BUD9RPP1 ; IHS/CMI/LAB - UDS PRINT TABLE 6 05 Dec 2007 6:26 AM 30 Dec 2009 10:42 AM ;
;;10.0;IHS/RPMS UNIFORM DATA SYSTEM;;FEB 04, 2016;Build 50
T6 ;EP
S BUDPG=0,BUDQUIT="",BUDFNP=1,BUDTYPE="D"
D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
K BUDFNP
W !,"SELECTED INFECTIOUS AND PARASITIC DISEASES"
W !," 1. Symptomatic HIV",?35,$$CTR("042,079.53",15),?56,$$C($P(BUDT6("V"),U,1)),?70,$$C($P(BUDT6("P"),U,1)),!,BUD80L
W !," 2. Asymptomatic HIV",?35,$$CTR("V08",15),?56,$$C($P(BUDT6("V"),U,2)),?70,$$C($P(BUDT6("P"),U,2)),!,BUD80L
W !," 3. Tuberculosis",?35,$$CTR("010.xx-018.xx",15),?56,$$C($P(BUDT6("V"),U,3)),?70,$$C($P(BUDT6("P"),U,3)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !," 4. Syphilis and other sexually",!?6,"transmitted diseases",?35,$$CTR("090.xx-099.xx",15),?56,$$C($P(BUDT6("V"),U,4)),?70,$$C($P(BUDT6("P"),U,4)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !!,"SELECTED DISEASES OF THE RESPIRATORY SYSTEM",!,BUD80L
W !," 5. Asthma",?35,$$CTR("493.xx",15),?56,$$C($P(BUDT6("V"),U,5)),?70,$$C($P(BUDT6("P"),U,5)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !," 6. Chronic bronchitis and ",?35,$$CTR("490.xx-492.xx",15),!?6,"emphysema",?56,$$C($P(BUDT6("V"),U,6)),?70,$$C($P(BUDT6("P"),U,6)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !!,"SELECTED OTHER MEDICAL CONDITIONS",!,BUD80L
W !," 7. Abnormal breast findings,",?35,$$CTR("174.xx; 198.81; 233.0x",15),!,?6,"female",?35,$$CTR("238.3; 793.8x",15),?56,$$C($P(BUDT6("V"),U,7)),?70,$$C($P(BUDT6("P"),U,7)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !," 8. Abnormal cervical findings",?35,$$CTR("180.xx; 198.82;",15),!,?35,"233.1x; 795.0x",?56,$$C($P(BUDT6("V"),U,8)),?70,$$C($P(BUDT6("P"),U,8)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !," 9. Diabetes mellitus",?35,$$CTR("250.xx; 648.0x;",15),!?35,$$CTR("775.1x",15),?56,$$C($P(BUDT6("V"),U,9)),?70,$$C($P(BUDT6("P"),U,9)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"10. Heart disease (selected)",?35,$$CTR("391.xx-392.0x",15),!?35,$$CTR("410.xx-429.xx",15),?56,$$C($P(BUDT6("V"),U,10)),?70,$$C($P(BUDT6("P"),U,10)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"11. Hypertension",?35,$$CTR("401.xx-405.xx",15),?56,$$C($P(BUDT6("V"),U,11)),?70,$$C($P(BUDT6("P"),U,11)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"12. Contact dermatitis and",?35,$$CTR("692.xx",15),!?6,"other eczema",?56,$$C($P(BUDT6("V"),U,12)),?70,$$C($P(BUDT6("P"),U,12)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"13. Dehydration",?35,$$CTR("276.5x",15),?56,$$C($P(BUDT6("V"),U,13)),?70,$$C($P(BUDT6("P"),U,13)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"14. Exposure to heat or cold",?35,$$CTR("991.xx-992.xx",15),?56,$$C($P(BUDT6("V"),U,14)),?70,$$C($P(BUDT6("P"),U,14)),!,BUD80L
I $Y>(IOSL-6) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,?35,$$CTR("278.00-278.02,",15)
W !?35,$$CTR("V85.xx excluding",15)
W !,"14a. Overweight and obesity",?35,$$CTR("V85.0, V85.1,",14),?56,$$C($P(BUDT6("V"),U,60)),?70,$$C($P(BUDT6("P"),U,60))
W !?35,$$CTR("V85.51, V85.52",15),!,BUD80L
I $Y>(IOSL-6) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !!,"SELECTED CHILDHOOD CONDITIONS",!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"15. Otitis Media and eustachian tube",!?6,"disorders",?35,$$CTR("381.xx-382.xx",15),?56,$$C($P(BUDT6("V"),U,15)),?70,$$C($P(BUDT6("P"),U,15)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"16. Selected perinatal medical",?35,$$CTR("770.xx; 771.xx; 773.xx",23),!?6," conditions",?35,$$CTR("774.xx-779.xx",15),!,?35,"excluding 779.3x",?56,$$C($P(BUDT6("V"),U,16)),?70,$$C($P(BUDT6("P"),U,16)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"17. Lack of expected normal",?35,$$CTR("260.xx-269.xx; 779.3x",22),!?6,"physical development",?35,$$CTR("783.3x-783.4x",15)
