Document an Ocular Procedure
You can document Ophthalmology procedures in detail on the Record Patient Procedure - OPH template.
- Access the Record Patient Procedure – OPH template .
- At the top of the template, select the Eye involved in the procedure: OD, OS, or OU.
- Click the Dx description field to enter a diagnosis description.
The diagnosis search window opens.
- Search for and select the diagnosis, and then click Select.
The system opens the Procedure window. The diagnosis details fill the Dx description and Dx code fields.
- Search for and select the procedure.
The selected procedure description and its associated code appear in the Px description and Px code fields.
- Enter a diagnosis Status.
- Select up to four billing modifiers using the Modifier fields 1 through 4.
If you are not going to bill for the procedure, this step is optional.
- Select a Category option for the ocular condition.
- To exclude the procedure from billing, select the Suppress billing check box.
This sets a flag to NextGen® Enterprise PM that the procedure is not to be billed.
- To add the procedure to the Histories Master, select the Add to histories master check box.
- Click the Add button at the lower right of the Procedures Details section of the template to add the procedure to the Procedures grid and to the Histories Master grid.
- Click Return.