HOW TO ENTER YOUR DIAGNOSIS LIST

 

 

 

You will need to setup a master list of diagnostic codes for use in your practice.  In this section each of the categories of Diagnoses, Symptoms, and Complications will now be broken down into specific Diagnoses, Symptoms, and Complications with their ICD codes.  ICD stands for International Classification of Diseases.  ICD Codes is recommended for use in all clinical settings but is required for reporting diagnoses and disease to all US Public Health Service and Health Care Finance Administration (HCFA) programs.

 

For Example:

Category---S-Symptoms

ICD Code      Type                              Description

__________________________________________           

781.2               S-Symptoms                Abnormal gait

728.9               S-Symptoms                Back pain

782.24 S-Symptoms                Numbness of limb

728.85 S-Symptoms                Muscle Spasm

 

Note: The "S-“ that starts the Category name (type) will inhibit these symptom codes from being available to print when billing carriers.

 

Category—D-Complications

 

ICD Code        Type                            Description

__________________________________________           

724.9               D-Complications                     Ankylosis

756.1               D-Complications                     Abnormalities

755.3               D-Complications                     Congenital short leg

722.4               D-Complications                     Discopathy

Note: The "D-“ that starts the Category name (type) ensures that these complication codes will be available to print when billing carriers.

 

Note:   You may create several different categories of Diagnoses, Symptoms, or Complications.

 

Note:   The maximum number of characters allowed in the description is 34.

 

Note:   Please be sure that any Diagnosis you wish to see on the HCFA form begins with "D-" .  Currently, complications or symptoms (those listed as "C" types or "S" types) do not print on the HCFA form.

 

To add a new record click on the “+” Plus sign on the navigation bar at the top of your screen.  Now type in the ICD code for your new entry.  Use the arrow to the right to choose the Diagnosis Type.  Next type in the Name for this ICD Code.  Keep in mind that a single ICD code could have many different designations.  Type in the name you most commonly use for this code.  Remember, some of the other designations will be automatically assumed based on the related ICD codes for the claim.

 

The Notes section will be for your use.  You may choose to use this feature or not. You may enter notes here that better describe or give an additional description of the ICD-9 code.  

 

For example, if you have new staff who are somewhat new to a medical practice, you can enter in more easily understood descriptions.  Let's say, the ICD-9 code is 739.1, and the description is, Cervical Subluxation.  Some new staff members may not understand "cervical" or "subluxation".  In the notes section, you could type something like, "A partial dislocation of a vertebrae in the neck."