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Description: In this topic you , the user will learn how to add and edit HCPCS and CPT Codes. HCPCS/CPT CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System) codes. CPT/HCPCS Codes are used for billing purposes on various service codes. Default codes and modifiers can be added to Service Codes and Client Funding Accounts in the system. These can also service codes. Modifiers can be updated on funding accounts. Codes and modifiers can be manually added or edited on individual billing entries. Pending billing entries can be edited to change the default code/modifiers in the billing module.
*Please note: If CPT/HCPCS codes are not added or edited, the default code and modifiers from the service code and funding account will be applied to the billing entries.
Role Required:Superuser/Billing Super User, Billing Team (can only manage CPT/HCPCS codes and modifiers on billing entries)
Permission Required:N/A
Add/Edit HCPCS/CPT Codes
Funding Source Admin (can only add default CPT/HCPCS codes on service codes and add modifiers on funding account)
Add Default CPT/HCPCS Codes on Service Code
Log in to DCI
Select Settings on the main menu
Select Funding Sources on the submenu
Use the filters to search for the funding source and click Search
Click anywhere in the funding source row to open the Funding Source Details page
Click the Service Codes tab
Click anywhere in the service code row to open the details page
Click Actions
Select Edit Service Code from the drop-down menu
Add Default CPT Code or Default HCPCS Code
This is a 5-digit code
Only CPT or HCPCS Code can be entered
Click Save and Yes to confirm
Add Modifiers on Client Funding Account
Log in to DCI
Select Authorization on the main menu
Select Funding Accounts on the submenu
Use the filters to search for the funding account by client name, service code, units, cost center, or status and click Search.
Click anywhere in the funding account row to open the Account Details page
Click Actions
Select Edit Account from the drop-down menu
Add Default CPT or HCPCS Modifiers
Click Save and Yes to confirm
Manage CPT/HCPCS Codes and Modifiers on Billing Entries
Log in to DCI
Select
Log in with appropriate profile
Click Billing on the Main Menumain menu
ClickSelect CPT/HCPCS Codes on the Sub Menusubmenu
Use the filters to search for the desired client and service code (and specific date range if necessary), and click Search.
Please note that Client Name and Service Code are required search fields.
Select the checkbox next to Pending entries that you wish to add/edit CPT/HCPCS.
Click pending entries for which CPT/HCPCS should be added/edited or click the header checkbox to select all displayed entries
.Click the blue Add/Edit CPT/HCPCS button
Enter the
Please note that only 5-digit CPT or HCPCS code. Only CPT or HCPCS Code can be enteredYou cannot enter both, not both.
Additionally, there are four 2-digit fields which are available modifier fields.
Click Save
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and Yes to confirm
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