IBDEI2R0 ; ; 04-FEB-2020
;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 04, 2020
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,$J,358.3,43830,1,3,0)
;;=3^Prolonged Svcs,INPT/OBS,ea addl 30 min
;;^UTILITY(U,$J,358.3,43831,0)
;;=99354^^163^2156^10^^^^1
;;^UTILITY(U,$J,358.3,43831,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43831,1,2,0)
;;=2^99354
;;^UTILITY(U,$J,358.3,43831,1,3,0)
;;=3^Prolonged Svcs,OPT,1st hr
;;^UTILITY(U,$J,358.3,43832,0)
;;=99355^^163^2156^11^^^^1
;;^UTILITY(U,$J,358.3,43832,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43832,1,2,0)
;;=2^99355
;;^UTILITY(U,$J,358.3,43832,1,3,0)
;;=3^Prolonged Svcs,OPT,ea addl 30 min
;;^UTILITY(U,$J,358.3,43833,0)
;;=Q3014^^163^2157^9^^^^1
;;^UTILITY(U,$J,358.3,43833,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43833,1,2,0)
;;=2^Q3014
;;^UTILITY(U,$J,358.3,43833,1,3,0)
;;=3^Telehealth Facility Fee
;;^UTILITY(U,$J,358.3,43834,0)
;;=H0031^^163^2157^7^^^^1
;;^UTILITY(U,$J,358.3,43834,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43834,1,2,0)
;;=2^H0031
;;^UTILITY(U,$J,358.3,43834,1,3,0)
;;=3^Psychosoc Assmt by Non LIP
;;^UTILITY(U,$J,358.3,43835,0)
;;=99497^^163^2157^1^^^^1
;;^UTILITY(U,$J,358.3,43835,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43835,1,2,0)
;;=2^99497
;;^UTILITY(U,$J,358.3,43835,1,3,0)
;;=3^Advanced Care Plan,30 min
;;^UTILITY(U,$J,358.3,43836,0)
;;=99498^^163^2157^2^^^^1
;;^UTILITY(U,$J,358.3,43836,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43836,1,2,0)
;;=2^99498
;;^UTILITY(U,$J,358.3,43836,1,3,0)
;;=3^Advanced Care Plan,Ea Addl 30 min
;;^UTILITY(U,$J,358.3,43837,0)
;;=H0005^^163^2157^3^^^^1
;;^UTILITY(U,$J,358.3,43837,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43837,1,2,0)
;;=2^H0005
;;^UTILITY(U,$J,358.3,43837,1,3,0)
;;=3^Alcohol/Drug Services
;;^UTILITY(U,$J,358.3,43838,0)
;;=90875^^163^2157^5^^^^1
;;^UTILITY(U,$J,358.3,43838,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43838,1,2,0)
;;=2^90875
;;^UTILITY(U,$J,358.3,43838,1,3,0)
;;=3^Psychophysio Tx,Incld Biofdbk Trng,30 min
;;^UTILITY(U,$J,358.3,43839,0)
;;=90876^^163^2157^6^^^^1
;;^UTILITY(U,$J,358.3,43839,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43839,1,2,0)
;;=2^90876
;;^UTILITY(U,$J,358.3,43839,1,3,0)
;;=3^Psychophysio Tx,Incld Biofdbk Trng,45 min
;;^UTILITY(U,$J,358.3,43840,0)
;;=T1023^^163^2157^4^^^^1
;;^UTILITY(U,$J,358.3,43840,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43840,1,2,0)
;;=2^T1023
;;^UTILITY(U,$J,358.3,43840,1,3,0)
