^^^1
;;^UTILITY(U,$J,358.3,19380,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19380,1,2,0)
;;=2^Physical Performance Test (KT Eval)
;;^UTILITY(U,$J,358.3,19380,1,3,0)
;;=3^97750
;;^UTILITY(U,$J,358.3,19381,0)
;;=97161^^66^862^5^^^^1
;;^UTILITY(U,$J,358.3,19381,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19381,1,2,0)
;;=2^PT Evaluation,Low Complexity
;;^UTILITY(U,$J,358.3,19381,1,3,0)
;;=3^97161
;;^UTILITY(U,$J,358.3,19382,0)
;;=97162^^66^862^6^^^^1
;;^UTILITY(U,$J,358.3,19382,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19382,1,2,0)
;;=2^PT Evaluation,Moderate Complexity
;;^UTILITY(U,$J,358.3,19382,1,3,0)
;;=3^97162
;;^UTILITY(U,$J,358.3,19383,0)
;;=97163^^66^862^7^^^^1
;;^UTILITY(U,$J,358.3,19383,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19383,1,2,0)
;;=2^PT Evaluation,High Complexity
;;^UTILITY(U,$J,358.3,19383,1,3,0)
;;=3^97163
;;^UTILITY(U,$J,358.3,19384,0)
;;=97164^^66^862^8^^^^1
;;^UTILITY(U,$J,358.3,19384,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19384,1,2,0)
;;=2^PT Re-Evaluation
;;^UTILITY(U,$J,358.3,19384,1,3,0)
;;=3^97164
;;^UTILITY(U,$J,358.3,19385,0)
;;=97165^^66^862^1^^^^1
;;^UTILITY(U,$J,358.3,19385,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19385,1,2,0)
;;=2^OT Evaluation,Low Complexity
;;^UTILITY(U,$J,358.3,19385,1,3,0)
;;=3^97165
;;^UTILITY(U,$J,358.3,19386,0)
;;=97166^^66^862^2^^^^1
;;^UTILITY(U,$J,358.3,19386,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19386,1,2,0)
;;=2^OT Evaluation,Moderate Complexity
;;^UTILITY(U,$J,358.3,19386,1,3,0)
;;=3^97166
;;^UTILITY(U,$J,358.3,19387,0)
;;=97167^^66^862^3^^^^1
;;^UTILITY(U,$J,358.3,19387,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19387,1,2,0)
;;=2^OT Evaluation,High Complexity
;;^UTILITY(U,$J,358.3,19387,1,3,0)
;;=3^97167
;;^UTILITY(U,$J,358.3,19388,0)
;;=97168^^66^862^4^^^^1
;;^UTILITY(U,$J,358.3,19388,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19388,1,2,0)
;;=2^OT Re-Evaluation
;;^UTILITY(U,$J,358.3,19388,1,3,0)
;;=3^97168
;;^UTILITY(U,$J,358.3,19389,0)
;;=97597^^66^863^2^^^^1
;;^UTILITY(U,$J,358.3,19389,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19389,1,2,0)
;;=2^Active Wound Care,20 CM or Less
;;^UTILITY(U,$J,358.3,19389,1,3,0)
;;=3^97597
;;^UTILITY(U,$J,358.3,19390,0)
;;=97598^^66^863^1^^^^1
;;^UTILITY(U,$J,358.3,19390,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19390,1,2,0)
;;=2^Active Wound Care ea addl 20 Cm (add on)