W !?6,"(such as delayed milestone;",!?6,"failure to gain weight; failure to",!?6,"thrive)-does not include sexual"
W !?6,"or mental development;",!?6,"Nutritional deficiencies",?56,$$C($P(BUDT6("V"),U,17)),?70,$$C($P(BUDT6("P"),U,17)),!,BUD80L
I $Y>(IOSL-4) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !!,"SELECTED MENTAL HEALTH AND SUBSTANCE ABUSE CONDITIONS",!,BUD80L
W !,?35,"291.xx; 303.xx; ",!,"18. Alcohol related disorders",?35,"305.0x, 357.5x",?56,$$C($P(BUDT6("V"),U,18)),?70,$$C($P(BUDT6("P"),U,18)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"19. Other substance related",?35,"292.1x-292.8x",!?6,"disorders (excluding tobacco",?35,"304.xx, 305.2x-305.9x"
W !?6,"use disorders)",?35,"357.6x, 648.3x",?56,$$C($P(BUDT6("V"),U,19)),?70,$$C($P(BUDT6("P"),U,19)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"19a. Tobacco use disorder",?35,"305.1",?56,$$C($P(BUDT6("V"),U,61)),?70,$$C($P(BUDT6("P"),U,61)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"20a. Depression and other mood",?35,"296.xx, 300.4"
W !,?6,"disorders",?35,"301.13, 311.xx",?56,$$C($P(BUDT6("V"),U,40)),?70,$$C($P(BUDT6("P"),U,40)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"20b. Anxiety disorders including",?35,"300.0x, 300.2x, 300.3"
W !,?6,"PTSD",?35,"308.3, 309.81",?56,$$C($P(BUDT6("V"),U,41)),?70,$$C($P(BUDT6("P"),U,41)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !,"20c. Attention Deficit and",?35,"312.8x, 312.9x,"
W !?5,"disruptive behavior disorders",?35,"313.81, 314.xx",?56,$$C($P(BUDT6("V"),U,42)),?70,$$C($P(BUDT6("P"),U,42)),!,BUD80L
I $Y>(IOSL-12) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH
W !?35,"290.xx",!?35,"293.xx - 302.xx",!?35,"(excluding 296.xx"
W !,"20d. Other mental disorders,",?35,"300.0x, 300.2x, 300.3"
W !?6,"excluding drug or alcohol",?35,"300.4, 301.13);",!?6,"dependence",?35,"306.xx-319.xx (excluding 308.3,"
W !?6,"(includes mental retardation)",?35,"309.81, 311.xx, 312.8x,",!?35,"312.9x, 313.81, "
W !?35,"314.xx)",?56,$$C($P(BUDT6("V"),U,43)),?70,$$C($P(BUDT6("P"),U,43)),!,BUD80L
;
SRV ;
S BUDTYPE="S" D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !!,"SELECTED DIAGNOSTIC TESTS/SCREENING/PREVENTIVE SERVICES",!,BUD80L
W !,"21. HIV Test",?33,"CPT-4: 86689; 86701-86703",!,?33,"87390-87391",!,?33,"LOINC & site-",!,?33,"defined taxonomies",?56,$$C($P(BUDT6("V"),U,21)),?70,$$C($P(BUDT6("P"),U,21)),!,BUD80L
I $Y>(IOSL-6) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"22. Mammogram",?33,"CPT-4: 77052, 77057",!,?33,"OR ICD-9: V76.11, V76.12"
W !?33,"WH Mammogram Screening",!?33,"WH Mammogram DX Bilat",!?33,"WH Mammogram DX Unilat"
W ?56,$$C($P(BUDT6("V"),U,22)),?70,$$C($P(BUDT6("P"),U,22)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"23. Pap Test",?33,"CPT-4: 88141-88155, 88164-88167",!?33,"88174-88175, OR"
;W !?33,"G0101, G0123, G0124, G0141, G0143,",!?33,"G0144, G0145, G0147, G0148, P3000",!?33,"P3001, Q0091"
W !?33,"ICD-9: V72.3, V72.31, V76.2",!?33,"VLab Pap Smear; WH Pap Smear; "
W !?33,"LOINC & site",!,?33,"defined taxonomies",?56,$$C($P(BUDT6("V"),U,23)),?70,$$C($P(BUDT6("P"),U,23)),!,BUD80L
I $Y>(IOSL-13) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"24. Selected immunizations;",?33,"CPT-4: 90633-90634"
W !?6,"Hepatitis A, Hemophilius ",?33,"90645-90648"
W !?6,"Influenza B (HIB), ",?33,"90669, 90696-90702"
W !?6,"Pneumococcal, ",?33,"90704-90716,"
W !?6,"Diphtheria, ",?33,"90718-90723"
W !?6,"Tetanus, Pertussis (DTap)",?33,"90743-90744, 90748"
W !?6,"(DTP)(DT), Mumps, Measles,",?33,"CVX: 83-84, 46-49, 100"