;;=3^Intake Assessment for Program/Proj/Tmnt
;;^UTILITY(U,$J,358.3,43841,0)
;;=3085F^^163^2157^8^^^^1
;;^UTILITY(U,$J,358.3,43841,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43841,1,2,0)
;;=2^3085F
;;^UTILITY(U,$J,358.3,43841,1,3,0)
;;=3^Suicide Risk Assessment
;;^UTILITY(U,$J,358.3,43842,0)
;;=T1016^^163^2158^1^^^^1
;;^UTILITY(U,$J,358.3,43842,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43842,1,2,0)
;;=2^T1016
;;^UTILITY(U,$J,358.3,43842,1,3,0)
;;=3^Case Management,ea 15 min
;;^UTILITY(U,$J,358.3,43843,0)
;;=99510^^163^2159^1^^^^1
;;^UTILITY(U,$J,358.3,43843,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43843,1,2,0)
;;=2^99510
;;^UTILITY(U,$J,358.3,43843,1,3,0)
;;=3^Home Visit for Indiv/Fam/Marriage Counseling
;;^UTILITY(U,$J,358.3,43844,0)
;;=T1016^^163^2159^2^^^^1
;;^UTILITY(U,$J,358.3,43844,1,0)
;;=^358.31IA^3^2
;;^UTILITY(U,$J,358.3,43844,1,2,0)
;;=2^T1016
;;^UTILITY(U,$J,358.3,43844,1,3,0)
;;=3^Home Visit for Individual Case Management
;;^UTILITY(U,$J,358.3,43845,0)
;;=T1016^^163^2160^3^^^^1
--- Routine Detail --- with STRUCTURED ROUTINE LISTING ---[H[J[2J[HIBDEI2R0 3782 printed Sep 23, 2025@20:10:09 Page 2
IBDEI2R0 ; ; 04-FEB-2020
+1 ;;3.0;IB ENCOUNTER FORM IMP/EXP;;FEB 04, 2020
+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,358.3,43830,1,3,0)
+2 ;;=3^Prolonged Svcs,INPT/OBS,ea addl 30 min
+3 ;;^UTILITY(U,$J,358.3,43831,0)
+4 ;;=99354^^163^2156^10^^^^1
+5 ;;^UTILITY(U,$J,358.3,43831,1,0)
+6 ;;=^358.31IA^3^2
+7 ;;^UTILITY(U,$J,358.3,43831,1,2,0)
+8 ;;=2^99354
+9 ;;^UTILITY(U,$J,358.3,43831,1,3,0)
+10 ;;=3^Prolonged Svcs,OPT,1st hr
+11 ;;^UTILITY(U,$J,358.3,43832,0)
+12 ;;=99355^^163^2156^11^^^^1
+13 ;;^UTILITY(U,$J,358.3,43832,1,0)
+14 ;;=^358.31IA^3^2
+15 ;;^UTILITY(U,$J,358.3,43832,1,2,0)
+16 ;;=2^99355
+17 ;;^UTILITY(U,$J,358.3,43832,1,3,0)
+18 ;;=3^Prolonged Svcs,OPT,ea addl 30 min
+19 ;;^UTILITY(U,$J,358.3,43833,0)
+20 ;;=Q3014^^163^2157^9^^^^1
+21 ;;^UTILITY(U,$J,358.3,43833,1,0)
+22 ;;=^358.31IA^3^2
+23 ;;^UTILITY(U,$J,358.3,43833,1,2,0)
+24 ;;=2^Q3014
+25 ;;^UTILITY(U,$J,358.3,43833,1,3,0)
+26 ;;=3^Telehealth Facility Fee
+27 ;;^UTILITY(U,$J,358.3,43834,0)
+28 ;;=H0031^^163^2157^7^^^^1
+29 ;;^UTILITY(U,$J,358.3,43834,1,0)
+30 ;;=^358.31IA^3^2
+31 ;;^UTILITY(U,$J,358.3,43834,1,2,0)
+32 ;;=2^H0031
+33 ;;^UTILITY(U,$J,358.3,43834,1,3,0)
+34 ;;=3^Psychosoc Assmt by Non LIP
+35 ;;^UTILITY(U,$J,358.3,43835,0)
+36 ;;=99497^^163^2157^1^^^^1
+37 ;;^UTILITY(U,$J,358.3,43835,1,0)
+38 ;;=^358.31IA^3^2
+39 ;;^UTILITY(U,$J,358.3,43835,1,2,0)
