IBINI06M ; ; 21-MAR-1994
;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
Q:'DIFQR(356.4) 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),5,99) S:$A(Y)=61 Y=$E(Y,2,999) X NO E S @X=Y
Q Q
;;^UTILITY(U,$J,356.4,15,1,2,0)
;;=(appointment availability not frequent enough to allow for close
;;^UTILITY(U,$J,356.4,15,1,3,0)
;;=follow-up in outpatient setting for care such as medication adjustments,
;;^UTILITY(U,$J,356.4,15,1,4,0)
;;=blood transusions, chemotherapy, etc.)
;;^UTILITY(U,$J,356.4,16,0)
;;=OTHER (BED/SERVICE AVAILABILITY)^4.04^^4^1
;;^UTILITY(U,$J,356.4,16,1,0)
;;=^^1^1^2940201^^^
;;^UTILITY(U,$J,356.4,16,1,1,0)
;;=Other (Specify in comments section)
;;^UTILITY(U,$J,356.4,17,0)
;;=AMBULATORY CARE SEEMS APPROPRIATE^5.01^^5^1
;;^UTILITY(U,$J,356.4,17,1,0)
;;=^^2^2^2940201^^^
;;^UTILITY(U,$J,356.4,17,1,1,0)
;;=Ambulatory Care seem appropriate and services or specialty is
;;^UTILITY(U,$J,356.4,17,1,2,0)
;;=available/offered
;;^UTILITY(U,$J,356.4,18,0)
;;=PHYSICIAN DETERMINED PATIENT NEEDED HOSPITALIZATION^5.02^^5^1
;;^UTILITY(U,$J,356.4,18,1,0)
;;=^^2^2^2940201^^^
;;^UTILITY(U,$J,356.4,18,1,1,0)
;;=Physician determined that patient needed hospitalization for medical
;;^UTILITY(U,$J,356.4,18,1,2,0)
;;=reasons (serious illness or needed hospital services)
;;^UTILITY(U,$J,356.4,19,0)
;;=PHYSICIAN CHOSE TO ADMIT^5.03^^5^1
;;^UTILITY(U,$J,356.4,19,1,0)
;;=^^5^5^2940201^^^
;;^UTILITY(U,$J,356.4,19,1,1,0)
;;=Physician chose to admit though care and service could be rendered
;;^UTILITY(U,$J,356.4,19,1,2,0)
;;=safely and effectively (causing no harm/potential harm to patient) in
;;^UTILITY(U,$J,356.4,19,1,3,0)
;;=an alternate setting (causing no harm/potential harm to patient)
;;^UTILITY(U,$J,356.4,19,1,4,0)
;;=in an alternate/non ambulatory setting, e.g., Hospice, Board
;;^UTILITY(U,$J,356.4,19,1,5,0)
;;=and care, Nursing Home (No medical justification given)
;;^UTILITY(U,$J,356.4,20,0)
;;=MONITORING ORDERS DO NOT REFLECT ACUITY^5.04^^5^1
;;^UTILITY(U,$J,356.4,20,1,0)
;;=^^1^1^2940201^^^^
;;^UTILITY(U,$J,356.4,20,1,1,0)
;;=Monitoring Orders do not reflect acuity as indicated by SI criteria
;;^UTILITY(U,$J,356.4,21,0)
;;=ADMITTED FOR NURSING HOME PLACEMENT^6.01^^6^1
;;^UTILITY(U,$J,356.4,21,1,0)
;;=^^1^1^2940201^^^
;;^UTILITY(U,$J,356.4,21,1,1,0)
;;=Admitted for Nursing Home Placement
;;^UTILITY(U,$J,356.4,22,0)
;;=ADMITTED FOR TRANSFER^6.02^^6^1
;;^UTILITY(U,$J,356.4,22,1,0)
;;=^^1^1^2940201^^^
;;^UTILITY(U,$J,356.4,22,1,1,0)
;;=Admitted for transfer to anohter acute care hospital
;;^UTILITY(U,$J,356.4,23,0)
