The billing footer of a note allows Clinical staff to appropriately link ICD-10 codes, CPT codes, and Modifiers to a note for proper reimbursements of services provided. Some commands are linked to billing codes that automatically populate into the billing footer.
Q: Can I manually add an ICD-10 code to the billing footer?
A: No, the only way to add an ICD-10 code is using the a Structured Assessment, Diagnosis command, or Assess command.
Q: Which commands can automatically add a CPT code to the billing footer?
A: Structured Assessment, Perform, Immunize, and POC lab command.
The list below of commands and the types of codes they are or can be linked to when properly configured:
Diagnosis command: ICD-10 codes
Assess command: ICD-10 codes
Perform command: CPT codes
Immunize command: CPT codes
POC lab: ICD-10 codes
Structured Assessment (Questionnaires): CPT & ICD-10 codes
Document patient encounter as needed
Ensure the appropriate ICD-10 and/or CPT codes have dropped into the billing footer, if using any of the commands above
Add any missing CPT codes including E&M codes by typing the code over the Add a CPT
text in the footer
E&M codes will automatically link to all ICD-10 codes added prior to the CPT codes.
Document patient encounter and follow steps above as needed
Ensure all ICD-10 and/or CPT codes are displayed in the billing footer
Hover below the ICD-10 code AND over the same row of the CPT code you want to link it to display a grid
Link existing CPT codes to the appropriate ICD-10 codes by using the grid
Click on any CPT code to add any modifiers as needed
Enter the Modifier code into the Search for modifiers...
field
Select Done
Locate the command that populated the ICD-10 Code
Select the triple dot menu next to the command
Select Enter in Error
Ensure ICD-10 code has been removed from the billing footer
Locate and select the CPT code to be removed
Select Remove
Ensure CPT code has been removed from the billing footer
Select the CPT code from which you want to remove the Modifier
Locate the modifier
Click "x" next to the modifier
Select Done
Ensure the modifier has been removed from the billing footer
Select Push Charges to move the claim to the coding queue if additional documentation is needed that is not related to billing
OR
Select Lock to move the claim to the coding queue if you're done documenting the encounter