+40 ;;=2^99497
+41 ;;^UTILITY(U,$J,358.3,43835,1,3,0)
+42 ;;=3^Advanced Care Plan,30 min
+43 ;;^UTILITY(U,$J,358.3,43836,0)
+44 ;;=99498^^163^2157^2^^^^1
+45 ;;^UTILITY(U,$J,358.3,43836,1,0)
+46 ;;=^358.31IA^3^2
+47 ;;^UTILITY(U,$J,358.3,43836,1,2,0)
+48 ;;=2^99498
+49 ;;^UTILITY(U,$J,358.3,43836,1,3,0)
+50 ;;=3^Advanced Care Plan,Ea Addl 30 min
+51 ;;^UTILITY(U,$J,358.3,43837,0)
+52 ;;=H0005^^163^2157^3^^^^1
+53 ;;^UTILITY(U,$J,358.3,43837,1,0)
+54 ;;=^358.31IA^3^2
+55 ;;^UTILITY(U,$J,358.3,43837,1,2,0)
+56 ;;=2^H0005
+57 ;;^UTILITY(U,$J,358.3,43837,1,3,0)
+58 ;;=3^Alcohol/Drug Services
+59 ;;^UTILITY(U,$J,358.3,43838,0)
+60 ;;=90875^^163^2157^5^^^^1
+61 ;;^UTILITY(U,$J,358.3,43838,1,0)
+62 ;;=^358.31IA^3^2
+63 ;;^UTILITY(U,$J,358.3,43838,1,2,0)
+64 ;;=2^90875
+65 ;;^UTILITY(U,$J,358.3,43838,1,3,0)
+66 ;;=3^Psychophysio Tx,Incld Biofdbk Trng,30 min
+67 ;;^UTILITY(U,$J,358.3,43839,0)
+68 ;;=90876^^163^2157^6^^^^1
+69 ;;^UTILITY(U,$J,358.3,43839,1,0)
+70 ;;=^358.31IA^3^2
+71 ;;^UTILITY(U,$J,358.3,43839,1,2,0)
+72 ;;=2^90876
+73 ;;^UTILITY(U,$J,358.3,43839,1,3,0)
+74 ;;=3^Psychophysio Tx,Incld Biofdbk Trng,45 min
+75 ;;^UTILITY(U,$J,358.3,43840,0)
+76 ;;=T1023^^163^2157^4^^^^1
+77 ;;^UTILITY(U,$J,358.3,43840,1,0)
+78 ;;=^358.31IA^3^2
+79 ;;^UTILITY(U,$J,358.3,43840,1,2,0)
+80 ;;=2^T1023
+81 ;;^UTILITY(U,$J,358.3,43840,1,3,0)
+82 ;;=3^Intake Assessment for Program/Proj/Tmnt
+83 ;;^UTILITY(U,$J,358.3,43841,0)
+84 ;;=3085F^^163^2157^8^^^^1
+85 ;;^UTILITY(U,$J,358.3,43841,1,0)
+86 ;;=^358.31IA^3^2
+87 ;;^UTILITY(U,$J,358.3,43841,1,2,0)
+88 ;;=2^3085F
+89 ;;^UTILITY(U,$J,358.3,43841,1,3,0)
+90 ;;=3^Suicide Risk Assessment
+91 ;;^UTILITY(U,$J,358.3,43842,0)
+92 ;;=T1016^^163^2158^1^^^^1
+93 ;;^UTILITY(U,$J,358.3,43842,1,0)
+94 ;;=^358.31IA^3^2
+95 ;;^UTILITY(U,$J,358.3,43842,1,2,0)
+96 ;;=2^T1016
+97 ;;^UTILITY(U,$J,358.3,43842,1,3,0)
+98 ;;=3^Case Management,ea 15 min
+99 ;;^UTILITY(U,$J,358.3,43843,0)
+100 ;;=99510^^163^2159^1^^^^1
+101 ;;^UTILITY(U,$J,358.3,43843,1,0)
+102 ;;=^358.31IA^3^2
+103 ;;^UTILITY(U,$J,358.3,43843,1,2,0)
+104 ;;=2^99510
+105 ;;^UTILITY(U,$J,358.3,43843,1,3,0)
+106 ;;=3^Home Visit for Indiv/Fam/Marriage Counseling
+107 ;;^UTILITY(U,$J,358.3,43844,0)
+108 ;;=T1016^^163^2159^2^^^^1
+109 ;;^UTILITY(U,$J,358.3,43844,1,0)
+110 ;;=^358.31IA^3^2
+111 ;;^UTILITY(U,$J,358.3,43844,1,2,0)
+112 ;;=2^T1016
+113 ;;^UTILITY(U,$J,358.3,43844,1,3,0)
+114 ;;=3^Home Visit for Individual Case Management
+115 ;;^UTILITY(U,$J,358.3,43845,0)
+116 ;;=T1016^^163^2160^3^^^^1
