| 1 | PXRMVALC ; SLC/KR - VAL Validate Codes (format/value)    ;08/15/2006
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| 2 |  ;;2.0;CLINICAL REMINDERS;**4**;Feb 04, 2005;Build 21
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| 3 |  Q
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| 4 |  ;   
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| 5 |  ; Entry points (extrinsic functions)
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| 6 |  ;   
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| 7 |  ;     ICD^PXRMVALC(<code>)   Validate ICD-9-CM Diagnosis Code
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| 8 |  ;     ICP^PXRMVALC(<code>)   Validate ICD-9-CM Procedure Code
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| 9 |  ;     CPT^PXRMVALC(<code>)   Validate CPT-4 Procedure Code
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| 10 |  ;   
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| 11 |  ;  All entry points return:
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| 12 |  ;  
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| 13 |  ;    <validity>^<input>^<output>^<error>^<file #>^<global root>^
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| 14 |  ;    <type of code>^<input IEN>^<input flag>^<output IEN>^
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| 15 |  ;    <output flag>^<description>
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| 16 |  ;   
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| 17 | ICD(X) ; Validate ICD-9-CM Diagnosis Code from file 80
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| 18 |  S X=$G(X),U="^" N CHR,CHKD,CIN,CODE,COUT,DIC,ERR,ES,FNUM,FORM,IENI,IENO,IFIN,IFOUT,NAME,NUMERIC,PAT,TY,VAL,Y
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| 19 |  S VAL=1,FNUM=80,DIC="ICD9(",(IFIN,IFOUT,NAME)="",CIN=$TR(X,"""",""),U="^"
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| 20 |  S FORM=$S($E(X,1)="E":2,$E(X,1)="V":3,$E(X,1)?1N:1,1:1),TY=$S(FORM=2:"ICD ""E"" code",FORM=3:"ICD ""V"" code",FORM=1:"ICD code",1:"ICD code")
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| 21 |  S ERR="Valid "_TY,CHKD=$S(FORM=2:"ICD-9-CM ""E"" external cause code",FORM=3:"ICD-9-CM ""V"" health factor code",FORM=1:"ICD-9-CM diagnosis code",1:"ICD-9-CM code")
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| 22 |  S PAT=$S(FORM=2:"ENNN.nn",FORM=3:"VNN.nn",FORM=1:"NNN.nn",1:"ENNN.nn, VNN.nn or NNN.nn")
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| 23 |  ; Code transformation
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| 24 |  S CODE=X S:CODE'["." CODE=CODE_"."
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| 25 |  S:FORM=1&($L($P(CODE,".",1))=1)&(+($P(CODE,".",1))>0) $P(CODE,".",1)="00"_$P(CODE,".",1) S:FORM=1&($L($P(CODE,".",1))=2)&(+($P(CODE,".",1))>0) $P(CODE,".",1)="0"_$P(CODE,".",1) S X=CODE
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| 26 |  S CODE=$P(CODE,".",1,2),CODE=$$NEXT^ICDAPIU(CODE),COUT=CODE,(IENI,IENO)=""
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| 27 |  I +$$CODEN^ICDCODE(COUT,80)>0 D
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| 28 |  .N ICD9,IFOUTX
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| 29 |  .S IENO=+$$CODEN^ICDCODE(COUT,80)
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| 30 |  .S ICD9=$$ICDDX^ICDCODE(+IENO)
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| 31 |  .S NAME=$P(ICD9,U,4)
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| 32 |  .S IFOUTX=$P(ICD9,U,10),IFOUT=$S(IFOUTX=0:1,IFOUTX=1:0,1:"")
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| 33 |  S ES="Invalid "_TY_" format "
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| 34 |  ; Format
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| 35 |  ;    not enough digits
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| 36 |  I $E(CIN,1)="E",$L($P($E(CIN,2,$L(CIN)),".",1))<3 D ERR((ES_"(not enough digits, "_PAT_")")) G AQ
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| 37 |  I $E(CIN,1)?1N,$L($P(CIN,".",1))<3 D ERR((ES_"(not enough digits, "_PAT_")")) G AQ