W !?6,"Rubella, Poliovirus, ",?33,"130, 120, 20, 01, 28"
W !?6,"Varicella, ",?33,"02-07, 09-10, 21, 94, 113, 115"
W !?6,"Hepatitis B Child",?33,"22, 50, 110, 43",!?33,"08, 51"
W ?56,$$C($P(BUDT6("V"),U,24)),?70,$$C($P(BUDT6("P"),U,24)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"24a. Seasonal Flu vaccine",?33,"CPT-4: 90655-90662",?56,$$C($P(BUDT6("V"),U,65)),?70,$$C($P(BUDT6("P"),U,65)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"24b. H1N1 Flu vaccine",?33,"CPT-4: 90663; 90470",?56,$$C($P(BUDT6("V"),U,66)),?70,$$C($P(BUDT6("P"),U,66)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"25. Contraceptive Management",?35,$$CTR("ICD-9: V25.xx",15),?56,$$C($P(BUDT6("V"),U,25)),?70,$$C($P(BUDT6("P"),U,25)),!,BUD80L
I $Y>(IOSL-6) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"26. Health supervision of infant",?34,"Clinic code 24, 57;",!?6," or child (ages 0 - 11)",?34,"CPT-4: 99391-99393;",!?34,"99381-99383"
W ?56,$$C($P(BUDT6("V"),U,26)),?70,$$C($P(BUDT6("P"),U,26)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"26a. Childhood lead test",?35,"CPT-4: 83655"
W !?6,"screening (9-72 months)",?56,$$C($P(BUDT6("V"),U,62)),?70,$$C($P(BUDT6("P"),U,62)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"26b. Screening, Brief Intervention",?35,"CPT-4: 99408-99409"
W !?6,"and Referral (SBIRT)",?35,"Pat Ed: AOD-INJ",?56,$$C($P(BUDT6("V"),U,63)),?70,$$C($P(BUDT6("P"),U,63)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"26c. Smoke/Tobacco counseling",?35,"CPT-4: 99406 and 99407;"
W !?6,"Smoking cessation treatment",?35,"S9075; Pat Ed: TO-*;",?56,$$C($P(BUDT6("V"),U,63)),?70,$$C($P(BUDT6("P"),U,63))
W !?35,"-TO*, *-SHS; 305.1",!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
DENT ;
W !!,"SELECTED DENTAL SERVICES",!,BUD80L
W !,"27. I. Emergency Services",?34,"ADA: 9110",?56,$$C($P(BUDT6("V"),U,27)),?70,$$C($P(BUDT6("P"),U,27)),!?34,"CPT-4: D9110",!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"28. II. Oral Exams",?34,"ADA: 0120, 0140, 0145, 0150",!?34,"0160, 0170, 0180; CPT-4: D0120",!?34,"D0140, D0145, D0150, D0160",!?34,"D0170, D0180",?56,$$C($P(BUDT6("V"),U,28)),?70,$$C($P(BUDT6("P"),U,28)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"29. Prophylaxis - adult",?34,"ADA: 1110, 1120,",!?11,"or child",?34,"CPT-4: D1110, D1120",?56,$$C($P(BUDT6("V"),U,29)),?70,$$C($P(BUDT6("P"),U,29)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"30. Sealants",?34,"ADA: 1351;",!?34,"CPT-4: D1351"
W ?56,$$C($P(BUDT6("V"),U,30)),?70,$$C($P(BUDT6("P"),U,30)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"31. Fluoride treatment - ",?34,"ADA: 1203, 1204, 1206",!?10,"adult or child",?34,"CPT-4: D1203, D1204",!?34,"D1206",?56,$$C($P(BUDT6("V"),U,31)),?70,$$C($P(BUDT6("P"),U,31)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"32. III. Restorative Services",?34,"ADA: 21xx-29xx",!?34,"CPT-4: D21xx-D29xx"
W ?56,$$C($P(BUDT6("V"),U,32)),?70,$$C($P(BUDT6("P"),U,32)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"33. IV. Oral Surgery",?34,"ADA: 7111, 7140, 7210, 7220"
W !?6,"(extractions and other",?34,"7230, 7240, 7241, 7250, 7260"
W !?6,"surgical procedures)",?34,"7261, 7270, 7272, 7280",!?34,"CPT-4: D7111, D7140, D7210, ",!?34,"D7220, D7230, D7240, D7241,",!?34,"D7250, D7260, D7261, ",!?34,"D7270, D7272, D7280"
W ?56,$$C($P(BUDT6("V"),U,33)),?70,$$C($P(BUDT6("P"),U,33)),!,BUD80L
I $Y>(IOSL-3) D HEADER^BUD9RPTP Q:BUDQUIT D T6SH1
W !,"34. V. Rehabilitative services ",!?6,"(Endo, Perio, Prostho, Ortho)",?34,"ADA: 3xxx, 4xxx, 5xxx",!?34,"6xxx, 8xxx",!?34,"CPT-4: D3xxx, D4xxx, D5xxx",!?34,"D6xxx, D8xxx"
W ?56,$$C($P(BUDT6("V"),U,34)),?70,$$C($P(BUDT6("P"),U,34)),!,BUD80L
W !
