FBAALU ;AISC/GRR,WCIOFO/SAB-CPT CODE & MODIFIER LOOKUP ;7/15/1999 ;;3.5;FEE BASIS;**4,77,85**;JAN 30, 1995 ;;Per VHA Directive 10-93-142, this routine should not be modified. ; CPTM(FBDOS,FBDFN,FBCPT,FBMODL) ; Ask CPT Code and optional CPT Modifiers ; input ; FBDOS - (optional) date of service, fileman format ; FBDFN - (optional) patient DFN, pointer to file #2 and file #161 ; FBCPT - (optional) default CPT value (internal) ; FBMODL- (optional) list of default modifiers (internal) ; delimited by commas ; only used when FBCPT accepted by user ; output ; FBAACP - CPT code (internal) ; OR null if not selected ; OR @ if default value (FBCPT) was supplied and user ; entered an @ at the service provided prompt. ; FBX - CPT code (external) OR null if not selected ; FBMODA( - (optional) CPT modifier array ; FBMODA(#) = CPT modifier (internal) ; where # is a integer greater than 0 ; FBGOT - flag (0 or 1) =1 if CPT code was specified and confirmed ; INIT ; initialize optional input variables and FBGOT N DIR,DIROUT,DIRUT,DTOUT,DUOUT,X,Y N FBCATX,FBCPTX,FBEDIT,FBI,FBLAST,FBMOD,FBMODLE,FBMODX,FBTX S:$G(FBDOS)="" FBDOS=DT S FBDFN=$G(FBDFN) S FBGOT=0 ; ASKCPT ; prompt for CPT code S DIR(0)="PO^81:EMZ" S DIR("A")=$S($G(FBCPT)>0:"",1:"Select ")_"Service Provided" I $G(FBCPT)>0 S DIR("B")=$$CPT^FBAAUTL4(FBCPT) S DIR("?",1)="The Current Procedural Terminology Code (CPT Code) as" S DIR("?",2)="specified on the vendors invoice identifying the service" S DIR("?")="the vendor provided to the veteran." S ICPTVDT=$G(FBDOS) D ^DIR K DIR,ICPTVDT I $D(DTOUT)!$D(DUOUT) G EXIT I $G(FBCPT)]"",X="@" D G:FBGOT EXIT G ASKCPT . S DIR(0)="Y" . S DIR("A")="SURE YOU WANT TO DELETE THE ENTIRE SERVICE PROVIDED" . D ^DIR K DIR I Y S FBGOT=1,FBAACP="@",FBX="" K FBMODA I Y>0 S FBAACP=+Y,FBX=$P(Y,U,2) E G EXIT ; *** PASS 3RD PARAMETER TO INCLUDE VA NATIONAL/LOCAL CODES S FBCPTX=$$CPT^ICPTCOD(FBAACP,FBDOS,1) I '$P(FBCPTX,U,7) D G ASKCPT . W $C(7),!," CPT code inactive on date of service (" . W $$FMTE^XLFDT(FBDOS),")" ; K FBMODA I $G(FBCPT)>0,FBCPT=FBAACP,$G(FBMODL)]"" D . N FBI,FBMOD . F FBI=1:1 S FBMOD=$P(FBMODL,",",FBI) Q:FBMOD="" S FBMODA(FBI)=FBMOD ; ASKMOD ; multiply prompt for CPT modifiers ; determine highest number used in list S FBLAST=$O(FBMODA(" "),-1) ; prompt for CPT modifier S DIR(0)="PO^81.3:EMZ" S DIR("A")="Select CPT MODIFIER" S DIR("?")="^D MODHLP^FBAALU" ; *** COMMENT FOLLOWING LINE IF ACCURACY OF API IS NOT FIXED ;S DIR("S")="I $$MODP^ICPTMOD(FBAACP,Y,""I"",FBDOS,1)>0" S FBMODLE=$$MODL^FBAAUTL4("FBMODA","E") W !!,"Current list of modifiers: ",$S(FBMODLE]"":FBMODLE,1:"none") S ICPTVDT=$G(FBDOS) D ^DIR K DIR,ICPTVDT I $D(DTOUT)!