Procedure - Medical Tab

In the Procedure Edit window, the Medical tab may show.

The Medical tab appears if Medical Insurance is turned on in Show Features. Enter information on this tab when sending medical claims or if insurance requires ICD-10 diagnosis codes attached to a procedure.

Medical Code: Corresponding medical code for the dental procedure. If a default medical code is set on the Procedure Code, it will automatically show. Required when sending a medical e-claim.

Mods: Medical code modifiers.

Unit Quantity: Refers to the type. E.g. 5 (unit quantity) minutes of anesthesia (unit type). Procedure fee will be multiplied by the unit quantity.

Unit Type: Type of quantity.

Revenue Code: If a Default Revenue Code is set for the procedure code, it is added automatically.

Drug NDC: National Drug Code. If a default value for the procedure code is set, it is added automatically.

Drug Unit/Drug Qty: Quantity refers to the unit. E.g. 5 (drug quantity) milligrams (drug unit).

SNOMED CT Body Site: Only visible if EHR is turned on.

Princ Diag: Indicates that Diagnosis Code 1 is a Principal Diagnosis. At least one claim procedure must 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. Only ICD-10 codes should be used on new claims.

ICD-9/ICD-10 Diagnosis Code 1 - 4: Enter diagnosis codes.

Note: Only ICD-10 Codes should be used on new claims. ICD-9 codes are available for historical purposes and should not be sent on new claims. Default settings for diagnosis codes can be set in Chart Module Preferences.

Ordering Provider Override: Ordering provider for procedure on claim. Provider will override any other providers. By default, there is no override and the treating provider is used. See E-Claims Complexities, Ordering Provider, for the logic.