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| 38 |  I $E(CIN,1)="V",$L($P($E(CIN,2,$L(CIN)),".",1))<2 D ERR((ES_"(not enough digits, "_PAT_")")) G AQ
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| 39 |  ;    too many digits
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| 40 |  I $E(CIN,1)="E",$L($P($E(CIN,2,$L(CIN)),".",1))>3 D ERR((ES_"(too many digits, "_PAT_")")) G AQ
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| 41 |  I $E(CIN,1)?1N,$L($P(CIN,".",1))>3 D ERR((ES_"(too many digits, "_PAT_")")) G AQ
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| 42 |  I $E(CIN,1)="V",$L($P($E(CIN,2,$L(CIN)),".",1))>2 D ERR((ES_"(too many digits, "_PAT_")")) G AQ
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| 43 |  ;    missing decimal point
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| 44 |  I CIN'["." D ERR((ES_"(missing decimal point "_PAT_")")) G AQ
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| 45 |  ;    to many decimal points
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| 46 |  I $L(CIN,".")>2 D ERR((ES_"(too many decimal points "_PAT_")")) G AQ
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| 47 |  ;    to many decimal places
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| 48 |  I $L($P(CIN,".",2))>2 D ERR((ES_"(too many decimals places, "_PAT_")")) G AQ
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| 49 |  ;    non-numeric decimal
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| 50 |  I $P(CIN,".",2)'?2N&($P(CIN,".",2)'?1N)&($P(CIN,".",2)'="") D ERR((ES_"(non-numeric decimal, "_PAT_")")) G AQ
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| 51 |  ;    invalid pattern
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| 52 |  I $E(CIN,1)="E",$P(CIN,".",1)'?1U3N D ERR((ES_"("_PAT_")")) G AQ
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| 53 |  I $E(CIN,1)="V",$P(CIN,".",1)'?1U2N D ERR((ES_"("_PAT_")")) G AQ
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| 54 |  I $E(CIN,1)?1N,$P(CIN,".",1)'?3N D ERR((ES_"("_PAT_")")) G AQ
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| 55 |  ; Value
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| 56 |  ;    not found
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| 57 |  I +$$CODEN^ICDCODE(CIN,80)<0 D  G AQ
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| 58 |  . N TC D ERR((TY_" not found in the ICD-9 file (#80)"))
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| 59 |  . S TC=COUT S:'$L(TC) TC=CIN I $E(TC,$L(TC))="0" D
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| 60 |  . . N SC,COUT S (SC,COUT)=TC F  S TC=$E(TC,1,($L(TC)-1)) S:+$$CODEN^ICDCODE(TC,80)>0 SC=TC Q:$E(TC,$L(TC))'="0"!(SC'=COUT)  Q:TC=""
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| 61 |  . . S TC="" S:SC'=COUT TC=SC
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| 62 |  . S:$L(TC) COUT=TC
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| 63 |  . S:+$$CODEN^ICDCODE(CIN_"0")>0 COUT=CIN_"0"
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| 64 |  . I +$$CODEN^ICDCODE(COUT,80)>0 D
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| 65 |  . . N ICD9,IFOUTX
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| 66 |  . . S IENO=+$$CODEN^ICDCODE(COUT,80)
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| 67 |  . . S ICD9=$$ICDDX^ICDCODE(+IENO)
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| 68 |  . . S NAME=$P(ICD9,U,4)
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| 69 |  . . S IFOUTX=$P(ICD9,U,10),IFOUT=$S(IFOUTX=0:1,IFOUTX=1:0,1:"")
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| 70 |  ;    found
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| 71 |  I $$CODEN^ICDCODE(CIN,80)>0 D  G AQ
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| 72 |  . D ERR(("Valid "_TY)) S VAL=1
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| 73 |  . S IENI=+$$CODEN^ICDCODE(CIN,80)
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| 74 |  . N ICD9,IFINX
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| 75 |  . S ICD9=$$ICDDX^ICDCODE(IENI)
