1 | IBCF33 ;ALB/ARH - UB-04 CMS-1450 (GATHER CODES) ;25-AUG-1993
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2 | ;;2.0;INTEGRATED BILLING;**52,80,109,51,230,349**;21-MAR-94;Build 46
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3 | ;;Per VHA Directive 2004-038, this routine should not be modified.
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4 | ;
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5 | ;IBIFN required
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6 | ;
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7 | ; Not all free text prints in these blocks as of MRA/EDI - only print
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8 | ; REVENUE CODES and associated data, Rx's and prosthetics
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9 | ; and last line to indicate multiple pages
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10 | N IBI,IBJ,IBCU2,IBCOL,IBSTATE,IBCBILL,IBINPAT,IBX,IBY,Z,IBZ,IBLPG
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11 | S IBLINES=22,IBCU2=$G(^DGCR(399,IBIFN,"U2")),IBCOL=1,IBNOCOM=0
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12 | K IBXSAVE("RX-UB-04"),IBXSAVE("PROS-UB-04")
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13 | D HOS^IBCEF22(IBIFN)
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14 | ;
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15 | I $$TXMT^IBCEF4(IBIFN) S IBNOCOM=1
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16 | S Z="",IBNOCHG=0
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17 | ; Add total line as last entry, if not already there
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18 | ;S IBLCT=$O(IBXDATA(""),-1)
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19 | ;I IBLCT,$P(IBXDATA(IBLCT),U)'="001" S IBXDATA(IBLCT+1)="001"
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20 | ;S IBLCT=0
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21 | S IBLPG=($O(IBXDATA(""),-1)+$O(IBXSAVE("RX-UB-04",""),-1)+$O(IBXSAVE("PROS-UB-04",""),-1))/22,IBLPG=IBLPG\1+$S($P(IBLPG,".",2):1,1:0)
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22 | F S Z=$O(IBXDATA(Z)) Q:'Z D
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23 | . N IBZ1
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24 | . ;I $P(IBXDATA(Z),U)="001",'$O(IBXDATA(Z)) S IBZ="001",$P(IBZ,U,4)=$P(IBCBCOMM,U,1),IBDA=0 S:IBNOCHG $P(IBZ,U,9)=$G(IBNOCHG) S IBXDATA(Z)=IBZ D SET1 Q
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25 | . ;Get modifiers
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26 | . S IBZ1=$G(^DGCR(399,IBIFN,"RC",+$P(IBXDATA(Z),U,8),0)),IBMOD=""
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27 | . I $P(IBZ1,U,6),$S($P(IBZ1,U,10)=4:$P(IBZ1,U,11),1:'$P(IBZ1,U,10)) S $P(IBXDATA(Z),U,9)=$$MOD(IBZ1,IBIFN)
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28 | . S IBZ=$P(IBXDATA(Z),U)_U_$P(IBXDATA(Z),U,3,5)_"^^"_$P(IBXDATA(Z),U,2),$P(IBZ,U,9)=$P(IBXDATA(Z),U,6),$P(IBZ,U,13)=$P(IBXDATA(Z),U,7),$P(IBZ,U,10)=$P(IBXDATA(Z),U,9),$P(IBZ,U,14)=$P(IBXDATA(Z),U,10)
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29 | . I IBZ S IBNOCHG=IBNOCHG+$P(IBXDATA(Z),U,6),IBDA=$P(IBXDATA(Z),U,8) D SET1
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30 | . ;S IBLCT=IBLCT+1
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31 | I $D(IBXSAVE("RX-UB-04"))!$D(IBXSAVE("PROS-UB-04")) D
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32 | . N Z
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33 | . S Z=0 F S Z=$O(IBXSAVE("RX-UB-04",Z)) Q:'Z S IBZ=IBXSAVE("RX-UB-04",Z) D SET2
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34 | . S Z=0 F S Z=$O(IBXSAVE("PROS-UB-04",Z)) Q:'Z S IBZ=IBXSAVE("PROS-UB-04",Z) D SET2
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35 | D END
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36 | Q
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37 | ;