Q
T6SH ;
W !,$$CTR("TABLE 6A-",80),!
W $$CTR("SELECTED DIAGNOSES AND SERVICES RENDERED",80)
W !,$TR($J("",80)," ","-")
W !,?35,"Applicable",?54,"Number of",?69,"# of Pts"
W !?35,"icd-9-cm",?54,"Visits by",?69,"w/this prim"
W !?35,"code",?54,"prim dx",?70,"Dx"
I BUDTYPE="D" W !,"DIAGNOSTIC CATEGORY",?60,"(a)",?75,"(b)"
I BUDTYPE="S" W !,"SERVICE CATEGORY",?61,"(a)",?75,"(b)"
W !,$TR($J("",80)," ","-"),!
Q
T6SH1 ;
W !,$$CTR("TABLE 6A-",80),!
W $$CTR("SELECTED DIAGNOSES AND SERVICES RENDERED",80)
W !,$TR($J("",80)," ","-")
W !,?37,"Applicable",?54,"Number of",?70,"# of Pts"
W !?37,"icd-9-cm or",?54,"Visits"
W !?37,"CPT-4 codes"
I BUDTYPE="D" W !,"DIAGNOSTIC CATEGORY",?60,"(a)",?75,"(b)"
I BUDTYPE="S" W !,"SERVICE CATEGORY",?61,"(a)",?75,"(b)"
W !,$TR($J("",80)," ","-"),!
Q
C(X) ;
S X2=0,X3=9
D COMMA^%DTC
Q X
CTR(X,Y) ;EP - Center X in a field Y wide.
Q $J("",$S($D(Y):Y,1:IOM)-$L(X)\2)_X
;----------
USR() ;EP - Return name of current user from ^VA(200.
Q $S($G(DUZ):$S($D(^VA(200,DUZ,0)):$P(^(0),U),1:"UNKNOWN"),1:"DUZ UNDEFINED OR 0")
;----------
LOC() ;EP - Return location name from file 4 based on DUZ(2).
Q $S($G(DUZ(2)):$S($D(^DIC(4,DUZ(2),0)):$P(^(0),U),1:"UNKNOWN"),1:"DUZ(2) UNDEFINED OR 0")
;----------
BUD9RPP1 ; IHS/CMI/LAB - UDS PRINT TABLE 6 05 Dec 2007 6:26 AM 30 Dec 2009 10:42 AM ;
+1 ;;10.0;IHS/RPMS UNIFORM DATA SYSTEM;;FEB 04, 2016;Build 50
T6 ;EP
+1 SET BUDPG=0
SET BUDQUIT=""
SET BUDFNP=1
SET BUDTYPE="D"
+2 DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+3 KILL BUDFNP
+4 WRITE !,"SELECTED INFECTIOUS AND PARASITIC DISEASES"
+5 WRITE !," 1. Symptomatic HIV",?35,$$CTR("042,079.53",15),?56,$$C($PIECE(BUDT6("V"),U,1)),?70,$$C($PIECE(BUDT6("P"),U,1)),!,BUD80L
+6 WRITE !," 2. Asymptomatic HIV",?35,$$CTR("V08",15),?56,$$C($PIECE(BUDT6("V"),U,2)),?70,$$C($PIECE(BUDT6("P"),U,2)),!,BUD80L
+7 WRITE !," 3. Tuberculosis",?35,$$CTR("010.xx-018.xx",15),?56,$$C($PIECE(BUDT6("V"),U,3)),?70,$$C($PIECE(BUDT6("P"),U,3)),!,BUD80L
+8 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+9 WRITE !," 4. Syphilis and other sexually",!?6,"transmitted diseases",?35,$$CTR("090.xx-099.xx",15),?56,$$C($PIECE(BUDT6("V"),U,4)),?70,$$C($PIECE(BUDT6("P"),U,4)),!,BUD80L
+10 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+11 WRITE !!,"SELECTED DISEASES OF THE RESPIRATORY SYSTEM",!,BUD80L
+12 WRITE !," 5. Asthma",?35,$$CTR("493.xx",15),?56,$$C($PIECE(BUDT6("V"),U,5)),?70,$$C($PIECE(BUDT6("P"),U,5)),!,BUD80L
+13 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+14 WRITE !," 6. Chronic bronchitis and ",?35,$$CTR("490.xx-492.xx",15),!?6,"emphysema",?56,$$C($PIECE(BUDT6("V"),U,6)),?70,$$C($PIECE(BUDT6("P"),U,6)),!,BUD80L
+15 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+16 WRITE !!,"SELECTED OTHER MEDICAL CONDITIONS",!,BUD80L
+17 WRITE !," 7. Abnormal breast findings,",?35,$$CTR("174.xx; 198.81; 233.0x",15),!,?6,"female",?35,$$CTR("238.3; 793.8x",15),?56,$$C($PIECE(BUDT6("V"),U,7)),?70,$$C($PIECE(BUDT6("P"),U,7)),!,BUD80L
+18 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+19 WRITE !," 8. Abnormal cervical findings",?35,$$CTR("180.xx; 198.82;",15),!,?35,"233.1x; 795.0x",?56,$$C($PIECE(BUDT6("V"),U,8)),?70,$$C($PIECE(BUDT6("P"),U,8)),!,BUD80L
