Diagnosis Overview

Diagnosis codes are the translation of written descriptions of diseases, illnesses, and injuries into codes from a particular classification. Diagnosis codes are used as part of the clinical coding process alongside procedure codes. The Diagnosis Code Search screen can be accessed by opening the Setup portal and clicking on Diagnosis Codes under Billing Setup. A user can then search for a diagnosis code and open the Diagnosis Codes Setup screen. The Diagnosis Codes Setup screen can be used to:

Add New Codes

Edit Existing Codes

Set Diagnosis Code Rules

Diagnosis Code Search Window Buttons

  • New: Clicking the New button allows the user to Add New Codes
  • More: Clicking the More button gives the user the options to open the Advanced Search Screen or run the Diagnosis Usage Reports
  • Search (Magnifying Glass): Clicking the Search button opens a search box to allow the user to search for and open a diagnosis code

Diagnosis Codes Setup Screen

Summary

The Diagnosis Codes Setup Screen opens to the Summary tab. The Summary allows you to see all of the settings quickly that have been configured on the other tabs. You can switch to the other tabs by clicking on the section of the summary you wish to go to or by clicking on the tab name on the left side.


Code

The Code tab allows the user to be able to enter information specific to the code regardless of the payer. This includes effective dates, code type, short description, and problem description.


Rules

The Rules tab allows the user to enter information about how the selected diagnosis code is used, reported on, and billed.