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Procedures - Medical Tab

On the Procedure Info window, the Medical tab shows if Medical Insurance is turned on in Show Features. Enter information on this tab if you intend to send a medical claim or if insurance requires that you attach ICD-10 diagnosis codes to a procedure.

Each field is described below.

Medical Code: The corresponding Medical code for this procedure.  If you set a default medical code in Procedure Code setup, it will automatically show. This is required if sending a medical e-claim.

Mods: Medical code modifiers.

Unit Quantity/Unit Type: The quantity refers to the type.  E.g. 5 (unit quantity) minutes of anesthesia (unit type).

Revenue Code: If you set a Default Revenue Code for the procedure code, it automatically shows here.

Drug NDC: The National Drug Code.  If you set a default value for the procedure code, it automatically shows here.
Drug Unit/Drug Qty: The quantity refers to the unit.  E.g. 5 (drug quantity) milligrams (drug unit).

SNOMED CT Body Site:  Only visible if EHR is enabled in Show Features.  Click [...] to select a SNOMED CT code that references an anatomical site.  Click None to clear the box.

Princ Diag:  Indicates that Diagnosis Code 1 is a Principal Diagnosis.  At least one procedure for each visit needs to have this box checked.

Use ICD-10 Diagnosis Codes (uncheck for ICD-9): Affects this procedure only. Check the box to use ICD-10 codes; uncheck to use ICD-9 codes. Set the default setting in Chart Module Preferences.

ICD-9/ICD-10 Diagnosis Code 1 - 4:  Enter a diagnosis code manually, or click [...] to select up to four codes from a Diagnosis Code pick list. To set a default diagnosis code for new procedures, see Chart Module Preferences. To clear a code, click None. See ICD Diagnosis Codes.

Ordering Provider Override:  Set an ordering provider for this procedure on the Claim.  This provider will override any other provider selected elsewhere.  By default, there is no override and the treating provider is used.  See E-claim Complexities, Ordering Provider, for the logic.

  • Internal: Select a provider from the Provider List.
  • Referral: Select a provider from the Referral List.
  • None: Clear the override.


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