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. 

FAQ

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. 

Tips & Tricks

Step By Step

Commands that automatically populate ICD-10 and/or CPT codes

• 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

Add CPT/E&M codes to the billing footer

• 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.

Link ICD-10 codes to 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

Document a Modifier for a CPT/E&M code

• Click on any CPT code to add any modifiers as needed

• Enter the Modifier code into the Search for modifiers... field 

• Select Done

Remove an ICD-10 codes/CPT codes or Modifier

Remove ICD 10 codes

• 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

Remove CPT codes

• Locate and select the CPT code to be removed

• Select Remove

• Ensure CPT code has been removed from the billing footer

Remove Modifiers

• 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

Move the claim to the coding queue

• 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 

Resources

Video: Billing Footer