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38 | RV ;rev codes sorted by bedsection - no longer used as of patch IB*2*51
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39 | S (IBBSN,IBBS,IBNOCHG)=0 F S IBBS=$O(^DGCR(399,IBIFN,"RC","ABS",IBBS)) Q:'IBBS D
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40 | . S IBRV=0 F S IBRV=$O(^DGCR(399,IBIFN,"RC","ABS",IBBS,IBRV)) Q:'IBRV D
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41 | .. S IBDA=0 F S IBDA=$O(^DGCR(399,IBIFN,"RC","ABS",IBBS,IBRV,IBDA)) Q:'IBDA D
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42 | ... S IBX=$G(^DGCR(399,IBIFN,"RC",IBDA,0))
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43 | ... S IBZ=$P($G(^DGCR(399.1,+$P(IBX,U,5),0)),U,1) S IBBSN=IBZ,IBZ=IBX,IBNOCHG=IBNOCHG+$P(IBZ,U,9) D SET1
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44 | ;
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45 | ;loop through all rev codes, print those with no bedsection
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46 | S IBDA=0 F S IBDA=$O(^DGCR(399,IBIFN,"RC",IBDA)) Q:'IBDA S IBZ=$G(^(IBDA,0)) I +IBZ,$P(IBZ,U,5)="" S IBNOCHG=IBNOCHG+$P(IBZ,U,9) D SET1
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47 | ;
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48 | TOTAL ;add total
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49 | ;I +$P(IBCBCOMM,U,2) S IBZ="",$P(IBZ,U,2)="SUBTOTAL",$P(IBZ,U,4)=+$P(IBCBCOMM,U,1) D SET1
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50 | ;
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51 | ;S IBX=$S(+$P(IBCBCOMM,U,2):4,1:2) D SPACE
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52 | S IBX=2 D SPACE
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53 | ;S IBZ="" D SET2
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54 | ;S IBJ=0 F IBI=4,5,6 S IBJ=IBJ+$P(IBCU2,U,IBI)
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55 | ;I +$P(IBCBCOMM,U,2),+$P(IBCBCOMM,U,2)'=IBJ S (IBI,IBZ)="",$P(IBZ,U,2)="LESS "_$P(IBCBCOMM,U,3),$P(IBZ,U,4)=+$P(IBCBCOMM,U,2) D SET1 S IBZ="" D SET2
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56 | ;
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57 | ;S IBZ="001",$P(IBZ,U,2)="TOTAL",$P(IBZ,U,4)=IBCBCOMM-$S(IBI="":$P(IBCBCOMM,U,2),1:0) S:IBNOCHG $P(IBZ,U,9)=$G(IBNOCHG) D SET1
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58 | ;
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59 | ;
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60 | CPT ;add additional procedures
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61 | ;G:$G(IBFL(80))'>6 OPV S IBX=+IBFL(80)-4 D SPACE
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62 | ;S IBZ="" D SET2
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63 | ;S IBZ="ADDITIONAL PROCEDURE CODES:" D SET2
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64 | ;S IBI=6 F S IBI=$O(IBFL(80,IBI)) Q:'IBI D
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65 | ;. S IBX=$P(IBFL(80,IBI),U,2),IBZ=$E(IBX,1,2)_"/"_$E(IBX,3,4)_"/"_$E(IBX,5,6)_$J(" ",5)_$P(IBFL(80,IBI),U,1) D SET2
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66 | ;
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67 | OPV ;add outpatient visit dates
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68 | ;G:'$O(^DGCR(399,IBIFN,"OP",0)) CONT S (IBX,IBY)=0 F S IBX=$O(^DGCR(399,IBIFN,"OP",IBX)) Q:'IBX S IBY=IBY+1
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69 | ;S IBX=IBY/3,IBX=IBX\1+$S(+$P(IBX,".",2):1,1:0)+1 D SPACE
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70 | ;S IBZ="" D SET2 S IBZ="OP VISIT DATE(S) BILLED:"_$J(" ",34-24)
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71 | ;S (IBI,IBJ)=0 F S IBI=$O(^DGCR(399,IBIFN,"OP",IBI)) Q:'IBI D
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72 | ;. S Y=$G(^DGCR(399,IBIFN,"OP",IBI,0)),IBZ=IBZ_$$FMTE^XLFDT(Y,2)_$S($O(^DGCR(399,IBIFN,"OP",IBI)):", ",1:"")