$D(DUOUT) G EXIT ; if value was entered then process it and ask another I +Y>0 D G ASKMOD . S FBMOD=+Y . ; if specified CPT modifier already in list set FBEDIT = it's number . S (FBI,FBEDIT)=0 F S FBI=$O(FBMODA(FBI)) Q:'FBI D Q:FBEDIT . . I FBMODA(FBI)=FBMOD S FBEDIT=FBI . ; if in list then edit the existing modifier . I FBEDIT D Q:$D(DIRUT) . . S DIR(0)="PO^81.3:EMZ" . . S DIR("A")=" CPT MODIFIER" . . S DIR("B")=$$MOD^FBAAUTL4(FBMODA(FBEDIT)) . . ; *** COMMENT FOLLOWING LINE IF ACCURACY OF API IS NOT FIXED . . ;S DIR("S")="I $$MODP^ICPTMOD(FBAACP,Y,""I"",FBDOS,1)>0" . . S ICPTVDT=$G(FBDOS) D ^DIR K DIR,ICPTVDT . . I X="@" K FBMODA(FBEDIT) W " (deleted)" ; "@" removes from list . . I +Y>0 S FBMOD=+Y . ; validate entered modifier . S FBMODX=$$MOD^ICPTMOD(FBMOD,"I",FBDOS,1) . I '$P(FBMODX,U,7) D Q . . W $C(7),!," CPT Modifier inactive on date of service (" . . W $$FMTE^XLFDT(FBDOS),")" . ; ensure new value of edited modifier is not already on list . I FBEDIT D Q:FBMOD="" . . S FBI=0 F S FBI=$O(FBMODA(FBI)) Q:'FBI D Q:FBMOD="" . . . I FBMODA(FBI)=FBMOD,FBI'=FBEDIT S FBMOD="" W !,$C(7)," Change was not accepted because the new value is already on the list." . ; update list . I FBEDIT S FBMODA(FBEDIT)=FBMOD ; updated existing modifier . E S FBLAST=FBLAST+1,FBMODA(FBLAST)=FBMOD ; added new modifier ; DIS ; display entered data ; if default CPT code exists and default code and modifiers were not ; changed then skip display and confirm steps. I $G(FBCPT)>0,FBCPT=FBAACP,$G(FBMODL)=$$MODL^FBAAUTL4("FBMODA","I") S FBGOT=1 G EXIT S FBCATX=$$CAT^ICPTAPIU($P(FBCPTX,U,4)) W !!,"Major Category: " W:$P(FBCATX,U)'=-1 $P(FBCATX,U,4) W !,?2,"Sub-Category: " W:$P(FBCATX,U)'=-1 $P(FBCATX,U) W !,?6,"Procedure: ",$P(FBCPTX,U,2)," ",$P(FBCPTX,U,3) I $O(FBMODA(0)) D . W !,?6,"Modifiers: " . S FBI=0 F S FBI=$O(FBMODA(FBI)) Q:'FBI D . . S FBMODX=$$MOD^ICPTMOD(FBMODA(FBI),"I",FBDOS,1) . . W ?22,"-",$P(FBMODX,U,2)," ",$P(FBMODX,U,3),! E W ! W !,?20,"Detail Description ",!,?20,"==================" K FBTX S X=$$CPTD^ICPTCOD(FBAACP,"FBTX",$G(FBDFN),$G(FBDOS)) S FBI=0 F S FBI=$O(FBTX(FBI)) Q:'FBI W !,FBTX(FBI) ; CONF ; confirm entered data S DIR(0)="Y",DIR("A")="Is this correct",DIR("B")="YES" D ^DIR K DIR I $D(DIRUT) G EXIT I 'Y W ! G ASKCPT S FBGOT=1 ; EXIT ; exit point I 'FBGOT S FBAACP="",FBX="" K FBMODA Q ; MODHLP ; CPT MODIFIER prompt help text ; input ; FBMODA( - (optional) array of modifiers ; FBMODA(#)=CPT MODIFIER (internal) ; N DIR,DIROUT,DIRUT,DTOUT,DUOUT N FBI,FBL,FBMODX,FBQUIT,FBTX ; ; compile help text for modifier prompt including a list of ; previously entered modifiers. S FBTX(1)="Modifiers are used to better describe the service (CPT)" S FBTX(2)="rendered. Modifier(s) will be combined with the CPT code" S FBTX(3)="for Fee Schedule calculations and to check for duplicate" S FBTX(4)="payment entry." I $O(FBMODA(0)) D . N FBI,FBL,FBMODX . S FBTX(5)=" " . S FBL=5 . S FBI=0 F S FBI=$O(FBMODA(FBI)) Q:'FBI D . . S FBMODX=$$MOD^ICPTMOD(FBMODA(FBI),"I",$G(FBDOS),1) . . S FBL=FBL+1,FBTX(FBL)=" "_$P(FBMODX,U,2)_" "_$P(FBMODX,U,3) ; ; display the help text S FBL=0 F S FBL=$O(FBTX(FBL)) Q:'FBL D Q:$D(DIRUT) . ; pause between screens of data (22 lines) . I $E(IOST,1,2)="C-",'(FBL#22) S DIR(0)="E" D ^DIR K DIR Q:$D(DIRUT) . ; write a line of text . W !,FBTX(FBL) ; Q ; ;FBAALU