Submitting CPT II Codes Automatically
You can select the automating submission method after completing the configuration steps.
The CPT II code automatic submission functionality facilitates claim-based quality measure reporting by automatically assigning and submitting CPT II codes. Selected HEDIS measures are mapped to the CPT II code system on the Coded Results Mapping template.
Practices can configure additional measures. When the CPT II code automation functionality is enabled, documentation that meets the criteria setup on the Coded Results Mapping template automatically assigns a CPT II code when the template that contains the configured field is saved. You can either send the CPT II code directly to the Superbill without assigning a diagnosis, or you can send it to the Finalize template where a provider assigns the diagnosis before submitting to the Superbill.
- Automatic: activated when you select CPT II Auto-submission without a diagnosis, which assigns and sends the CPT II code without diagnosis directly to the Superbill.
- Semi-automatic: activated when you select Assign a diagnosis code to the CPT II code on the Finalize template, which assigns a CPT II code and then sends it to the Finalize template. The provider then assigns a diagnosis code to the CPT from the Finalize template and submits it to the Superbill.