;;=ADMITTED TO BE ELIGIBLE FOR OTHER CARE^6.03^^6^1
;;^UTILITY(U,$J,356.4,23,1,0)
;;=^^1^1^2940201^^^
;;^UTILITY(U,$J,356.4,23,1,1,0)
;;=Admitted to be eligible for other VA care; e.g., Dental
;;^UTILITY(U,$J,356.4,24,0)
;;=ADMITTED AS A TRANFER FROM ANOTHER HOSPITAL^6.04^^6^1
;;^UTILITY(U,$J,356.4,24,1,0)
;;=^^1^1^2940201^^^
;;^UTILITY(U,$J,356.4,24,1,1,0)
;;=Admitted as a transfer from another hospital
;;^UTILITY(U,$J,356.4,25,0)
;;=ADMITTED FROM BOARDING HOME/CNH^6.05^^6^1
;;^UTILITY(U,$J,356.4,25,1,0)
;;=^^3^3^2940201^^^
;;^UTILITY(U,$J,356.4,25,1,1,0)
;;=Admitted from a boarding home/Contract Nursing Home for
;;^UTILITY(U,$J,356.4,25,1,2,0)
;;=psychosocial reasons; e.g. contract home returned patient
;;^UTILITY(U,$J,356.4,25,1,3,0)
;;=to hospital due to behavioral problems
;;^UTILITY(U,$J,356.4,26,0)
;;=ADMITTED FOR C&P EXAM^6.06^^6^1
;;^UTILITY(U,$J,356.4,26,1,0)
;;=^^1^1^2940201^^^
;;^UTILITY(U,$J,356.4,26,1,1,0)
;;=Admitted for Compensation & Pension Exam
;;^UTILITY(U,$J,356.4,27,0)
;;=OTHER (ADMINISTRATIVE)^6.07^^6^1
;;^UTILITY(U,$J,356.4,27,1,0)
;;=^^1^1^2940201^^^
IBINI06M ; ; 21-MAR-1994
+1 ;;Version 2.0 ; INTEGRATED BILLING ;; 21-MAR-94
+2 IF 'DIFQR(356.4)
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),5,99)
IF $ASCII(Y)=61
SET Y=$EXTRACT(Y,2,999)
XECUTE NO
IF '$TEST
SET @X=Y
Q QUIT
+1 ;;^UTILITY(U,$J,356.4,15,1,2,0)
+2 ;;=(appointment availability not frequent enough to allow for close
+3 ;;^UTILITY(U,$J,356.4,15,1,3,0)
+4 ;;=follow-up in outpatient setting for care such as medication adjustments,
+5 ;;^UTILITY(U,$J,356.4,15,1,4,0)
+6 ;;=blood transusions, chemotherapy, etc.)
+7 ;;^UTILITY(U,$J,356.4,16,0)
+8 ;;=OTHER (BED/SERVICE AVAILABILITY)^4.04^^4^1
+9 ;;^UTILITY(U,$J,356.4,16,1,0)
+10 ;;=^^1^1^2940201^^^
+11 ;;^UTILITY(U,$J,356.4,16,1,1,0)
+12 ;;=Other (Specify in comments section)
+13 ;;^UTILITY(U,$J,356.4,17,0)
+14 ;;=AMBULATORY CARE SEEMS APPROPRIATE^5.01^^5^1
+15 ;;^UTILITY(U,$J,356.4,17,1,0)
+16 ;;=^^2^2^2940201^^^
+17 ;;^UTILITY(U,$J,356.4,17,1,1,0)
+18 ;;=Ambulatory Care seem appropriate and services or specialty is
+19 ;;^UTILITY(U,$J,356.4,17,1,2,0)
+20 ;;=available/offered
+21 ;;^UTILITY(U,$J,356.4,18,0)
+22 ;;=PHYSICIAN DETERMINED PATIENT NEEDED HOSPITALIZATION^5.02^^5^1
+23 ;;^UTILITY(U,$J,356.4,18,1,0)
+24 ;;=^^2^2^2940201^^^
+25 ;;^UTILITY(U,$J,356.4,18,1,1,0)
+26 ;;=Physician determined that patient needed hospitalization for medical
+27 ;;^UTILITY(U,$J,356.4,18,1,2,0)
+28 ;;=reasons (serious illness or needed hospital services)
+29 ;;^UTILITY(U,$J,356.4,19,0)
+30 ;;=PHYSICIAN CHOSE TO ADMIT^5.03^^5^1