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73 | ;. S IBJ=IBJ+1 I IBJ>2 D SET2 S IBZ=$J(" ",34),IBJ=0
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74 | ;I $L(IBZ)>34 D SET2
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75 | ;
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76 | CONT ;D ^IBCF331 ;More free text - can no longer print on UB-04
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77 | ;
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78 | ; fill in rest of page
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79 | END D:'$G(IBNOCOM) FILLPG S $P(^TMP($J,"IBC-RC"),U,2)=0 S IBPG=+$G(^TMP($J,"IBC-RC")),IBX=IBPG/22,IBPG=IBX\1+$S(+$P(IBX,".",2):1,1:0)
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80 | K IBZ,IBBSN,IBBS,IBRV,IBDA,IBLN,IBCOL,IBLINES,IBARRAY,IBNOCHG,IBNOCOM,IBXSAVE("RX-UB-04"),IBXSAVE("PROS-UB-04")
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81 | Q
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82 | ;
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83 | SPACE ;checks to see if IBX can fit on page, if not starts new page
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84 | Q:'IBX N IBLN,IBY S IBLN=+$G(^TMP($J,"IBC-RC")),IBY=IBLN#22 S:IBY=0&(IBLN'=0) IBY=22 I IBX>(IBLINES-IBY) D FILLPG
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85 | Q
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86 | ;
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87 | FILLPG ;fill rest of page with blank lines
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88 | N IBI,IBLN,IBZ S IBFILL=1 F IBI=1:1:22 S IBLN=+$G(^TMP($J,"IBC-RC")) Q:'(IBLN#22) S IBZ="" D FILLUP Q:IBFILL=2
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89 | K IBFILL Q
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90 | ;
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91 | SET1 ; add rev codes to array: rev cd ^ rev cd st abbrev. ^ CPT CODE ^ unit charge ^ units ^ total ^ non-cov charge ^ form locator 49 ^ rev code mult ien ^ cpt modifiers attached to revenue code/procedure (unlinked)^ outpt serv date
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92 | ;formats for output into specific column blocks 42-48
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93 | N IBX,IBY,IBLN,IBN,IBMOD
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94 | D NEXTLN S IBY=""
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95 | ;set up rev cd item with appropriate output values, non-rev cd entries for old bills should already be in external form
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96 | S IBN=$P(IBZ,U,9) ;non-covered charges
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97 | S IBMOD=$P(IBZ,U,10) I IBMOD'="" S IBMOD=$E($TR(IBMOD,",;"),1,4) ; cpt modifiers
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98 | I +IBZ S IBX=$G(^DGCR(399.2,+IBZ,0)) Q:IBX="" D
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99 | . S IBY=$P(IBX,U,1)_U_$P(IBX,U,2)_U_$$PRCD^IBCEF1($P(IBZ,U,6)_";ICPT(")_IBMOD
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100 | . S IBY=IBY_U_$P(IBZ,U,2)_U_$P(IBZ,U,3)_U_$P(IBZ,U,4)_U_IBN_U_$P(IBZ,U,13)_U_$G(IBDA)_U_U_$$DATE^IBCF2($P(IBZ,U,14),"",1)
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101 | I IBY="" S IBY=$P(IBZ,U,1)_U_$P(IBZ,U,2)_U_U_U_$P(IBZ,U,3)_U_$P(IBZ,U,4)_U_IBN_U_$P(IBZ,U,13)_U_$G(IBDA)_U_U_$$DATE^IBCF2($P(IBZ,U,14),"",1)
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102 | S IBLN=+$G(^TMP($J,"IBC-RC"))+1,^TMP($J,"IBC-RC",IBLN)=1_U_IBY,^TMP($J,"IBC-RC")=IBLN I '(IBLN#22) S IBLINES=22
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103 | Q
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104 | ;
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105 | SET2 ;set free text into block 42 array
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106 | Q:$G(IBNOCOM) ;No comments wanted
