IBDEI1D3 ; ; 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,$J,358.3,22011,0)
;;=97750^^71^939^6^^^^1
;;^UTILITY(U,$J,358.3,22011,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22011,1,2,0)
;;=2^97750
;;^UTILITY(U,$J,358.3,22011,1,3,0)
;;=3^Extrem Perf Testing,Ea 15min
;;^UTILITY(U,$J,358.3,22012,0)
;;=97161^^71^939^12^^^^1
;;^UTILITY(U,$J,358.3,22012,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22012,1,2,0)
;;=2^97161
;;^UTILITY(U,$J,358.3,22012,1,3,0)
;;=3^PT Evaluation,Low Complexity
;;^UTILITY(U,$J,358.3,22013,0)
;;=97162^^71^939^13^^^^1
;;^UTILITY(U,$J,358.3,22013,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22013,1,2,0)
;;=2^97162
;;^UTILITY(U,$J,358.3,22013,1,3,0)
;;=3^PT Evaluation,Moderate Complexity
;;^UTILITY(U,$J,358.3,22014,0)
;;=97163^^71^939^11^^^^1
;;^UTILITY(U,$J,358.3,22014,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22014,1,2,0)
;;=2^97163
;;^UTILITY(U,$J,358.3,22014,1,3,0)
;;=3^PT Evaluation,High Complexity
;;^UTILITY(U,$J,358.3,22015,0)
;;=97164^^71^939^14^^^^1
;;^UTILITY(U,$J,358.3,22015,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22015,1,2,0)
;;=2^97164
;;^UTILITY(U,$J,358.3,22015,1,3,0)
;;=3^PT Re-Evaluation
;;^UTILITY(U,$J,358.3,22016,0)
;;=97165^^71^939^8^^^^1
;;^UTILITY(U,$J,358.3,22016,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22016,1,2,0)
;;=2^97165
;;^UTILITY(U,$J,358.3,22016,1,3,0)
;;=3^OT Evaluation,Low Complexity
;;^UTILITY(U,$J,358.3,22017,0)
;;=97166^^71^939^9^^^^1
;;^UTILITY(U,$J,358.3,22017,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22017,1,2,0)
;;=2^97166
;;^UTILITY(U,$J,358.3,22017,1,3,0)
;;=3^OT Evaluation,Moderate Complexity
;;^UTILITY(U,$J,358.3,22018,0)
;;=97167^^71^939^7^^^^1
;;^UTILITY(U,$J,358.3,22018,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22018,1,2,0)
;;=2^97167
;;^UTILITY(U,$J,358.3,22018,1,3,0)
;;=3^OT Evaluation,High Complexity
;;^UTILITY(U,$J,358.3,22019,0)
;;=97168^^71^939^10^^^^1
;;^UTILITY(U,$J,358.3,22019,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22019,1,2,0)
;;=2^97168
;;^UTILITY(U,$J,358.3,22019,1,3,0)
;;=3^OT Re-Evaluation
;;^UTILITY(U,$J,358.3,22020,0)
;;=96112^^71^939^4^^^^1
;;^UTILITY(U,$J,358.3,22020,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22020,1,2,0)
;;=2^96112
;;^UTILITY(U,$J,358.3,22020,1,3,0)
;;=3^Developmental Test Admin,1st Hr
;;^UTILITY(U,$J,358.3,22021,0)
;;=96113^^71^939^5^^^^1
;;^UTILITY(U,$J,358.3,22021,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22021,1,2,0)