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| 76 |  . S NAME=$P(ICD9,U,4)
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| 77 |  . S IFINX=$P(ICD9,U,10),IFIN=$S(IFINX=0:1,IFINX=1:0,1:"")
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| 78 |  . S:(+(IFOUT)+(IFIN))>0 ERR="Inactive "_TY
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| 79 |  G AQ
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| 80 |  ;   
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| 81 | ICP(X) ; Validate ICD-9-CM Procedure Code from file 80.1
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| 82 |  S X=$G(X),U="^" N CHR,CHKD,CIN,CODE,COUT,DIC,ERR,ES,FNUM,FORM,IENI,IENO,IFIN,IFOUT,NAME,NUMERIC,PAT,TY,VAL,Y
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| 83 |  S FNUM=80.1,DIC="ICD0(",VAL=1,(NAME,IFIN,IFOUT)="",CIN=$TR(X,"""","")
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| 84 |  ; Code transformation
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| 85 |  S CODE=X,TY="ICD Procedure code",PAT="NN.nn",CHKD=TY S:CODE'["." CODE=CODE_"." S:$L($P(CODE,".",1))=1 CODE="0"_CODE S CODE=$$NEXT^ICDAPIU(CODE),COUT=CODE
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| 86 |  S VAL=1,ERR="Valid "_TY
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| 87 |  I +$$CODEN^ICDCODE(CODE,80.1)>0 D
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| 88 |  .S IENO=+$$CODEN^ICDCODE(CODE,80.1)
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| 89 |  .N ICDO,IFOUTX
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| 90 |  .S ICDO=$$ICDOP^ICDCODE(+IENO)
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| 91 |  .S NAME=$P(ICDO,"^",5)
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| 92 |  .S IFOUTX=$P(ICDO,U,10),IFOUT=$S(IFOUTX=0:1,IFOUTX=1:"",1:"")
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| 93 |  S ES="Invalid "_TY_" format "
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| 94 |  ; Format
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| 95 |  ;    not enough digits
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| 96 |  I $L($P(CIN,".",1))<2 D ERR((ES_"(not enough digits, "_PAT_")")) G AQ
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| 97 |  ;    too many digits
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| 98 |  I $L($P(CIN,".",1))>2 D ERR((ES_"(too many digits, "_PAT_")")) G AQ
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| 99 |  ;    missing decimal point
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| 100 |  I CIN'["." D ERR((ES_"(missing decimal point "_PAT_")")) G AQ
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| 101 |  ;    too many decimal points
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| 102 |  I $L(CIN,".")>2 D ERR((ES_"(too many decimal points "_PAT_")")) G AQ
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| 103 |  ;    too many decimal places
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| 104 |  I $L($P(CIN,".",2))>2 D ERR((ES_"(too many decimals places, "_PAT_")")) G AQ
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| 105 |  ;    non-numeric decimal
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| 106 |  I $P(CIN,".",2)'?2N&($P(CIN,".",2)'?1N)&($P(CIN,".",2)'="") D ERR((ES_"(non-numeric decimal, "_PAT_")")) G AQ
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| 107 |  ;    invalid pattern
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| 108 |  I $P(CIN,".",1)'?2N D ERR((ES_"("_PAT_")")) G AQ
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| 109 |  ; Value
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| 110 |  ;    not found
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| 111 |  I +$$CODEN^ICDCODE(CIN,80.1)<0 D  G AQ
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| 112 |  . N TC D ERR((TY_" not found in the ICD-0 file (#80.1)")) S COUT=""
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| 113 |  . S TC=COUT S:'$L(TC) TC=CIN I $E(TC,$L(TC))="0" D
