| [613] | 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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