Add Diagnosis Codes to a Case
You can select diagnostic and procedural ICD codes to apply to your cases.
Enter all required and optional General Case Information.
Select the
Select Diagnosis/Procedure
button.
The
Diagnosis Selection
window opens.
Select the Diagnostic or Procedural option button.
Search for the desired ICD Code.
If necessary select
Search for keyphrase anywhere in diagnosis
or Search Patient
NextGen® Enterprise EHR
Problem List options.
Select the desired ICD Code.
Select
Move Right
.
Repeat Steps 3 through 7 to add additional ICD codes, if necessary.
Select
OK
.
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NextGen® Enterprise EHR Help
Select Diagnosis and Admitting Diagnosis for a Procedure
You can either enter or search and select a diagnosis for a patient's procedure. You must select at least one diagnosis for the patient. To enter up to 12 diagnoses for a procedure, you must select Allow twelve diagnoses under the EHR tab in thePractice Preferences window in File Maintenance. Open NextGen® Enterprise EHR. Open Procedures window in Procedures modules. In Diagnosis field, enter a diagnosis. If a diagnosis code does not exist in the patient's chart, a message appears confirming that add the diagnosis to the patient's chart. To add the diagnosis, select Yes. To continue adding the procedure without adding the diagnosis to the patient's chart, select No. To select a Diagnosis, select the ellipsis button. The search window opens. Search Select the preference icon and select the columns to display. Search results The selected columns appear in the search window. In the search window, enter one of the following: Diagnosis Key, ICD Code, or description. Select Search. Note: By
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Diagnosis Categories Search
From the Master Files - System list, select Diagnosis Categories. The Diagnosis Categories List window opens. To add a new diagnosis category, select Open Menu , then select New. To search for an existing diagnosis category to modify, follow the steps below: In the List Search field, enter what you want to search for. The matching results are listed. Note: You can enter an asterisk ( * ) to see all the records. Double-click the diagnosis category you want to view. The Add/Modify Diagnosis Category Information window opens. Enter a name for the diagnosis category in the Category field. Enter a four-digit abbreviation for the diagnosis category in the Short Description field. To add an ICD code and description select Open Folder . The ICD Codes window opens. To add a code to the category, select the code in the Available list, then select the Include . The code moves from the Available list to the Included list. If necessary, select either 09 or 10 in the Show field to display only ICD9
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Select National Drug Code ID for a Procedure
You can select a National drug Code ID (NDC ID) for a procedure. Open the Procedures window in NextGen® Enterprise EHR. To select NDC ID, select the ellipsis button. The Select National Drug Code ID window opens. Select National Drug Code ID Enter one of the following: Description, NDC ID, CPT4. Select Search. In the results, select the required NDC ID. Do one of the following: To exit with the selected NDC ID, select OK. To empty all search fields and perform a new search, select Clear. To exit without selecting an NDC ID, select Cancel. Parent topic: Add a Procedure to a Patient Chart
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Apply Diagnoses to Procedures
To add all selected diagnoses to all procedures in the bottom grid, click the Apply To All button. Any diagnosis with a check mark is added to all procedure in the coding grid. To apply codes to individual procedures, do the following: Select the diagnosis codes desired for the procedure. Select the procedure. Click the Apply Codes button. Apply diagnoses on the Finalize Visit template View and Change the Order of Diagnoses Codes Attach a Suggested Modifiers Attach Other Modifiers Parent topic: Finalizing a Patient Visit Parent topic: Submitting Charges to Finalize a Visit
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Duplicate a Problem
You can simplify the process of entering information if a patient suffers from a recurring problem. If the problem was resolved or not, you can duplicate or recur the problem. Open NextGen® Enterprise EHR, and select a patient from Patient Lookup window. Select the patient's encounter that contains the problem. Open Problems module. Select the problem. Select the Recur button. NextGen® Enterprise EHR adds the problem to a patient's Problems List. Enter information and make necessary changes. Parent topic: Managing Problems and ICD Codes Related tasks Open the Problems Module
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Add or Remove Diagnosis Codes
You can add or remove the diagnosis codes in the ICD-CM section on the Estimate Patient Cost window. When you add or remove diagnosis codes for existing estimates and submit the cost estimation, a cost estimate with a new cost estimation ID is created. Open the Estimate Patient Cost window for a person, patient, encounter, or appointment. In the ICD-CM section, select open record . The Diagnosis Selection window opens. In ICD-CM Codes, do one of the following to search for the desired diagnosis code. To search by code, select Code, and enter all or part of the code. To search by description, select Description, and enter all or part of the description of the code. Note: Select the Search for keyphrase anywhere in the diagnosis check box to list the codes that have the entered search criteria anywhere in the code or description. The flashlight icon indicates whether the diagnosis codes are searched by code or description. Diagnosis codes that match the entered search criteria are displa