+20 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+21 WRITE !," 9. Diabetes mellitus",?35,$$CTR("250.xx; 648.0x;",15),!?35,$$CTR("775.1x",15),?56,$$C($PIECE(BUDT6("V"),U,9)),?70,$$C($PIECE(BUDT6("P"),U,9)),!,BUD80L
+22 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+23 WRITE !,"10. Heart disease (selected)",?35,$$CTR("391.xx-392.0x",15),!?35,$$CTR("410.xx-429.xx",15),?56,$$C($PIECE(BUDT6("V"),U,10)),?70,$$C($PIECE(BUDT6("P"),U,10)),!,BUD80L
+24 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+25 WRITE !,"11. Hypertension",?35,$$CTR("401.xx-405.xx",15),?56,$$C($PIECE(BUDT6("V"),U,11)),?70,$$C($PIECE(BUDT6("P"),U,11)),!,BUD80L
+26 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+27 WRITE !,"12. Contact dermatitis and",?35,$$CTR("692.xx",15),!?6,"other eczema",?56,$$C($PIECE(BUDT6("V"),U,12)),?70,$$C($PIECE(BUDT6("P"),U,12)),!,BUD80L
+28 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+29 WRITE !,"13. Dehydration",?35,$$CTR("276.5x",15),?56,$$C($PIECE(BUDT6("V"),U,13)),?70,$$C($PIECE(BUDT6("P"),U,13)),!,BUD80L
+30 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+31 WRITE !,"14. Exposure to heat or cold",?35,$$CTR("991.xx-992.xx",15),?56,$$C($PIECE(BUDT6("V"),U,14)),?70,$$C($PIECE(BUDT6("P"),U,14)),!,BUD80L
+32 IF $Y>(IOSL-6)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+33 WRITE !,?35,$$CTR("278.00-278.02,",15)
+34 WRITE !?35,$$CTR("V85.xx excluding",15)
+35 WRITE !,"14a. Overweight and obesity",?35,$$CTR("V85.0, V85.1,",14),?56,$$C($PIECE(BUDT6("V"),U,60)),?70,$$C($PIECE(BUDT6("P"),U,60))
+36 WRITE !?35,$$CTR("V85.51, V85.52",15),!,BUD80L
+37 IF $Y>(IOSL-6)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+38 WRITE !!,"SELECTED CHILDHOOD CONDITIONS",!,BUD80L
+39 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+40 WRITE !,"15. Otitis Media and eustachian tube",!?6,"disorders",?35,$$CTR("381.xx-382.xx",15),?56,$$C($PIECE(BUDT6("V"),U,15)),?70,$$C($PIECE(BUDT6("P"),U,15)),!,BUD80L
+41 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+42 WRITE !,"16. Selected perinatal medical",?35,$$CTR("770.xx; 771.xx; 773.xx",23),!?6," conditions",?35,$$CTR("774.xx-779.xx",15),!,?35,"excluding 779.3x",?56,$$C($PIECE(BUDT6("V"),U,16)),?70,$$C($PIECE(BUDT6("P"),U,16)),!,BUD80L
+43 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+44 WRITE !,"17. Lack of expected normal",?35,$$CTR("260.xx-269.xx; 779.3x",22),!?6,"physical development",?35,$$CTR("783.3x-783.4x",15)
+45 WRITE !?6,"(such as delayed milestone;",!?6,"failure to gain weight; failure to",!?6,"thrive)-does not include sexual"
+46 WRITE !?6,"or mental development;",!?6,"Nutritional deficiencies",?56,$$C($PIECE(BUDT6("V"),U,17)),?70,$$C($PIECE(BUDT6("P"),U,17)),!,BUD80L
+47 IF $Y>(IOSL-4)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+48 WRITE !!,"SELECTED MENTAL HEALTH AND SUBSTANCE ABUSE CONDITIONS",!,BUD80L
+49 WRITE !,?35,"291.xx; 303.xx; ",!,"18. Alcohol related disorders",?35,"305.0x, 357.5x",?56,$$C($PIECE(BUDT6("V"),U,18)),?70,$$C($PIECE(BUDT6("P"),U,18)),!,BUD80L
