\documentclass[10pt,a4paper]{article}

% Packages
\usepackage{fancyhdr}           % For header and footer
\usepackage{multicol}           % Allows multicols in tables
\usepackage{tabularx}           % Intelligent column widths
\usepackage{tabulary}           % Used in header and footer
\usepackage{hhline}             % Border under tables
\usepackage{graphicx}           % For images
\usepackage{xcolor}             % For hex colours
%\usepackage[utf8x]{inputenc}    % For unicode character support
\usepackage[T1]{fontenc}        % Without this we get weird character replacements
\usepackage{colortbl}           % For coloured tables
\usepackage{setspace}           % For line height
\usepackage{lastpage}           % Needed for total page number
\usepackage{seqsplit}           % Splits long words.
%\usepackage{opensans}          % Can't make this work so far. Shame. Would be lovely.
\usepackage[normalem]{ulem}     % For underlining links
% Most of the following are not required for the majority
% of cheat sheets but are needed for some symbol support.
\usepackage{amsmath}            % Symbols
\usepackage{MnSymbol}           % Symbols
\usepackage{wasysym}            % Symbols
%\usepackage[english,german,french,spanish,italian]{babel}              % Languages

% Document Info
\author{hmanire}
\pdfinfo{
  /Title (coding-crosswalks.pdf)
  /Creator (Cheatography)
  /Author (hmanire)
  /Subject (Coding Crosswalks Cheat Sheet)
}

% Lengths and widths
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\addtolength{\hoffset}{-3cm}
\addtolength{\voffset}{-2cm}
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\setlength{\headsep}{-12pt} % Reduce space between header and content
\setlength{\headheight}{85pt} % If less, LaTeX automatically increases it
\renewcommand{\footrulewidth}{0pt} % Remove footer line
\renewcommand{\headrulewidth}{0pt} % Remove header line
\renewcommand{\seqinsert}{\ifmmode\allowbreak\else\-\fi} % Hyphens in seqsplit
% This two commands together give roughly
% the right line height in the tables
\renewcommand{\arraystretch}{1.3}
\onehalfspacing

% Commands
\newcommand{\SetRowColor}[1]{\noalign{\gdef\RowColorName{#1}}\rowcolor{\RowColorName}} % Shortcut for row colour
\newcommand{\mymulticolumn}[3]{\multicolumn{#1}{>{\columncolor{\RowColorName}}#2}{#3}} % For coloured multi-cols
\newcolumntype{x}[1]{>{\raggedright}p{#1}} % New column types for ragged-right paragraph columns
\newcommand{\tn}{\tabularnewline} % Required as custom column type in use

% Font and Colours
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\definecolor{FootBackground}{HTML}{666666}
\definecolor{TextColor}{HTML}{333333}
\definecolor{DarkBackground}{HTML}{A3A3A3}
\definecolor{LightBackground}{HTML}{F3F3F3}
\renewcommand{\familydefault}{\sfdefault}
\color{TextColor}

% Header and Footer
\pagestyle{fancy}
\fancyhead{} % Set header to blank
\fancyfoot{} % Set footer to blank
\fancyhead[L]{
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{C}
    \SetRowColor{DarkBackground}
    \vspace{-7pt}
    {\parbox{\dimexpr\textwidth-2\fboxsep\relax}{\noindent
        \hspace*{-6pt}\includegraphics[width=5.8cm]{/web/www.cheatography.com/public/images/cheatography_logo.pdf}}
    }
\end{tabulary}
\columnbreak
\begin{tabulary}{11cm}{L}
    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Coding Crosswalks Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{hmanire} via \textcolor{DarkBackground}{\uline{cheatography.com/57264/cs/15135/}}}
\end{tabulary}
\end{multicols}}

