Add ICD Code Information Field Descriptions

In the Expiration Date field, enter the date after which the ICD code is no longer valid. This field is required.

These dates ensure only valid ICD-CM codes are attached to encounters. When a user is attaching codes to an encounter in NextGen® Enterprise PM, any codes that have effective date ranges that do not include the encounter date of service are hidden and cannot be used.

Because users can select diagnosis codes in multiple ways, the encounter date is not always the best to use against the effective date period. If the user is selecting diagnosis codes from:

• an encounter, the encounter date is used.
• an appointment that is not attached to an encounter, the appointment date is used.
• a case, the system date is used.
• Autoflow, the first date available in the following priority: encounter, appointment, or system.

Notes:

• Codes that are in File Maintenance before version 5.6 have the date of creation as the default effective date and have 12/31/2099 as the default expiration date. New codes that you create also automatically have these default dates. Do I need to change this?
• When you define an effective date range for an ICD-CM code, the date range then displays for the corresponding diagnosis code in the Diagnosis Code library for reference purposes. You cannot modify the dates in the Diagnosis Code library.
• If you want to attach one ICD-CM code to multiple diagnosis codes but each diagnosis code requires a different effective date range, then you must create a separate ICD-CM code for each date range. Then you can attach each diagnosis code accordingly.
• You can set claim edit 253 - ICD code(s) has expired or does not exist in the ICD9 Master File to report when an encounter is being billed that has an expired ICD code. For more information, see Claim Edit Descriptions .
• For information about loading and updating ICD/CPT4 codes information into your NextGen database, see the Update Utility Guide for NextGen® ICD/CPT4.

For more information about using the NADEA number, download the Medications and Medication Allergy Modules User Guide for NextGen® Enterprise EHR from the NextGen Healthcare Success Community.

If the code is a header (non-specific) code that is not used for diagnoses, clear the check box. The code will not display in diagnosis lookup results.