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| 114 |  . . N SC,COUT S (SC,COUT)=TC F  S TC=$E(TC,1,($L(TC)-1)) S:+$$CODEN^ICDCODE(TC,80.1)>0 SC=TC Q:$E(TC,$L(TC))'="0"!(SC'=COUT)  Q:TC=""
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| 115 |  . . S TC="" S:SC'=COUT TC=SC
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| 116 |  . S:$L(TC) COUT=TC
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| 117 |  . S:+$$CODEN^ICDCODE(CIN_"0",80.1)>0 COUT=CIN_"0"
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| 118 |  . I +$$CODEN^ICDCODE(COUT,80.1)>0 D
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| 119 |  . . S IENO=+$$CODEN^ICDCODE(COUT,80.1)
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| 120 |  . . N ICDO,IFOUTX
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| 121 |  . . S ICDO=$$ICDOP^ICDCODE(+IENO)
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| 122 |  . . S NAME=$P(ICDO,"^",5)
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| 123 |  . . S IFOUTX=$P(ICDO,U,10),IFOUT=$S(IFOUTX=0:1,IFOUTX=1:"",1:"")
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| 124 |  ;    found
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| 125 |  I $$CODEN^ICDCODE(CIN,80.1)>0 D  G AQ
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| 126 |  . S VAL=1,ERR="Valid "_TY
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| 127 |  . S IENI=+$$CODEN^ICDCODE(CIN,80.1)
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| 128 |  . N ICDO,IFINX
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| 129 |  . S ICDO=$$ICDOP^ICDCODE(+IENI)
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| 130 |  . S NAME=$P(ICDO,"^",5)
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| 131 |  . S IFINX=$P(ICDO,"^",10),IFIN=$S(IFINX=0:1,IFINX=1:"",1:"")
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| 132 |  . S:(+(IFOUT)+(IFIN))>0 ERR="Inactive "_TY
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| 133 |  G AQ
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| 134 |  ;            
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| 135 | CPT(X) ; Validate Procedure Code from file 81
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| 136 |  S X=$G(X),U="^"
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| 137 |  N CHR,CHKD,CIN,CODE,COUT,DIC,ERR,ES,FNUM,FORM,IENI,IENO,IFIN,IFOUT
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| 138 |  N NAME,NUMERIC,PAT,STATUS,TEMP,TY,VAL,Y
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| 139 |  S VAL=1,FNUM=81,DIC="ICPT(",(IFIN,IFOUT,NAME)="",CIN=$TR(X,"""","")
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| 140 |  S FORM=$S(CIN?5N:1,CIN?1A4N:2,CIN?4N1A:2,1:0)
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| 141 |  S TY=$S(FORM=1:"CPT-4 code",FORM=2:"HCPCS code",1:"unknown")
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| 142 |  S CHKD=$S(FORM=1:"CPT-4 procedure code",FORM=2:"HCPCS procedure code",1:"Unknown format")
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| 143 |  S PAT=$S(FORM=1:"NNNNN",FORM=2:"ANNNN or NNNNA",1:"")
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| 144 |  S ES="Invalid "_TY_" format "
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| 145 |  ; Code transformation
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| 146 |  ;    HCPCS
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| 147 |  S CODE=X I FORM=2 D
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| 148 |  . N CHR,NUMERIC S CHR=$E(CODE,1),NUMERIC=$E(CODE,2,$L(CODE))
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| 149 |  . S NUMERIC=$TR(NUMERIC,"~!@#$%^&*()_-+=[{]};:\|,./?<>QWERTYUIOPASDFGHJKLZXCVBNMqwertyuiopasdfghjklzxcvbnm","0000000000000000000000000000000000000000000000000000000000000000000000000000000000")
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| 150 |  . F  Q:$E(NUMERIC,1)'="0"  S NUMERIC=$E(NUMERIC,2,$L(NUMERIC))
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| 151 |  . S NUMERIC=+NUMERIC F  Q:$L(NUMERIC)>3  S NUMERIC="0"_NUMERIC
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| 152 |  . S CODE=CHR_NUMERIC
