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 if you intend to send a medical claim or if insurance requires that you attach ICD-10 diagnosis codes to a procedure.

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

Mods: Medical code modifiers.

Unit Quantity: The quantity refers to the type. E.g. 5 (unit quantity) minutes of anesthesia (unit type). Your procedure fee will be multiplied by the unit quantity.

Unit Type: Type of quantity. Options are:

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 turned on. Click [...] to select SNOMED CT Codes 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-10 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-Claims Complexities, Ordering Provider, for the logic.