;;^UTILITY(U,$J,358.3,19390,1,3,0)
;;=3^97598
;;^UTILITY(U,$J,358.3,19391,0)
;;=97605^^66^863^7^^^^1
;;^UTILITY(U,$J,358.3,19391,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19391,1,2,0)
;;=2^Neg Press Wound Tx </= 50 Sq Cm using DME
;;^UTILITY(U,$J,358.3,19391,1,3,0)
;;=3^97605
;;^UTILITY(U,$J,358.3,19392,0)
;;=97606^^66^863^9^^^^1
;;^UTILITY(U,$J,358.3,19392,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19392,1,2,0)
;;=2^Neg Press Wound Tx > 50 Sq Cm using DME
;;^UTILITY(U,$J,358.3,19392,1,3,0)
;;=3^97606
;;^UTILITY(U,$J,358.3,19393,0)
;;=97602^^66^863^11^^^^1
;;^UTILITY(U,$J,358.3,19393,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,19393,1,2,0)
;;=2^Removal devitalized tissue w/o anesth
;;^UTILITY(U,$J,358.3,19393,1,3,0)
;;=3^97602
;;^UTILITY(U,$J,358.3,19394,0)
;;=G0281^^66^863^5^^^^1
;;^UTILITY(U,$J,358.3,19394,1,0)
;;=^358.31IA^3^2
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI171 3767 printed Sep 23, 2025@19:39 Page 2
IBDEI171 ; ; 01-FEB-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 01, 2022
+2 if 'DIFQR(358.3)
QUIT
FOR I=1:2
SET X=$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,358.3,19379,1,3,0)
+2 ;;=3^97542
+3 ;;^UTILITY(U,$J,358.3,19380,0)
+4 ;;=97750^^66^862^9^^^^1
+5 ;;^UTILITY(U,$J,358.3,19380,1,0)
+6 ;;=^358.31IA^3^2
+7 ;;^UTILITY(U,$J,358.3,19380,1,2,0)
+8 ;;=2^Physical Performance Test (KT Eval)
+9 ;;^UTILITY(U,$J,358.3,19380,1,3,0)
+10 ;;=3^97750
+11 ;;^UTILITY(U,$J,358.3,19381,0)
+12 ;;=97161^^66^862^5^^^^1
+13 ;;^UTILITY(U,$J,358.3,19381,1,0)
+14 ;;=^358.31IA^3^2
+15 ;;^UTILITY(U,$J,358.3,19381,1,2,0)
+16 ;;=2^PT Evaluation,Low Complexity
+17 ;;^UTILITY(U,$J,358.3,19381,1,3,0)
+18 ;;=3^97161
+19 ;;^UTILITY(U,$J,358.3,19382,0)
+20 ;;=97162^^66^862^6^^^^1
+21 ;;^UTILITY(U,$J,358.3,19382,1,0)
+22 ;;=^358.31IA^3^2
+23 ;;^UTILITY(U,$J,358.3,19382,1,2,0)
+24 ;;=2^PT Evaluation,Moderate Complexity
+25 ;;^UTILITY(U,$J,358.3,19382,1,3,0)
+26 ;;=3^97162
+27 ;;^UTILITY(U,$J,358.3,19383,0)
+28 ;;=97163^^66^862^7^^^^1
+29 ;;^UTILITY(U,$J,358.3,19383,1,0)
+30 ;;=^358.31IA^3^2
+31 ;;^UTILITY(U,$J,358.3,19383,1,2,0)
+32 ;;=2^PT Evaluation,High Complexity
+33 ;;^UTILITY(U,$J,358.3,19383,1,3,0)
+34 ;;=3^97163
+35 ;;^UTILITY(U,$J,358.3,19384,0)
+36 ;;=97164^^66^862^8^^^^1
+37 ;;^UTILITY(U,$J,358.3,19384,1,0)
+38 ;;=^358.31IA^3^2
+39 ;;^UTILITY(U,$J,358.3,19384,1,2,0)
+40 ;;=2^PT Re-Evaluation
+41 ;;^UTILITY(U,$J,358.3,19384,1,3,0)
+42 ;;=3^97164