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| 153 |  ;    CPT-4
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| 154 |  I FORM=1 D
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| 155 |  . N NUMERIC S NUMERIC=CODE,NUMERIC=$TR(NUMERIC,"~!@#$%^&*()_-+=[{]};:\|,./?<>QWERTYUIOPASDFGHJKLZXCVBNMqwertyuiopasdfghjklzxcvbnm","0000000000000000000000000000000000000000000000000000000000000000000000000000000000")
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| 156 |  . I +NUMERIC>0,$E(NUMERIC,1)'="0",$L(NUMERIC)<5 F  Q:$L(NUMERIC)=5  S NUMERIC="0"_NUMERIC
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| 157 |  . I +NUMERIC>0,$E(NUMERIC,1)="0",$L(NUMERIC)<5 F  Q:$L(NUMERIC)=5  S NUMERIC=NUMERIC_"0"
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| 158 |  . F  Q:$E(NUMERIC,1)'="0"  S NUMERIC=$E(NUMERIC,2,$L(NUMERIC))
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| 159 |  . S NUMERIC=+NUMERIC F  Q:$L(NUMERIC)>4  S NUMERIC="0"_NUMERIC
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| 160 |  . S CODE=NUMERIC
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| 161 |  S CODE=$$NEXT^ICPTAPIU(CODE),COUT=CODE S (IENI,IENO)=""
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| 162 |  I $L(COUT),+$$CODEN^ICPTCOD(COUT)>0 D
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| 163 |  . S IENO=+$$CODEN^ICPTCOD(COUT)
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| 164 |  . S TEMP=$$CPT^ICPTCOD(IENO)
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| 165 |  . S NAME=$P(TEMP,U,3)
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| 166 |  . S STATUS=$P(TEMP,U,7)
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| 167 |  . S IFOUT=$S(STATUS:"",1:1)
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| 168 |  ; Format
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| 169 |  ;    not enough characters
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| 170 |  I $L(CIN)<5 D ERR((ES_"(not enough characters)")) G AQ
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| 171 |  ;    too many characters
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| 172 |  I $L(CIN)>5 D ERR((ES_"(too many characters)")) G AQ
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| 173 |  ; Invalid pattern
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| 174 |  I FORM=0 D ERR(ES_PAT) G AQ
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| 175 |  ; Value not found
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| 176 |  I +$$CODEN^ICPTCOD(CIN)<1 D ERR((TY_" not found in the CPT file (#81)")) S COUT="" G AQ
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| 177 |  ;    found
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| 178 |  I +$$CODEN^ICPTCOD(CIN)>0 D  G AQ
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| 179 |  . S VAL=1,ERR="Valid "_TY
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| 180 |  . S IENI=+$$CODEN^ICPTCOD(CIN)
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| 181 |  . S TEMP=$$CPT^ICPTCOD(IENI)
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| 182 |  . S NAME=$P(TEMP,U,3)
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| 183 |  . S STATUS=$P(TEMP,U,7)
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| 184 |  . S IFIN=$S(STATUS:"",1:1)
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| 185 |  . S:(+(IFOUT)+(IFIN))>0 ERR="Inactive "_TY
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| 186 |  G AQ
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| 187 | AQ ; Assemble output string and quit
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| 188 |  S X=$G(VAL)_U_$G(CIN)_U_$G(COUT)_U_$G(ERR)_U_FNUM
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| 189 |  S X=X_U_DIC_U_$G(CHKD)_U_$G(IENI)_U_$G(IFIN)_U_$G(IENO)_U_$G(IFOUT)_U_$G(NAME)
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| 190 |  F  Q:$E(X,$L(X))'="^"  S X=$E(X,1,($L(X)-1))
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| 191 |  Q X
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| 192 | ERR(X) S VAL=0,ERR=$G(X) Q
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