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How to Use Diagnosis in Diagnosis Info for Patients
The Diagnosis feature allows detailed management of ICD-10 and CPT codes for patient encounters. Here's how to use it:
Steps to Manage Diagnosis Information
Step 1: Log In to Your EHR Dashboard
Open the EHR system and log in with your credentials.
Step 2: Switch to the Prescriber Role
Ensure you are logged in with the Prescriber Role to access consultation features.
Step 3: Access the Diagnosis Section
Go to Consults and click on the patient's name.
Select the relevant Encounter.
Navigate to Diagnosis Info and click on Diagnosis.
Step 4: Fill Out Diagnosis Information
ICD-10 Codes:
Click the Plus (+) button to add a new code.
Search for the diagnosis by name and optionally add a description.
Save the code.
The saved code will be below.
Additional Options:
Copy and paste ICD-10 codes from Past Medical History.
Clone codes from a Previous Encounter.
Add codes directly from Favorites.
Step 5: Add CPT Codes
Search for the required CPT code, such as Initial Preventive Exam, and add it.
Fill out the following details:
Code and Description
Start Date & End Date
Diagnosis
Amount
Units
Place of Service
Save the CPT code.
Step 6: Concept of Services
To create and manage services for patient encounters, follow these steps:
Go to Chief Complaint
Navigate to Services and select the service.
Import Services
Select ICD Code, CPT Code and SOAP from the menu.
Start Import.
Once its saved it will appear below.
Benefits
Simplifies diagnosis and treatment coding.
Allows reuse of previous information, saving time.
Provides accurate and comprehensive data for billing and reporting.
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