Evaluations: Service Specific Diagnosis Codes for Ancillary Evaluations

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Required Permissions You must be a super admin, records admin, doctor, or nurse to create/edit evaluations.

Creating the Evaluation Template     

This option is only available for evaluations that are marked billable and ancillary. For detailed instructions on creating an evaluation template, click here.

  • You will find the Display Dx Selector checkbox under BIlling Settings of an evaluation template that has been marked as both billable and ancillary. Create the rest of the template as usual.

Using the Evaluation Template

For instructions on adding an evaluation to a patient chart, click here.

  1. Once you have added the billable ancillary evaluation template with the Display Dx Selector checkbox selected to evaluations, it will appear as follows. The codes in the evaluation are being pulled from the codes listed at the top of the patient's facesheet.
  2. You'll see the Billing Diagnosis Codes field in the evaluation, with no codes in the section.
  3. To add codes to the Billing Diagnosis Codes section, click on the + icons next to the desired codes in the Excluded DIagnosis Codes section.
  4. The selected codes will now appear under Billing Diagnosis Codes.
  5. Click on the arrows in the Billing Diagnosis Codes section and drag the code to re-order the list. Click on the x icons to return codes to the Excluded Diagnosis Codes section. 
    1. Note: The order in which the codes appear is the order in which they will appear when billed, with the first code being the primary code.
  6. Be sure to click Update to preserve your changes.
  7. When you run the report, the selected billing diagnosis codes will appear in the Dx Codes field.

Diagnosis Code Hierarchy

There is a hierarchy for which dx codes the system looks at first. 

  1. Service-specific dx codes
  2. LOC/billing type defaults
  3. patient level dx codes

To view/update the LOC/billing type defaults and patient level dx codes, navigate to the patient's chart > Billing/Patient Ledger > Diagnosis Codes. Keep in mind that the Billing or Patient Ledger tab can be can be named something different based on your facility's preferences.

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