;;=2^96113
;;^UTILITY(U,$J,358.3,22021,1,3,0)
;;=3^Developmental Test Admin,Ea Addl 30 min
;;^UTILITY(U,$J,358.3,22022,0)
;;=64479^^71^940^6^^^^1
;;^UTILITY(U,$J,358.3,22022,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22022,1,2,0)
;;=2^64479
;;^UTILITY(U,$J,358.3,22022,1,3,0)
;;=3^INJ Epidural, foramen, C/T
;;^UTILITY(U,$J,358.3,22023,0)
;;=64480^^71^940^8^^^^1
;;^UTILITY(U,$J,358.3,22023,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22023,1,2,0)
;;=2^64480
;;^UTILITY(U,$J,358.3,22023,1,3,0)
;;=3^INJ Epidural,C/T Ea Addl Level
;;^UTILITY(U,$J,358.3,22024,0)
;;=64483^^71^940^7^^^^1
;;^UTILITY(U,$J,358.3,22024,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22024,1,2,0)
;;=2^64483
;;^UTILITY(U,$J,358.3,22024,1,3,0)
;;=3^INJ Epidural, foramen, L/S
;;^UTILITY(U,$J,358.3,22025,0)
;;=64484^^71^940^5^^^^1
;;^UTILITY(U,$J,358.3,22025,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22025,1,2,0)
;;=2^64484
;;^UTILITY(U,$J,358.3,22025,1,3,0)
;;=3^INJ Epidural, L/S Ea Addl Level
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI1D3 3804 printed Sep 23, 2025@19:42:23 Page 2
IBDEI1D3 ; ; 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,358.3,22011,0)
+2 ;;=97750^^71^939^6^^^^1
+3 ;;^UTILITY(U,$J,358.3,22011,1,0)
+4 ;;=^358.31IA^3^2
+5 ;;^UTILITY(U,$J,358.3,22011,1,2,0)
+6 ;;=2^97750
+7 ;;^UTILITY(U,$J,358.3,22011,1,3,0)
+8 ;;=3^Extrem Perf Testing,Ea 15min
+9 ;;^UTILITY(U,$J,358.3,22012,0)
+10 ;;=97161^^71^939^12^^^^1
+11 ;;^UTILITY(U,$J,358.3,22012,1,0)
+12 ;;=^358.31IA^3^2
+13 ;;^UTILITY(U,$J,358.3,22012,1,2,0)
+14 ;;=2^97161
+15 ;;^UTILITY(U,$J,358.3,22012,1,3,0)
+16 ;;=3^PT Evaluation,Low Complexity
+17 ;;^UTILITY(U,$J,358.3,22013,0)
+18 ;;=97162^^71^939^13^^^^1
+19 ;;^UTILITY(U,$J,358.3,22013,1,0)
+20 ;;=^358.31IA^3^2
+21 ;;^UTILITY(U,$J,358.3,22013,1,2,0)
+22 ;;=2^97162
+23 ;;^UTILITY(U,$J,358.3,22013,1,3,0)
+24 ;;=3^PT Evaluation,Moderate Complexity
+25 ;;^UTILITY(U,$J,358.3,22014,0)
+26 ;;=97163^^71^939^11^^^^1
+27 ;;^UTILITY(U,$J,358.3,22014,1,0)
+28 ;;=^358.31IA^3^2
+29 ;;^UTILITY(U,$J,358.3,22014,1,2,0)
+30 ;;=2^97163
+31 ;;^UTILITY(U,$J,358.3,22014,1,3,0)
+32 ;;=3^PT Evaluation,High Complexity
+33 ;;^UTILITY(U,$J,358.3,22015,0)
+34 ;;=97164^^71^939^14^^^^1
+35 ;;^UTILITY(U,$J,358.3,22015,1,0)
+36 ;;=^358.31IA^3^2
+37 ;;^UTILITY(U,$J,358.3,22015,1,2,0)
+38 ;;=2^97164
+39 ;;^UTILITY(U,$J,358.3,22015,1,3,0)
+40 ;;=3^PT Re-Evaluation
+41 ;;^UTILITY(U,$J,358.3,22016,0)
+42 ;;=97165^^71^939^8^^^^1
