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Description: In this topic the user will learn how to add and edit 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 can be added to service codes. Modifiers can be updated on funding accounts. Codes and modifiers can be manually added or edited on individual billing entries 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: Super User, Billing (can only manage CPT/HCPCS codes and modifiers on billing entries)

Permission Required: 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

  1. Log in to DCI
  2. Select Settings from the main menu
  3. Select Funding Sourcesfrom the submenu
  4. Use filters to search for funding source and click Search
  5. Click anywhere in the funding source row to open
  6. Scroll down the page and select the Service Codes tab
  7. Click anywhere in the row of the service code to be viewed, edited, or deactivated
  8. Click Actions
  9. Select Edit Service Code
  10. Add Default CPT Code or Default HCPCS Code
    1. This is a 5-digit code
    2. Only CPT or HCPCS Code can be entered
  11. Click Save and Yes to confirm


Add Modifiers on Client Funding Account

  1. Log in to DCI
  2. Select Authorization from the main menu
  3. Select Funding Accounts from the submenu
  4. Use filters to search for a funding account by client name, service code, units, cost center, or status
  5. Select Search and view the search results below the search box
  6. Select the row of the Funding Account by clicking anywhere in the row
  7. Click Actions
  8. Select Edit Account
  9. Add Default CPT or HCPCS Modifiers
  10. Click Save and Yes to confirm


Manage CPT/HCPCS Codes and Modifiers on Billing Entries

  1. Log into DCI
  2. Click Billing on the main menu
  3. Click CPT/HCPCS Codes on the submenu
  4. Use the filters to search for the desired client and service code (and specific date range if necessary), and click Search
    1. Please note that Client Name and Service Code are required search fields
  5. Select the checkbox next to pending entries for which CPT/HCPCS should be added/edited or click the header checkbox to select all displayed entries
  6. Click the blue Add/Edit CPT/HCPCS button
    1. Enter the 5-digit CPT or HCPCS code. Only CPT or HCPCS Code can be entered, not both.
    2. Additionally, there are four 2-digit fields which are available modifier fields.
  7. Click Save and Yes to confirm


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