To set up CPT4 codes at the provider master level:
- From the list, select Providers.
- Select the appropriate provider.
- Select the Practice tab.
- Select the drop-down arrow in the ServiceLocation field and select the location where the service is performed.
A list of payers displays in the Group Information section.
- Under Group information, double-click the payer to which you want to add CPT4 codes.
The
Modify Provider Practice Payer window displays.
- Select the Open Record button next to the CPT4 Provider Nbrs field.
The
Valid Provider Numbers for [Payer Name] window displays.
- Select the Open Menu button and select New.
Note: You can open and delete existing records. You can edit existing provider numbers, but you cannot edit the CPT4 code range.
The
Provider Number for CPT4 Range window displays.
- In the CPT4 field, enter the CPT4 code at the beginning of the range you want to set up. Use the to display the CPT4 Code Search window to search for a CPT4 code by code or by description.
- In the Thru CPT4 field, enter the CPT4 code for the end of the range. Use the to display the CPT4 Code Search window to search for a CPT4 code by code or by description. This field is optional.
- Enter the provider number in the Provider Number field.
- Select the Group Name, if applicable.
- In the Taxonomy Code field, select the code that will be applied when a CPT4 from the range is used.
- Enter data in the Name/Organization and address fields, if applicable.
- Select OK.
- Close the remaining windows.
Note: If a provider/location/payer is attached to a group that has a specified provider number set up for the CPT4 code, the group information is not included on that claim.