+50 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+51 WRITE !,"19. Other substance related",?35,"292.1x-292.8x",!?6,"disorders (excluding tobacco",?35,"304.xx, 305.2x-305.9x"
+52 WRITE !?6,"use disorders)",?35,"357.6x, 648.3x",?56,$$C($PIECE(BUDT6("V"),U,19)),?70,$$C($PIECE(BUDT6("P"),U,19)),!,BUD80L
+53 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+54 WRITE !,"19a. Tobacco use disorder",?35,"305.1",?56,$$C($PIECE(BUDT6("V"),U,61)),?70,$$C($PIECE(BUDT6("P"),U,61)),!,BUD80L
+55 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+56 WRITE !,"20a. Depression and other mood",?35,"296.xx, 300.4"
+57 WRITE !,?6,"disorders",?35,"301.13, 311.xx",?56,$$C($PIECE(BUDT6("V"),U,40)),?70,$$C($PIECE(BUDT6("P"),U,40)),!,BUD80L
+58 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+59 WRITE !,"20b. Anxiety disorders including",?35,"300.0x, 300.2x, 300.3"
+60 WRITE !,?6,"PTSD",?35,"308.3, 309.81",?56,$$C($PIECE(BUDT6("V"),U,41)),?70,$$C($PIECE(BUDT6("P"),U,41)),!,BUD80L
+61 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+62 WRITE !,"20c. Attention Deficit and",?35,"312.8x, 312.9x,"
+63 WRITE !?5,"disruptive behavior disorders",?35,"313.81, 314.xx",?56,$$C($PIECE(BUDT6("V"),U,42)),?70,$$C($PIECE(BUDT6("P"),U,42)),!,BUD80L
+64 IF $Y>(IOSL-12)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH
+65 WRITE !?35,"290.xx",!?35,"293.xx - 302.xx",!?35,"(excluding 296.xx"
+66 WRITE !,"20d. Other mental disorders,",?35,"300.0x, 300.2x, 300.3"
+67 WRITE !?6,"excluding drug or alcohol",?35,"300.4, 301.13);",!?6,"dependence",?35,"306.xx-319.xx (excluding 308.3,"
+68 WRITE !?6,"(includes mental retardation)",?35,"309.81, 311.xx, 312.8x,",!?35,"312.9x, 313.81, "
+69 WRITE !?35,"314.xx)",?56,$$C($PIECE(BUDT6("V"),U,43)),?70,$$C($PIECE(BUDT6("P"),U,43)),!,BUD80L
+70 ;
SRV ;
+1 SET BUDTYPE="S"
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+2 WRITE !!,"SELECTED DIAGNOSTIC TESTS/SCREENING/PREVENTIVE SERVICES",!,BUD80L
+3 WRITE !,"21. HIV Test",?33,"CPT-4: 86689; 86701-86703",!,?33,"87390-87391",!,?33,"LOINC & site-",!,?33,"defined taxonomies",?56,$$C($PIECE(BUDT6("V"),U,21)),?70,$$C($PIECE(BUDT6("P"),U,21)),!,BUD80L
+4 IF $Y>(IOSL-6)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+5 WRITE !,"22. Mammogram",?33,"CPT-4: 77052, 77057",!,?33,"OR ICD-9: V76.11, V76.12"
+6 WRITE !?33,"WH Mammogram Screening",!?33,"WH Mammogram DX Bilat",!?33,"WH Mammogram DX Unilat"
+7 WRITE ?56,$$C($PIECE(BUDT6("V"),U,22)),?70,$$C($PIECE(BUDT6("P"),U,22)),!,BUD80L
+8 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+9 WRITE !,"23. Pap Test",?33,"CPT-4: 88141-88155, 88164-88167",!?33,"88174-88175, OR"
+10 ;W !?33,"G0101, G0123, G0124, G0141, G0143,",!?33,"G0144, G0145, G0147, G0148, P3000",!?33,"P3001, Q0091"
+11 WRITE !?33,"ICD-9: V72.3, V72.31, V76.2",!?33,"VLab Pap Smear; WH Pap Smear; "
+12 WRITE !?33,"LOINC & site",!,?33,"defined taxonomies",?56,$$C($PIECE(BUDT6("V"),U,23)),?70,$$C($PIECE(BUDT6("P"),U,23)),!,BUD80L
+13 IF $Y>(IOSL-13)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+14 WRITE !,"24. Selected immunizations;",?33,"CPT-4: 90633-90634"
