Edit Billing Dx Codes for Invoiced Visits

The Billing DX Code displays the Billing code to be applied to the Invoiced visit.

If more than one Billing Dx Code is associated with the visit, a +N displays under the Billing DX Code column.

• If a Patient Diagnosis Code Override is set, the Billing DX Code column displays A00.0 (+1) for this visit. The (+1) indicates that there is another billing code associated with the visit.

• If a Patient Diagnosis Code Override is set and the associated Contract also has a Default Billing DX Code, the Billing DX Code column displays A00.0 (+2). The (+2) indicates there are two billing codes associated with the visit.

• If no code has been applied to the visit, then the Billing DX Code column displays N/A for the associated visit.

Selecting the value in the Billing DX Code column for an invoiced visit opens the Billing Diagnosis window containing supplementary code information such as the Code Description, and whether it is an Admitting and/or Primary diagnosis. Additional Codes are also displayed if more than one Code is associated with the visit.

From the Billing Diagnosis window, users with the Edit Billing Diagnosis Code permission can add or delete Billing Codes. Users without the permission, can access read-only information.

To access the Edit Billing Diagnosis Code permission, go to Admin > User Management > Edit Roles. Select Billing from the Section field on the Edit Roles page.

Adding or editing an Invoice Dx Code affects the Dx Code used for Billing only. Changes to the Patient’s Authorization Dx Code must be done directly on the Patient’s record. Complete the following steps to add or edit the Billing Diagnosis Code(s).

1. On the Billing Diagnosis window, click the Add button.

2. The Invoice DX Code window opens. Select the new ICD Code to apply to the invoiced visit. Select the applicable checkboxes if the Code is an Admitting Diagnosis and/or the Primary diagnosis. Click Save.

   

3. To edit an existing code, click theCode number link from the Billing Diagnosis window. On the Invoice DX window, specify whether that Code is/is not an Admitting Diagnosis and/or Primary diagnosis. Click Save.

   

4. To delete an existing Code from the associated invoiced visit, click the icon for an existing code from the Billing Diagnosis window. Click OK to confirm deletion.

   

5. In the Update field, select one of the following to indicate how to apply the Billing DX Code:

   • Individual record - only that specific visit individual record

   • All records within this invoice - all visits for this invoice, or

   • All records within this billing batch - all visits for that billing batch