\fancyfoot[L]{ \footnotesize
\noindent
\begin{multicols}{3}
\begin{tabulary}{5.8cm}{LL}
  \SetRowColor{FootBackground}
  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}hmanire \\
  \uline{cheatography.com/hmanire} \\
  \end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Not Yet Published.\\
   Updated 15th March, 2018.\\
   Page {\thepage} of \pageref{LastPage}.
\end{tabulary}
\vfill
\columnbreak
\begin{tabulary}{5.8cm}{L}
  \SetRowColor{FootBackground}
  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Sponsor}}  \\
  \SetRowColor{white}
  \vspace{-5pt}
  %\includegraphics[width=48px,height=48px]{dave.jpeg}
  Measure your website readability!\\
  www.readability-score.com
\end{tabulary}
\end{multicols}}




\begin{document}
\raggedright
\raggedcolumns

% Set font size to small. Switch to any value
% from this page to resize cheat sheet text:
% www.emerson.emory.edu/services/latex/latex_169.html
\footnotesize % Small font.

\begin{multicols*}{4}

\begin{tabularx}{3.833cm}{x{1.33887 cm} x{2.09413 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{{\bf{Inpatient POS Type 21}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Admit}} & {\bf{Subsequent}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
99221 & 99231 \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
99222 & 99232 \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
99223 & 99233 \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{{\bf{Discharge}}} \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
\mymulticolumn{2}{x{3.833cm}}{99238-30 min or less} \tn 
% Row Count 6 (+ 1)
% Row 6
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{99239-30 min or more} \tn 
% Row Count 7 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{1.88815 cm} x{1.54485 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{2}{x{3.833cm}}{\bf\textcolor{white}{{\bf{Inpatient Consult POS Type 21}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Non Medicare \& MA}} & {\bf{Medicare \& MA}} \tn 
% Row Count 1 (+ 1)
% Row 1
\SetRowColor{white}
99251 & 99231 \tn 
% Row Count 2 (+ 1)
% Row 2
\SetRowColor{LightBackground}
99252 & 99232 \tn 
% Row Count 3 (+ 1)
% Row 3
\SetRowColor{white}
99253 & 99221 \tn 
% Row Count 4 (+ 1)
% Row 4
\SetRowColor{LightBackground}
99254 & 99222 \tn 
% Row Count 5 (+ 1)
% Row 5
\SetRowColor{white}
99255 & 99223 \tn 
% Row Count 6 (+ 1)
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\SetRowColor{LightBackground}
\mymulticolumn{2}{x{3.833cm}}{Medicare \& Medicare Advantage plans do not cover consult codes, these convert to the appropriate E\&M code based on the required key components and contributory factors.Required Components 3/3}  \tn 
\hhline{>{\arrayrulecolor{DarkBackground}}--}
\end{tabularx}
\par\addvspace{1.3em}

\begin{tabularx}{3.833cm}{x{0.81623 cm} p{0.47394 cm} x{1.07953 cm} p{0.2633 cm} }
\SetRowColor{DarkBackground}
\mymulticolumn{4}{x{3.833cm}}{\bf\textcolor{white}{{\bf{Observation POS Type 22}}}}  \tn
% Row 0
\SetRowColor{LightBackground}
{\bf{Obs Admit}} & {\bf{Obs Subsequent}} & {\bf{Obs Consult (Non Medicare \& MA ONLY)}} &  \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
99218 & 99224 & 99241 &  \tn 
% Row Count 4 (+ 1)
% Row 2
\SetRowColor{LightBackground}
99219 & 99225 & 99242 &  \tn 
% Row Count 5 (+ 1)
% Row 3
\SetRowColor{white}
99220 & 99226 & 99243 &  \tn 
% Row Count 6 (+ 1)
% Row 4
\SetRowColor{LightBackground}
{\bf{Obs Discharge}} &  & 99244 &  \tn 
% Row Count 8 (+ 2)
% Row 5
\SetRowColor{white}
99217- Do not report this on the same date as the initial \seqsplit{"observation} status" See 99234-99236 for that scenario. &  & 99245 &  \tn 
% Row Count 18 (+ 10)
\hhline{>{\arrayrulecolor{DarkBackground}}----}
\end{tabularx}
\par\addvspace{1.3em}


% That's all folks
\end{multicols*}

\end{document}