+15 WRITE !?6,"Hepatitis A, Hemophilius ",?33,"90645-90648"
+16 WRITE !?6,"Influenza B (HIB), ",?33,"90669, 90696-90702"
+17 WRITE !?6,"Pneumococcal, ",?33,"90704-90716,"
+18 WRITE !?6,"Diphtheria, ",?33,"90718-90723"
+19 WRITE !?6,"Tetanus, Pertussis (DTap)",?33,"90743-90744, 90748"
+20 WRITE !?6,"(DTP)(DT), Mumps, Measles,",?33,"CVX: 83-84, 46-49, 100"
+21 WRITE !?6,"Rubella, Poliovirus, ",?33,"130, 120, 20, 01, 28"
+22 WRITE !?6,"Varicella, ",?33,"02-07, 09-10, 21, 94, 113, 115"
+23 WRITE !?6,"Hepatitis B Child",?33,"22, 50, 110, 43",!?33,"08, 51"
+24 WRITE ?56,$$C($PIECE(BUDT6("V"),U,24)),?70,$$C($PIECE(BUDT6("P"),U,24)),!,BUD80L
+25 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+26 WRITE !,"24a. Seasonal Flu vaccine",?33,"CPT-4: 90655-90662",?56,$$C($PIECE(BUDT6("V"),U,65)),?70,$$C($PIECE(BUDT6("P"),U,65)),!,BUD80L
+27 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+28 WRITE !,"24b. H1N1 Flu vaccine",?33,"CPT-4: 90663; 90470",?56,$$C($PIECE(BUDT6("V"),U,66)),?70,$$C($PIECE(BUDT6("P"),U,66)),!,BUD80L
+29 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+30 WRITE !,"25. Contraceptive Management",?35,$$CTR("ICD-9: V25.xx",15),?56,$$C($PIECE(BUDT6("V"),U,25)),?70,$$C($PIECE(BUDT6("P"),U,25)),!,BUD80L
+31 IF $Y>(IOSL-6)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+32 WRITE !,"26. Health supervision of infant",?34,"Clinic code 24, 57;",!?6," or child (ages 0 - 11)",?34,"CPT-4: 99391-99393;",!?34,"99381-99383"
+33 WRITE ?56,$$C($PIECE(BUDT6("V"),U,26)),?70,$$C($PIECE(BUDT6("P"),U,26)),!,BUD80L
+34 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+35 WRITE !,"26a. Childhood lead test",?35,"CPT-4: 83655"
+36 WRITE !?6,"screening (9-72 months)",?56,$$C($PIECE(BUDT6("V"),U,62)),?70,$$C($PIECE(BUDT6("P"),U,62)),!,BUD80L
+37 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+38 WRITE !,"26b. Screening, Brief Intervention",?35,"CPT-4: 99408-99409"
+39 WRITE !?6,"and Referral (SBIRT)",?35,"Pat Ed: AOD-INJ",?56,$$C($PIECE(BUDT6("V"),U,63)),?70,$$C($PIECE(BUDT6("P"),U,63)),!,BUD80L
+40 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+41 WRITE !,"26c. Smoke/Tobacco counseling",?35,"CPT-4: 99406 and 99407;"
+42 WRITE !?6,"Smoking cessation treatment",?35,"S9075; Pat Ed: TO-*;",?56,$$C($PIECE(BUDT6("V"),U,63)),?70,$$C($PIECE(BUDT6("P"),U,63))
+43 WRITE !?35,"-TO*, *-SHS; 305.1",!,BUD80L
+44 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
DENT ;
+1 WRITE !!,"SELECTED DENTAL SERVICES",!,BUD80L
+2 WRITE !,"27. I. Emergency Services",?34,"ADA: 9110",?56,$$C($PIECE(BUDT6("V"),U,27)),?70,$$C($PIECE(BUDT6("P"),U,27)),!?34,"CPT-4: D9110",!,BUD80L
+3 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+4 WRITE !,"28. II. Oral Exams",?34,"ADA: 0120, 0140, 0145, 0150",!?34,"0160, 0170, 0180; CPT-4: D0120",!?34,"D0140, D0145, D0150, D0160",!?34,"D0170, D0180",?56,$$C($PIECE(BUDT6("V"),U,28)),?70,$$C($PIECE(BUDT6("P"),U,28)),!,BUD80L
+5 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+6 WRITE !,"29. Prophylaxis - adult",?34,"ADA: 1110, 1120,",!?11,"or child",?34,"CPT-4: D1110, D1120",?56,$$C($PIECE(BUDT6("V"),U,29)),?70,$$C($PIECE(BUDT6("P"),U,29)),!,BUD80L