+43 ;;^UTILITY(U,$J,358.3,22016,1,0)
+44 ;;=^358.31IA^3^2
+45 ;;^UTILITY(U,$J,358.3,22016,1,2,0)
+46 ;;=2^97165
+47 ;;^UTILITY(U,$J,358.3,22016,1,3,0)
+48 ;;=3^OT Evaluation,Low Complexity
+49 ;;^UTILITY(U,$J,358.3,22017,0)
+50 ;;=97166^^71^939^9^^^^1
+51 ;;^UTILITY(U,$J,358.3,22017,1,0)
+52 ;;=^358.31IA^3^2
+53 ;;^UTILITY(U,$J,358.3,22017,1,2,0)
+54 ;;=2^97166
+55 ;;^UTILITY(U,$J,358.3,22017,1,3,0)
+56 ;;=3^OT Evaluation,Moderate Complexity
+57 ;;^UTILITY(U,$J,358.3,22018,0)
+58 ;;=97167^^71^939^7^^^^1
+59 ;;^UTILITY(U,$J,358.3,22018,1,0)
+60 ;;=^358.31IA^3^2
+61 ;;^UTILITY(U,$J,358.3,22018,1,2,0)
+62 ;;=2^97167
+63 ;;^UTILITY(U,$J,358.3,22018,1,3,0)
+64 ;;=3^OT Evaluation,High Complexity
+65 ;;^UTILITY(U,$J,358.3,22019,0)
+66 ;;=97168^^71^939^10^^^^1
+67 ;;^UTILITY(U,$J,358.3,22019,1,0)
+68 ;;=^358.31IA^3^2
+69 ;;^UTILITY(U,$J,358.3,22019,1,2,0)
+70 ;;=2^97168
+71 ;;^UTILITY(U,$J,358.3,22019,1,3,0)
+72 ;;=3^OT Re-Evaluation
+73 ;;^UTILITY(U,$J,358.3,22020,0)
+74 ;;=96112^^71^939^4^^^^1
+75 ;;^UTILITY(U,$J,358.3,22020,1,0)
+76 ;;=^358.31IA^3^2
+77 ;;^UTILITY(U,$J,358.3,22020,1,2,0)
+78 ;;=2^96112
+79 ;;^UTILITY(U,$J,358.3,22020,1,3,0)
+80 ;;=3^Developmental Test Admin,1st Hr
+81 ;;^UTILITY(U,$J,358.3,22021,0)
+82 ;;=96113^^71^939^5^^^^1
+83 ;;^UTILITY(U,$J,358.3,22021,1,0)
+84 ;;=^358.31IA^3^2
+85 ;;^UTILITY(U,$J,358.3,22021,1,2,0)
+86 ;;=2^96113
+87 ;;^UTILITY(U,$J,358.3,22021,1,3,0)
+88 ;;=3^Developmental Test Admin,Ea Addl 30 min
+89 ;;^UTILITY(U,$J,358.3,22022,0)
+90 ;;=64479^^71^940^6^^^^1
+91 ;;^UTILITY(U,$J,358.3,22022,1,0)
+92 ;;=^358.31IA^3^2
+93 ;;^UTILITY(U,$J,358.3,22022,1,2,0)
+94 ;;=2^64479
+95 ;;^UTILITY(U,$J,358.3,22022,1,3,0)
+96 ;;=3^INJ Epidural, foramen, C/T
+97 ;;^UTILITY(U,$J,358.3,22023,0)
+98 ;;=64480^^71^940^8^^^^1
+99 ;;^UTILITY(U,$J,358.3,22023,1,0)
+100 ;;=^358.31IA^3^2
+101 ;;^UTILITY(U,$J,358.3,22023,1,2,0)
+102 ;;=2^64480
+103 ;;^UTILITY(U,$J,358.3,22023,1,3,0)
+104 ;;=3^INJ Epidural,C/T Ea Addl Level
+105 ;;^UTILITY(U,$J,358.3,22024,0)
+106 ;;=64483^^71^940^7^^^^1
+107 ;;^UTILITY(U,$J,358.3,22024,1,0)
+108 ;;=^358.31IA^3^2
+109 ;;^UTILITY(U,$J,358.3,22024,1,2,0)
+110 ;;=2^64483
+111 ;;^UTILITY(U,$J,358.3,22024,1,3,0)
+112 ;;=3^INJ Epidural, foramen, L/S
+113 ;;^UTILITY(U,$J,358.3,22025,0)
+114 ;;=64484^^71^940^5^^^^1
+115 ;;^UTILITY(U,$J,358.3,22025,1,0)
+116 ;;=^358.31IA^3^2
+117 ;;^UTILITY(U,$J,358.3,22025,1,2,0)
+118 ;;=2^64484
+119 ;;^UTILITY(U,$J,358.3,22025,1,3,0)
+120 ;;=3^INJ Epidural, L/S Ea Addl Level
