NextGen Knowledge Center

Map Behavioral Health Service Codes

  1. On the Service Code Mapping system template, click the Practice field and select the desired practice name.
  2. In the Payer field, select the payer configured in File Maintenance.
  3. In the Visit type field, click to select a value.
  4. Select a value from the optional Licensure field.
    For more information on how to modify the custom lists on this template, go to NextGen Healthcare Success Community, and download the Custom DB Picklists System Template for NextGen® Adaptive Content Engine.
  5. Click the Service code or Service description field to select a service to be mapped with the selected practice for Behavioral Health billing.
    The values in the Service Item Mstr picklist are configured in a Service Categories master file called Behavioral Health. You can modify the list values in File Maintenance.

    Once configured, selecting the Service Performed by option in run time under the Behavioral health billing section runs a stored procedure that looks at the content documented in the encounter and the mappings on the Service Code Mapping system template, and fills the Service code and Service description fields if a mapped code is found. If more than one code is found, the user is prompted to select the most accurate service code for the visit.

  6. In the Provider Level field, select a value from the list.
    The values in the Provider Level field are set up in the Practice and Provider master files.
  7. Select the desired element for the service code when applicable:
    • Require E&M code
    • Require additional code
    • Time-based

    For the two options that require codes, if you select Yes for one option, the system sets the other option to No. However, you can set both to No. The selection for the Time-based option is independent of the other settings.
  8. Click Clear to remove data from all the fields above the grid and work on a different mapping without saving any changes to the current values in the Map Service Code section.
  9. To include a new mapping, click Add.
    The documented details appear in the grid.
Map Behavioral Health Service Codes