The Advanced Procedures Search screen can be accessed from multiple locations.
- Setup > Procedure Codes > More
- Billing Portal > Setup Screens option on toolbar > Procedure Codes
Fields
- Code: The code value associated with the procedure code.
- Code Type: The code type associated with the procedure code.
- Billing Code: The code that will be used on claims for the associated procedure code.
- Description: The description of the associated procedure code.
- Start Date: The start date associated with the procedure code.
- End Date: The end date associated with the procedure code.
- Financial Class: The financial class of the fee associated with the procedure code.
- Fee: The fee amount assigned to the associated procedure code.
- Provider: Rendering Provider associated with the fee for the procedure code.
- Location: Location associated with the fee for the procedure code.
- Payer: Payer associated with the fee for the procedure code.
Additional Field Options
- Create Date: The creation date of the associated procedure code.
- Created By: The user id that created the associated procedure code.
- Modifier 1: Default modifier 1 to be used when the code is added to a claim.
- Modifier 2: Default modifier 2 to be used when the code is added to a claim.
- Modifier 3: Default modifier 3 to be used when the code is added to a claim.
- Modifier 4: Default modifier 4 to be used when the code is added to a claim.
- Time Based Fee: Indicates if the fee is time based instead of unit based.
- Patient Resp: Indicates the procedure to be billed to patient only.
- NOC: Indicates the procedure as a drug NOC.
- NDC Value: NDC value that is associated with the procedure.
- TOS: Default type of service to be used when the code is added to a claim.
- Units: Default units to be used when the code is added to a claim.
- Gender: The gender requirement for the associated procedure code.
- Prior Auth Code: Indicator that a prior authorization is required for billing the code.
- RVU: RVU amount assigned to the fee of the associated procedure code.
- Allowed Amount: Allowed amount assigned to the fee of the associated procedure code.
- In House Cost: In House Cost amount assigned to the fee of the associated procedure code.
- Tax Amount: The tax amount assigned to the fee of the associated procedure code.
- Fee Start Date: The effective date of the fee for the associated procedure code.
- Fee End Date: The expiration date of the fee for the associated procedure code.
- Accept Assign: The default Accept Assignment indicator for the associated procedure code.
- Do not bill: Indicates if the code is for reporting purposes only and should not bill out with claims.