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Map HCPCS Codes to Nebulization Solution
On the
Data Sets Setup
template
, click
Data Set
and select
Nebulizer Treatment
.
The existing data set items associated with the
Nebulizer Treatment
data set appear in the grid.
Click
Add
.
The
Template Data Sets Setup – [New Record]
template opens.
If applicable, click
Diagnosis description
to search and select a diagnosis.
The associated diagnosis code automatically populates.
If applicable, click
Provider
and select a provider from
Dbp Rendering Provider
.
In
List Item
, enter the solution name to be used in the nebulizer.
In
Qualifier 2
, enter the amount of the nebulized solution to be used.
In
HCPCS
, enter the procedure code.
In
Units
, enter the number of units of the nebulized solution.
In
Rounding
, enter a value that is used to calculate the number of units to submit with the J code for the nebulizer procedure.
The
Rounding
value is used to round-up the value entered in
Units
when you submit the data for billing.
Click
Save
, and then click
Close
.
The newly configured data set item appears in the
Data Sets Setup
template.
Note:
To add another item, click
Clear For Add
in the
Template Data Sets Setup – [New Record]
template and repeat steps 1 and 2.
View Run-Time Result of Mapping HCPCS Codes to Nebulization Solution
NextGen® Adaptive Content Engine Help Enterprise 8
Edit Nebulizer Treatment Data Set Items
On the Data Sets Setup template, click Data Set and select Nebulizer Treatment. The existing data set items associated with the Nebulizer Treatment data set appear in the grid. Highlight a grid to modify. Click Update. The Template Data Sets Setup – [New Record] template opens. Make the necessary changes in the applicable fields. Click Save and then click Close. Parent topic: Nebulizer Treatment Data Set
NextGen® Adaptive Content Engine Help Enterprise 8
Remove Nebulizer Data Set Items
On the Data Sets Setup template, select a record that you want to remove. Click Remove. The selected record is removed from the Data Sets Setup template. Parent topic: Nebulizer Treatment Data Set
NextGen® Adaptive Content Engine Help Enterprise 8
Add PT Modifier 59 Data Set Items
On the Data Sets Setup template, click Data Set and select PT Modifier 59. The existing data set items associated with the PT Modifier 59 data set appear in the grid. PT Modifier 59 data set Click Add. The Template Data Sets Setup – [New Record] template opens. Template Data Sets Setup If applicable, click Diagnosis description to search and select a diagnosis. The associated diagnosis code automatically populates. If applicable, click Provider and select a provider from Dbp Rendering Provider. In Code1, enter the CPT code for the first procedure. In Code2, enter the CPT code for the second procedure. In Modifier, enter the modifier as 59. Note: To bill the secondary service or the procedure that is not a part of the primary service or procedure, the modifier 59 is added. In Code Match 1, enter the primary code with which the modifier 59 is attached and sent for billing. In Code Match 2, enter the secondary code with which the modifier 59 is attached and sent for billing. Click Save, a
NextGen® Adaptive Content Engine Help Enterprise 8
Add New Medication Billing Data Set Items
On the Data Sets Setup template, click Data Set, select Medication Billing from the resulting list and then click OK. The existing data set items associated with the Medication Billing data set appear in the grid. Medication Billing data set Click Add. The Template Data Sets Setup – [New Record] template opens. Template Data Sets Setup Click Category and select the category for the medication. If applicable, click Type and enter the type of category. The value entered is used to designate the type of intraocular injection. Click Med or J Code, and on the Select Procedure window, search for to select the desired medication and then click OK. Selecting the mediation automatically populates J Code with the associated J Code and vice-versa. Note: You must enter values in both Med and J Code for the correct submission of charges. Click Proc Code, search for to select the desired procedure code and then click OK. The value entered in Proc Code is used to identify the procedure code billed wi
NextGen® Adaptive Content Engine Help Enterprise 8
Map SNOMED Code with the Diabetic Eye Exam Procedure
On the Data Sets Setup template, click Data Set and select Quality Reporting Order Findings xref. The existing data set items associated with the Quality Reporting Order Findings xref data set appear in the grid. Data Sets Setup Click Add. The Template Data Sets Setup – [New Record] template opens. Template Data Sets Setup If applicable, click Diagnosis description to search and select a diagnosis. The associated diagnosis code automatically populates. If applicable, click Provider and select a provider from Dbp Rendering Provider. In xref type, enter the system reference table name. In procedure code, enter the procedure code. In finding value, enter the physical examination value. For example, Negative, Normal, and so on. In code value, enter the SNOMED code. In code system, enter SNOMED. Click Save, and then click Close. The newly configured data set item displays in the Data Sets Setup template. Note: To add another item, click Clear For Add in the Template Data Sets Setup – [New R
NextGen® Adaptive Content Engine Help Enterprise 8
Add PE Copy Forward Excluded Data Set Items
On the Data Sets Setup template, click Data Set and select PE Copy Forward Excluded. The existing data set items associated with the PE Copy Forward Excluded data set appear in the grid. PE Copy Forward Excluded data set Click Add. The Template Data Sets Setup – [New Record] template opens. Template Data Sets Setup If applicable, click Diagnosis description to search and select a diagnosis. The associated diagnosis code automatically appears. If applicable, click Provider and select a provider from the resulting list. In Specialty, enter the specialty. In Template Name, enter the name of the template used for physical examination. In Field Name, enter the name of the field that is required to be excluded when you copy forward details. Click Save, and then click Close. The newly configured data set item appears in the Data Sets Setup template. Note: To add another item, click Clear For Add in the Template Data Sets Setup – [New Record] template and repeat steps 1 and 2. View Run-Time Re
