Submitting CPT II Codes Automatically without Diagnosis

You can to configure additional options to automatically submit the CPT II codes to Superbill.

In addition to the CPT II configuration in the “Common Configuration for CPT II Claims Based Reporting” section, you also need to configure the following areas to automatically submit the CPT II codes without the diagnosis option:

• Claim Edit Library
• Practice Configuration

When configured to automatically submit the CPT II codes, the codes are automatically assigned and submitted to Superbill for a patient documentation that meets the criteria mapped for a measure on the Coded Results Mapping template. The claim edits activated during the configuration select all claims without a diagnosis. The diagnosis can be added later in NextGen® Enterprise PM.

You need to report measure exceptions on the Exceptions/Measures template for the CPT II code auto-submission functionality to work.