Additional Procedure Information

NextGen® Medication Inventory Control Help 10.6.3.0

Document Aspiration Procedure Information

You can manually document aspiration procedure in the Procedure Type panel on the MICS Injections/Aspirations template. You can manually document the aspiration procedure in the following fields or using a Quickpick. On the MICS Injections/Aspirations template, expand the Procedure Type panel. Select the Procedure Type as Aspiration. In the Admin Type field, select administration type. The Body Parts picklist opens. Select the body part from the picklist, and select OK. The Sides picklist opens. Select the side from the picklist, and select OK. The Locations picklist opens. Select the location from the picklist, and select OK. The Portal/Approach picklist opens. Select the portal and approach from the picklist, and select OK. All the fields display the values you selected. The CPT code field is filled based on the Admin Type selected. The Modifier field is filled based on the Side selected. To associate a diagnosis code with the procedure, select a diagnosis in the Diagnosis field. Not

NextGen® Medication Inventory Control Help 10.6.3.0

Appearance and Quantity of Fluid Drawn

You can document the appearance and quantity of fluid drawn. You can also specify if the fluid is being sent for cell, crystals, or cultures. Note: This is for documentation only; it does not place an order for cells, crystals, or cultures. Complete the procedure information manually or by using a QuickPick. Select the Appearance field. The MLTS Dbpl Asp Appear picklist opens. This is a multipick list, so it remains open for you to keep selecting values until you close it. Do one or both of the following: Select the Free Text option and click OK, to enter an appearance not in the picklist. Select an appearance from the picklist and click OK to add it to the field. Repeat step 3 to select as many descriptors for fluid appearance as needed. Select--Done and click OK to close the appearance picklist. The values are entered in the Appearance field. Select the Quantity field and use the number pad to enter the quantity in cc’s of fluid drawn off. Mark the Cell, Crystal, or Culture check box

NextGen® Medication Inventory Control Help 10.6.3.0

Medical Necessity and Optional Information

If needle placement is confirmed using one of the above listed techniques, the Medical Necessity field becomes required. Technique, Anesthetic, needle Gauge and Sterile Dressing fields are all optional. Selecting an item in one field automatically opens the picklist for the field that follows. At any point you can close a picklist to conclude documentation. Select the Medical Necessity field and select the item from the picklist. The MLTSTechniquePL picklist opens. Select a technique from the picklist and click OK. The system runs a DUR Check for the medication and the MLTSanestheticPL picklist opens. Select an anesthetic from the picklist and click OK. The MLTSneedleGaugePL picklist opens. Select the needle gauge from the picklist and click OK. The MLTS SterileDressPL picklist opens. Select the sterile dressing from the picklist and click OK. All the procedure information is now filled in. Parent topic: Documenting an Injection

NextGen® Adaptive Content Engine Help Enterprise 8.3.1

Document an Aspiration or Injection Procedure

In the Joint Aspiration/Injection template, highlight the diagnosis in the grid under Today’s Assessments. In the Procedure field, click to select a value from list. Select a Location from the picklists that display for the chosen procedure. To enter the method used, do one of the following: Click the Method field to select a value from the resulting list. Click the top, blank row in the picklist to free text an entry in the Method field. Joint Aspiration/Injection template If a specific site was prepped, in the Site Prepped section, select Yes. To choose a value for how the site was prepped, do one of the following: Click the Technique field. Click the blank row in the picklist to free text an entry. To specify the anesthetic provided for this patient, do one of the following: In the Anesthetic field, click to select a value from the picklist. Click the top row to free text the anesthetic. Click the mL field to enter a unit value. To specify the gauge of the needle, do one of the foll

NextGen® Medication Inventory Control Help 10.6.3.0

Document Procedure Information for Eye Injections

Note: The picklists for many of the fields open sequentially on selecting a value in the previous field. However, you can change your selection in any of the fields by selecting another value. Open the MICS MedAdmin OPH template, and then do one of the following: To document the right-eye-injection procedure, expand the OD Injection panel. To document the left-eye-injection procedure, expand the OS Injection panel. Injection panel on the MICS MedAdmin OPH template In Admin Type, select the type of injection. The CPT details automatically appear based on the admin type selected. In Med. Necessity, select the reason for the injection procedure. Select a category. To associate a diagnosis code with the procedure, select a diagnosis. Note: If you use NextGen® Orthopedic Suite, you must not enter diagnosis codes in the MICS MedAdmin OPH template. Diagnosis codes are applied in the Finalize Visit template. Optional: To associate a second diagnosis code with the procedure, select Sec Dx. In A

NextGen® Medication Inventory Control Help 10.6.3.0

Additional Procedure Information

The Additional Procedure Information panel has grids used to configure picklists for the following fields on the MICS Injections/Aspirationsand MICS MedAdmin OPHtemplates: Technique Anesthetic Gage (of Needle) Improvement Appearance (of fluid aspirated) Medical Necessity Each of the grids in the Additional Procedure Information panel comes pre-loaded with entries, and has a pair of up/down arrows to the right, that you can use to arrange the order that entries in the grid appear in the picklist. The order of items in the grid is the order that items will appear in the picklist. The procedures for adding entries to grids, updating entries,making entries inactive so that they do not show in the picklist, and re-ordering them are the same for all of the grids. Add an Item to a Picklist Grid Update a Picklist Item Re-Order Picklist Entries Remove a Picklist Item Parent topic: Medication Picklist Template

Additional Procedure Information

Recommendations

Document Aspiration Procedure Information

Appearance and Quantity of Fluid Drawn

Medical Necessity and Optional Information

Document an Aspiration or Injection Procedure

Document Procedure Information for Eye Injections

Additional Procedure Information

Additional Procedure Information

Document Aspiration Procedure Information

Appearance and Quantity of Fluid Drawn

Medical Necessity and Optional Information

Document an Aspiration or Injection Procedure

Document Procedure Information for Eye Injections

Additional Procedure Information