IBDEI1D8 ; ; 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,$J,358.3,22085,1,2,0)
;;=2^J0476
;;^UTILITY(U,$J,358.3,22085,1,3,0)
;;=3^Baclofen Intrathecal Trial 50mcg
;;^UTILITY(U,$J,358.3,22086,0)
;;=62322^^71^946^7^^^^1
;;^UTILITY(U,$J,358.3,22086,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22086,1,2,0)
;;=2^62322
;;^UTILITY(U,$J,358.3,22086,1,3,0)
;;=3^Njx Interlaminar Lmbr/Sac
;;^UTILITY(U,$J,358.3,22087,0)
;;=62367^^71^946^1^^^^1
;;^UTILITY(U,$J,358.3,22087,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22087,1,2,0)
;;=2^62367
;;^UTILITY(U,$J,358.3,22087,1,3,0)
;;=3^Analyze Spine Infus Pump
;;^UTILITY(U,$J,358.3,22088,0)
;;=62368^^71^946^3^^^^1
;;^UTILITY(U,$J,358.3,22088,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22088,1,2,0)
;;=2^62368
;;^UTILITY(U,$J,358.3,22088,1,3,0)
;;=3^Analyze Spine Infus Pump w/ Reprog
;;^UTILITY(U,$J,358.3,22089,0)
;;=62369^^71^946^4^^^^1
;;^UTILITY(U,$J,358.3,22089,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22089,1,2,0)
;;=2^62369
;;^UTILITY(U,$J,358.3,22089,1,3,0)
;;=3^Analyze Spine Infus Pump w/ Reprog/Fill
;;^UTILITY(U,$J,358.3,22090,0)
;;=62370^^71^946^2^^^^1
;;^UTILITY(U,$J,358.3,22090,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22090,1,2,0)
;;=2^62370
;;^UTILITY(U,$J,358.3,22090,1,3,0)
;;=3^Analyze Spine Infus Pump w/ Mdreprg/Fill
;;^UTILITY(U,$J,358.3,22091,0)
;;=97750^^71^946^8^^^^1
;;^UTILITY(U,$J,358.3,22091,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22091,1,2,0)
;;=2^97750
;;^UTILITY(U,$J,358.3,22091,1,3,0)
;;=3^Physical Performance Test
;;^UTILITY(U,$J,358.3,22092,0)
;;=95990^^71^946^9^^^^1
;;^UTILITY(U,$J,358.3,22092,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,22092,1,2,0)
;;=2^95990
;;^UTILITY(U,$J,358.3,22092,1,3,0)
;;=3^Spine/Brain Pump Refll/Maint
;;^UTILITY(U,$J,358.3,22093,0)
;;=99202^^72^947^1
;;^UTILITY(U,$J,358.3,22093,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22093,1,1,0)
;;=1^SF MDM or 15-29 mins
;;^UTILITY(U,$J,358.3,22093,1,2,0)
;;=2^99202
;;^UTILITY(U,$J,358.3,22094,0)
;;=99203^^72^947^2
;;^UTILITY(U,$J,358.3,22094,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22094,1,1,0)
;;=1^Low MDM or 30-44 mins
;;^UTILITY(U,$J,358.3,22094,1,2,0)
;;=2^99203
;;^UTILITY(U,$J,358.3,22095,0)
;;=99204^^72^947^3
;;^UTILITY(U,$J,358.3,22095,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22095,1,1,0)
;;=1^Moderate MDM or 45-59 mins
;;^UTILITY(U,$J,358.3,22095,1,2,0)
;;=2^99204
;;^UTILITY(U,$J,358.3,22096,0)
;;=99205^^72^947^4