+31 ;;^UTILITY(U,$J,356.4,19,1,0)
+32 ;;=^^5^5^2940201^^^
+33 ;;^UTILITY(U,$J,356.4,19,1,1,0)
+34 ;;=Physician chose to admit though care and service could be rendered
+35 ;;^UTILITY(U,$J,356.4,19,1,2,0)
+36 ;;=safely and effectively (causing no harm/potential harm to patient) in
+37 ;;^UTILITY(U,$J,356.4,19,1,3,0)
+38 ;;=an alternate setting (causing no harm/potential harm to patient)
+39 ;;^UTILITY(U,$J,356.4,19,1,4,0)
+40 ;;=in an alternate/non ambulatory setting, e.g., Hospice, Board
+41 ;;^UTILITY(U,$J,356.4,19,1,5,0)
+42 ;;=and care, Nursing Home (No medical justification given)
+43 ;;^UTILITY(U,$J,356.4,20,0)
+44 ;;=MONITORING ORDERS DO NOT REFLECT ACUITY^5.04^^5^1
+45 ;;^UTILITY(U,$J,356.4,20,1,0)
+46 ;;=^^1^1^2940201^^^^
+47 ;;^UTILITY(U,$J,356.4,20,1,1,0)
+48 ;;=Monitoring Orders do not reflect acuity as indicated by SI criteria
+49 ;;^UTILITY(U,$J,356.4,21,0)
+50 ;;=ADMITTED FOR NURSING HOME PLACEMENT^6.01^^6^1
+51 ;;^UTILITY(U,$J,356.4,21,1,0)
+52 ;;=^^1^1^2940201^^^
+53 ;;^UTILITY(U,$J,356.4,21,1,1,0)
+54 ;;=Admitted for Nursing Home Placement
+55 ;;^UTILITY(U,$J,356.4,22,0)
+56 ;;=ADMITTED FOR TRANSFER^6.02^^6^1
+57 ;;^UTILITY(U,$J,356.4,22,1,0)
+58 ;;=^^1^1^2940201^^^
+59 ;;^UTILITY(U,$J,356.4,22,1,1,0)
+60 ;;=Admitted for transfer to anohter acute care hospital
+61 ;;^UTILITY(U,$J,356.4,23,0)
+62 ;;=ADMITTED TO BE ELIGIBLE FOR OTHER CARE^6.03^^6^1
+63 ;;^UTILITY(U,$J,356.4,23,1,0)
+64 ;;=^^1^1^2940201^^^
+65 ;;^UTILITY(U,$J,356.4,23,1,1,0)
+66 ;;=Admitted to be eligible for other VA care; e.g., Dental
+67 ;;^UTILITY(U,$J,356.4,24,0)
+68 ;;=ADMITTED AS A TRANFER FROM ANOTHER HOSPITAL^6.04^^6^1
+69 ;;^UTILITY(U,$J,356.4,24,1,0)
+70 ;;=^^1^1^2940201^^^
+71 ;;^UTILITY(U,$J,356.4,24,1,1,0)
+72 ;;=Admitted as a transfer from another hospital
+73 ;;^UTILITY(U,$J,356.4,25,0)
+74 ;;=ADMITTED FROM BOARDING HOME/CNH^6.05^^6^1
+75 ;;^UTILITY(U,$J,356.4,25,1,0)
+76 ;;=^^3^3^2940201^^^
+77 ;;^UTILITY(U,$J,356.4,25,1,1,0)
+78 ;;=Admitted from a boarding home/Contract Nursing Home for
+79 ;;^UTILITY(U,$J,356.4,25,1,2,0)
+80 ;;=psychosocial reasons; e.g. contract home returned patient
+81 ;;^UTILITY(U,$J,356.4,25,1,3,0)
+82 ;;=to hospital due to behavioral problems
+83 ;;^UTILITY(U,$J,356.4,26,0)
+84 ;;=ADMITTED FOR C&P EXAM^6.06^^6^1
+85 ;;^UTILITY(U,$J,356.4,26,1,0)
+86 ;;=^^1^1^2940201^^^
+87 ;;^UTILITY(U,$J,356.4,26,1,1,0)
+88 ;;=Admitted for Compensation & Pension Exam
+89 ;;^UTILITY(U,$J,356.4,27,0)
+90 ;;=OTHER (ADMINISTRATIVE)^6.07^^6^1
+91 ;;^UTILITY(U,$J,356.4,27,1,0)
+92 ;;=^^1^1^2940201^^^
