Obtaining Test or Code Information for Codes Submitted to the Procedures Module

You can view the test or code information for codes submitted to Procedures module to satisfy a care guideline.

When you want guidelines to update based on the codes submitted to the Procedures module, such as visit CPT® codes or billing codes, it is important to note that not all guidelines are updated from the Procedures module alone, and this functionality can vary depending on the NextGen® Enterprise EHR and NextGen® Adaptive Content Engine version and guideline.

For instance, vaccines can be partially billed, so immunizations are never updated from the Procedures module. Additionally, it may not be appropriate for guidelines to update solely on billed codes as these are typically not sufficient evidence that a particular test is resulted, nor they are as easily canceled or removed if billed in error or are no longer applicable.

In NextGen® Adaptive Content Engine 8.4.x and later, a separate section on the Data Sets Setup practice template enables you to specify codes for guidelines that should update from the Procedures module. Many practices may find this helpful to use for specific Visit Type Codes which are submitted to document and bill for patient visits.