+43 ;;^UTILITY(U,$J,358.3,19385,0)
+44 ;;=97165^^66^862^1^^^^1
+45 ;;^UTILITY(U,$J,358.3,19385,1,0)
+46 ;;=^358.31IA^3^2
+47 ;;^UTILITY(U,$J,358.3,19385,1,2,0)
+48 ;;=2^OT Evaluation,Low Complexity
+49 ;;^UTILITY(U,$J,358.3,19385,1,3,0)
+50 ;;=3^97165
+51 ;;^UTILITY(U,$J,358.3,19386,0)
+52 ;;=97166^^66^862^2^^^^1
+53 ;;^UTILITY(U,$J,358.3,19386,1,0)
+54 ;;=^358.31IA^3^2
+55 ;;^UTILITY(U,$J,358.3,19386,1,2,0)
+56 ;;=2^OT Evaluation,Moderate Complexity
+57 ;;^UTILITY(U,$J,358.3,19386,1,3,0)
+58 ;;=3^97166
+59 ;;^UTILITY(U,$J,358.3,19387,0)
+60 ;;=97167^^66^862^3^^^^1
+61 ;;^UTILITY(U,$J,358.3,19387,1,0)
+62 ;;=^358.31IA^3^2
+63 ;;^UTILITY(U,$J,358.3,19387,1,2,0)
+64 ;;=2^OT Evaluation,High Complexity
+65 ;;^UTILITY(U,$J,358.3,19387,1,3,0)
+66 ;;=3^97167
+67 ;;^UTILITY(U,$J,358.3,19388,0)
+68 ;;=97168^^66^862^4^^^^1
+69 ;;^UTILITY(U,$J,358.3,19388,1,0)
+70 ;;=^358.31IA^3^2
+71 ;;^UTILITY(U,$J,358.3,19388,1,2,0)
+72 ;;=2^OT Re-Evaluation
+73 ;;^UTILITY(U,$J,358.3,19388,1,3,0)
+74 ;;=3^97168
+75 ;;^UTILITY(U,$J,358.3,19389,0)
+76 ;;=97597^^66^863^2^^^^1
+77 ;;^UTILITY(U,$J,358.3,19389,1,0)
+78 ;;=^358.31IA^3^2
+79 ;;^UTILITY(U,$J,358.3,19389,1,2,0)
+80 ;;=2^Active Wound Care,20 CM or Less
+81 ;;^UTILITY(U,$J,358.3,19389,1,3,0)
+82 ;;=3^97597
+83 ;;^UTILITY(U,$J,358.3,19390,0)
+84 ;;=97598^^66^863^1^^^^1
+85 ;;^UTILITY(U,$J,358.3,19390,1,0)
+86 ;;=^358.31IA^3^2
+87 ;;^UTILITY(U,$J,358.3,19390,1,2,0)
+88 ;;=2^Active Wound Care ea addl 20 Cm (add on)
+89 ;;^UTILITY(U,$J,358.3,19390,1,3,0)
+90 ;;=3^97598
+91 ;;^UTILITY(U,$J,358.3,19391,0)
+92 ;;=97605^^66^863^7^^^^1
+93 ;;^UTILITY(U,$J,358.3,19391,1,0)
+94 ;;=^358.31IA^3^2
+95 ;;^UTILITY(U,$J,358.3,19391,1,2,0)
+96 ;;=2^Neg Press Wound Tx </= 50 Sq Cm using DME
+97 ;;^UTILITY(U,$J,358.3,19391,1,3,0)
+98 ;;=3^97605
+99 ;;^UTILITY(U,$J,358.3,19392,0)
+100 ;;=97606^^66^863^9^^^^1
+101 ;;^UTILITY(U,$J,358.3,19392,1,0)
+102 ;;=^358.31IA^3^2
+103 ;;^UTILITY(U,$J,358.3,19392,1,2,0)
+104 ;;=2^Neg Press Wound Tx > 50 Sq Cm using DME
+105 ;;^UTILITY(U,$J,358.3,19392,1,3,0)
+106 ;;=3^97606
+107 ;;^UTILITY(U,$J,358.3,19393,0)
+108 ;;=97602^^66^863^11^^^^1
+109 ;;^UTILITY(U,$J,358.3,19393,1,0)
+110 ;;=^358.31IA^3^2
+111 ;;^UTILITY(U,$J,358.3,19393,1,2,0)
+112 ;;=2^Removal devitalized tissue w/o anesth
+113 ;;^UTILITY(U,$J,358.3,19393,1,3,0)
+114 ;;=3^97602
+115 ;;^UTILITY(U,$J,358.3,19394,0)
+116 ;;=G0281^^66^863^5^^^^1
+117 ;;^UTILITY(U,$J,358.3,19394,1,0)
+118 ;;=^358.31IA^3^2