+7 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+8 WRITE !,"30. Sealants",?34,"ADA: 1351;",!?34,"CPT-4: D1351"
+9 WRITE ?56,$$C($PIECE(BUDT6("V"),U,30)),?70,$$C($PIECE(BUDT6("P"),U,30)),!,BUD80L
+10 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+11 WRITE !,"31. Fluoride treatment - ",?34,"ADA: 1203, 1204, 1206",!?10,"adult or child",?34,"CPT-4: D1203, D1204",!?34,"D1206",?56,$$C($PIECE(BUDT6("V"),U,31)),?70,$$C($PIECE(BUDT6("P"),U,31)),!,BUD80L
+12 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+13 WRITE !,"32. III. Restorative Services",?34,"ADA: 21xx-29xx",!?34,"CPT-4: D21xx-D29xx"
+14 WRITE ?56,$$C($PIECE(BUDT6("V"),U,32)),?70,$$C($PIECE(BUDT6("P"),U,32)),!,BUD80L
+15 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+16 WRITE !,"33. IV. Oral Surgery",?34,"ADA: 7111, 7140, 7210, 7220"
+17 WRITE !?6,"(extractions and other",?34,"7230, 7240, 7241, 7250, 7260"
+18 WRITE !?6,"surgical procedures)",?34,"7261, 7270, 7272, 7280",!?34,"CPT-4: D7111, D7140, D7210, ",!?34,"D7220, D7230, D7240, D7241,",!?34,"D7250, D7260, D7261, ",!?34,"D7270, D7272, D7280"
+19 WRITE ?56,$$C($PIECE(BUDT6("V"),U,33)),?70,$$C($PIECE(BUDT6("P"),U,33)),!,BUD80L
+20 IF $Y>(IOSL-3)
DO HEADER^BUD9RPTP
IF BUDQUIT
QUIT
DO T6SH1
+21 WRITE !,"34. V. Rehabilitative services ",!?6,"(Endo, Perio, Prostho, Ortho)",?34,"ADA: 3xxx, 4xxx, 5xxx",!?34,"6xxx, 8xxx",!?34,"CPT-4: D3xxx, D4xxx, D5xxx",!?34,"D6xxx, D8xxx"
+22 WRITE ?56,$$C($PIECE(BUDT6("V"),U,34)),?70,$$C($PIECE(BUDT6("P"),U,34)),!,BUD80L
+23 WRITE !
+24 QUIT
T6SH ;
+1 WRITE !,$$CTR("TABLE 6A-",80),!
+2 WRITE $$CTR("SELECTED DIAGNOSES AND SERVICES RENDERED",80)
+3 WRITE !,$TRANSLATE($JUSTIFY("",80)," ","-")
+4 WRITE !,?35,"Applicable",?54,"Number of",?69,"# of Pts"
+5 WRITE !?35,"icd-9-cm",?54,"Visits by",?69,"w/this prim"
+6 WRITE !?35,"code",?54,"prim dx",?70,"Dx"
+7 IF BUDTYPE="D"
WRITE !,"DIAGNOSTIC CATEGORY",?60,"(a)",?75,"(b)"
+8 IF BUDTYPE="S"
WRITE !,"SERVICE CATEGORY",?61,"(a)",?75,"(b)"
+9 WRITE !,$TRANSLATE($JUSTIFY("",80)," ","-"),!
+10 QUIT
T6SH1 ;
+1 WRITE !,$$CTR("TABLE 6A-",80),!
+2 WRITE $$CTR("SELECTED DIAGNOSES AND SERVICES RENDERED",80)
+3 WRITE !,$TRANSLATE($JUSTIFY("",80)," ","-")
+4 WRITE !,?37,"Applicable",?54,"Number of",?70,"# of Pts"
+5 WRITE !?37,"icd-9-cm or",?54,"Visits"
+6 WRITE !?37,"CPT-4 codes"
+7 IF BUDTYPE="D"
WRITE !,"DIAGNOSTIC CATEGORY",?60,"(a)",?75,"(b)"
+8 IF BUDTYPE="S"
WRITE !,"SERVICE CATEGORY",?61,"(a)",?75,"(b)"
+9 WRITE !,$TRANSLATE($JUSTIFY("",80)," ","-"),!
+10 QUIT
C(X) ;
+1 SET X2=0
SET X3=9
+2 DO COMMA^%DTC
+3 QUIT X
CTR(X,Y) ;EP - Center X in a field Y wide.
+1 QUIT $JUSTIFY("",$SELECT($DATA(Y):Y,1:IOM)-$LENGTH(X)\2)_X
+2 ;----------
USR() ;EP - Return name of current user from ^VA(200.
+1 QUIT $SELECT($GET(DUZ):$SELECT($DATA(^VA(200,DUZ,0)):$PIECE(^(0),U),1:"UNKNOWN"),1:"DUZ UNDEFINED OR 0")
+2 ;----------
LOC() ;EP - Return location name from file 4 based on DUZ(2).
+1 QUIT $SELECT($GET(DUZ(2)):$SELECT($DATA(^DIC(4,DUZ(2),0)):$PIECE(^(0),U),1:"UNKNOWN"),1:"DUZ(2) UNDEFINED OR 0")
+2 ;----------