;;^UTILITY(U,$J,358.3,22096,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22096,1,1,0)
;;=1^High MDM or 60-74 mins
;;^UTILITY(U,$J,358.3,22096,1,2,0)
;;=2^99205
;;^UTILITY(U,$J,358.3,22097,0)
;;=99211^^72^948^1
;;^UTILITY(U,$J,358.3,22097,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22097,1,1,0)
;;=1^Brief Visit-MDM None/Minimal
;;^UTILITY(U,$J,358.3,22097,1,2,0)
;;=2^99211
;;^UTILITY(U,$J,358.3,22098,0)
;;=99212^^72^948^2
;;^UTILITY(U,$J,358.3,22098,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22098,1,1,0)
;;=1^SF MDM or 10-19 mins
;;^UTILITY(U,$J,358.3,22098,1,2,0)
;;=2^99212
;;^UTILITY(U,$J,358.3,22099,0)
;;=99213^^72^948^3
;;^UTILITY(U,$J,358.3,22099,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22099,1,1,0)
;;=1^Low MDM or 20-29 mins
;;^UTILITY(U,$J,358.3,22099,1,2,0)
;;=2^99213
;;^UTILITY(U,$J,358.3,22100,0)
;;=99214^^72^948^4
;;^UTILITY(U,$J,358.3,22100,1,0)
;;=^358.31IA^2^2
;;^UTILITY(U,$J,358.3,22100,1,1,0)
;;=1^Moderate MDM or 30-39 mins
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI1D8 3812 printed Sep 23, 2025@19:42:27 Page 2
IBDEI1D8 ; ; 01-FEB-2022
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 01, 2022
+2 if 'DIFQR(358.3)
QUIT
FOR I=1:2
SET X=$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,358.3,22085,1,2,0)
+2 ;;=2^J0476
+3 ;;^UTILITY(U,$J,358.3,22085,1,3,0)
+4 ;;=3^Baclofen Intrathecal Trial 50mcg
+5 ;;^UTILITY(U,$J,358.3,22086,0)
+6 ;;=62322^^71^946^7^^^^1
+7 ;;^UTILITY(U,$J,358.3,22086,1,0)
+8 ;;=^358.31IA^3^2
+9 ;;^UTILITY(U,$J,358.3,22086,1,2,0)
+10 ;;=2^62322
+11 ;;^UTILITY(U,$J,358.3,22086,1,3,0)
+12 ;;=3^Njx Interlaminar Lmbr/Sac
+13 ;;^UTILITY(U,$J,358.3,22087,0)
+14 ;;=62367^^71^946^1^^^^1
+15 ;;^UTILITY(U,$J,358.3,22087,1,0)
+16 ;;=^358.31IA^3^2
+17 ;;^UTILITY(U,$J,358.3,22087,1,2,0)
+18 ;;=2^62367
+19 ;;^UTILITY(U,$J,358.3,22087,1,3,0)
+20 ;;=3^Analyze Spine Infus Pump
+21 ;;^UTILITY(U,$J,358.3,22088,0)
+22 ;;=62368^^71^946^3^^^^1
+23 ;;^UTILITY(U,$J,358.3,22088,1,0)
+24 ;;=^358.31IA^3^2
+25 ;;^UTILITY(U,$J,358.3,22088,1,2,0)
+26 ;;=2^62368
+27 ;;^UTILITY(U,$J,358.3,22088,1,3,0)
+28 ;;=3^Analyze Spine Infus Pump w/ Reprog
+29 ;;^UTILITY(U,$J,358.3,22089,0)
+30 ;;=62369^^71^946^4^^^^1
+31 ;;^UTILITY(U,$J,358.3,22089,1,0)
+32 ;;=^358.31IA^3^2
+33 ;;^UTILITY(U,$J,358.3,22089,1,2,0)
+34 ;;=2^62369
+35 ;;^UTILITY(U,$J,358.3,22089,1,3,0)
+36 ;;=3^Analyze Spine Infus Pump w/ Reprog/Fill
+37 ;;^UTILITY(U,$J,358.3,22090,0)
+38 ;;=62370^^71^946^2^^^^1
+39 ;;^UTILITY(U,$J,358.3,22090,1,0)
+40 ;;=^358.31IA^3^2
+41 ;;^UTILITY(U,$J,358.3,22090,1,2,0)