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107 | N IBLN D NEXTLN S IBCOL=$S('IBCOL:2,1:3)
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108 | S IBLN=+$G(^TMP($J,"IBC-RC"))+1 I IBLN#22=1,$G(IBFILL) S IBFILL=2 Q
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109 | S ^TMP($J,"IBC-RC",IBLN)=IBCOL_U_IBZ,^TMP($J,"IBC-RC")=IBLN I '(IBLN#22) S IBLINES=22
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110 | Q
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111 | ;
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112 | FILLUP ; Fill block 42 with blank lines
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113 | N IBLN D NEXTLN S IBCOL=$S('IBCOL:2,1:3)
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114 | S IBLN=+$G(^TMP($J,"IBC-RC"))+1 I IBLN#22=1,$G(IBFILL) S IBFILL=2 Q
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115 | S ^TMP($J,"IBC-RC",IBLN)=IBCOL_U_IBZ,^TMP($J,"IBC-RC")=IBLN I '(IBLN#22) S IBLINES=22
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116 | Q
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117 | ;
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118 | NEXTLN ;checks counter for next line, resets if necessary,
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119 | ;ie. if the line # indicated by the next line # var. has already been used then this increments the next line # var.
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120 | S IBLN=+$G(^TMP($J,"IBC-RC"))+1 I $D(^TMP($J,"IBC-RC",IBLN)) S ^TMP($J,"IBC-RC")=IBLN S:'(IBLN#22) IBLINES=22 G NEXTLN
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121 | Q
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122 | ;
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123 | MOD(RCLN,IBIFN) ; return modifier(s) for a directly linked CPT charge or for an indirectly linked one
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124 | N IBCPTN,IBMOD
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125 | S IBMOD=""
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126 | I $P($G(RCLN),U,10)=4 S IBCPTN=+$P(RCLN,U,11) I +IBCPTN S IBMOD=$$GETMOD^IBEFUNC(IBIFN,IBCPTN,1) ;Linked
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127 | I IBMOD="",$P(RCLN,U,14)'="" S IBMOD=$TR($P(RCLN,U,14),";",",") ; Not linked or linked, but manually entered modifiers only
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128 | MODQ Q IBMOD
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129 | ;
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130 | DATE45(IBIFN,IBXDATA,IBDATE) ; What prints in the service date box of UB-04
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131 | ; INPUT:
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132 | ; IBIFN = ien of bill
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133 | ; IBDATE = the default outpt service date
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134 | ; OUTPUT:
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135 | ; IBXDATA = the output formatter array with the service dates
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136 | ; (pass by reference)
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137 | N Z,Z0,IBR,IBIN
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138 | S IBIN=$$INPAT^IBCEF(IBXIEN,1)
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139 | F Z=1:1 Q:'$D(^TMP($J,"IBC-RC",Z)) S IBR=^(Z) D
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140 | . S Z0=$S(+IBR=1&'IBIN&(+$P(IBR,U,2)'=1):$S($P(IBR,U,12):$P(IBR,U,12),1:$G(IBDATE)),+IBR=2:$E($P(IBR,U,2),46,52),1:$E($P(IBR,U,2),41,47))
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141 | . S:Z'>22 IBXDATA(Z)=Z0 D:Z>22 CKREV^IBCEF3(Z,Z0)
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142 | Q
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143 | ;
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