+42 ;;=2^62370
+43 ;;^UTILITY(U,$J,358.3,22090,1,3,0)
+44 ;;=3^Analyze Spine Infus Pump w/ Mdreprg/Fill
+45 ;;^UTILITY(U,$J,358.3,22091,0)
+46 ;;=97750^^71^946^8^^^^1
+47 ;;^UTILITY(U,$J,358.3,22091,1,0)
+48 ;;=^358.31IA^3^2
+49 ;;^UTILITY(U,$J,358.3,22091,1,2,0)
+50 ;;=2^97750
+51 ;;^UTILITY(U,$J,358.3,22091,1,3,0)
+52 ;;=3^Physical Performance Test
+53 ;;^UTILITY(U,$J,358.3,22092,0)
+54 ;;=95990^^71^946^9^^^^1
+55 ;;^UTILITY(U,$J,358.3,22092,1,0)
+56 ;;=^358.31IA^3^2
+57 ;;^UTILITY(U,$J,358.3,22092,1,2,0)
+58 ;;=2^95990
+59 ;;^UTILITY(U,$J,358.3,22092,1,3,0)
+60 ;;=3^Spine/Brain Pump Refll/Maint
+61 ;;^UTILITY(U,$J,358.3,22093,0)
+62 ;;=99202^^72^947^1
+63 ;;^UTILITY(U,$J,358.3,22093,1,0)
+64 ;;=^358.31IA^2^2
+65 ;;^UTILITY(U,$J,358.3,22093,1,1,0)
+66 ;;=1^SF MDM or 15-29 mins
+67 ;;^UTILITY(U,$J,358.3,22093,1,2,0)
+68 ;;=2^99202
+69 ;;^UTILITY(U,$J,358.3,22094,0)
+70 ;;=99203^^72^947^2
+71 ;;^UTILITY(U,$J,358.3,22094,1,0)
+72 ;;=^358.31IA^2^2
+73 ;;^UTILITY(U,$J,358.3,22094,1,1,0)
+74 ;;=1^Low MDM or 30-44 mins
+75 ;;^UTILITY(U,$J,358.3,22094,1,2,0)
+76 ;;=2^99203
+77 ;;^UTILITY(U,$J,358.3,22095,0)
+78 ;;=99204^^72^947^3
+79 ;;^UTILITY(U,$J,358.3,22095,1,0)
+80 ;;=^358.31IA^2^2
+81 ;;^UTILITY(U,$J,358.3,22095,1,1,0)
+82 ;;=1^Moderate MDM or 45-59 mins
+83 ;;^UTILITY(U,$J,358.3,22095,1,2,0)
+84 ;;=2^99204
+85 ;;^UTILITY(U,$J,358.3,22096,0)
+86 ;;=99205^^72^947^4
+87 ;;^UTILITY(U,$J,358.3,22096,1,0)
+88 ;;=^358.31IA^2^2
+89 ;;^UTILITY(U,$J,358.3,22096,1,1,0)
+90 ;;=1^High MDM or 60-74 mins
+91 ;;^UTILITY(U,$J,358.3,22096,1,2,0)
+92 ;;=2^99205
+93 ;;^UTILITY(U,$J,358.3,22097,0)
+94 ;;=99211^^72^948^1
+95 ;;^UTILITY(U,$J,358.3,22097,1,0)
+96 ;;=^358.31IA^2^2
+97 ;;^UTILITY(U,$J,358.3,22097,1,1,0)
+98 ;;=1^Brief Visit-MDM None/Minimal
+99 ;;^UTILITY(U,$J,358.3,22097,1,2,0)
+100 ;;=2^99211
+101 ;;^UTILITY(U,$J,358.3,22098,0)
+102 ;;=99212^^72^948^2
+103 ;;^UTILITY(U,$J,358.3,22098,1,0)
+104 ;;=^358.31IA^2^2
+105 ;;^UTILITY(U,$J,358.3,22098,1,1,0)
+106 ;;=1^SF MDM or 10-19 mins
+107 ;;^UTILITY(U,$J,358.3,22098,1,2,0)
+108 ;;=2^99212
+109 ;;^UTILITY(U,$J,358.3,22099,0)
+110 ;;=99213^^72^948^3
+111 ;;^UTILITY(U,$J,358.3,22099,1,0)
+112 ;;=^358.31IA^2^2
+113 ;;^UTILITY(U,$J,358.3,22099,1,1,0)
+114 ;;=1^Low MDM or 20-29 mins
+115 ;;^UTILITY(U,$J,358.3,22099,1,2,0)
+116 ;;=2^99213
+117 ;;^UTILITY(U,$J,358.3,22100,0)
+118 ;;=99214^^72^948^4
+119 ;;^UTILITY(U,$J,358.3,22100,1,0)
+120 ;;=^358.31IA^2^2
+121 ;;^UTILITY(U,$J,358.3,22100,1,1,0)
+122 ;;=1^Moderate MDM or 30-39 mins
