Add a Diagnosis
- Click the Add-Remove button below the diagnoses grid to launch the Add/Remove Assessments template.
- Double-click the diagnosis in the Diagnosis grid.
Note: If the diagnosis is not in the Diagnosis grid, you can add it using the Add button to launch the Common Assessment template or Problem IT button to launch IMO template.
- Click Close.
- Apply the diagnoses to the procedures in the coding grid by doing one of the following:
- Click the Apply to All button to add all selected diagnoses to all procedures in the bottom grid. Any diagnosis with a check mark will be added to all procedures in the coding grid.
- To apply a code to a specific procedure, by selecting them (anything with a green check mark), selecting the procedures in the Procedures grid, and clicking Apply Codes.
Enter the date of injury, assisting surgeons and referring doctor.
Select a one of the following options: IP (Inpatient), OP (Outpatient), or ER as necessary.Note: DOS and Provider automatically pull from the Surgery Sched template.Select any of the following as applicable: Split Units, Return to MD, Work Comp, Trauma, Polytrauma, and/or Not allowed.Note: These additional options and check boxes are not required to submit charges, but are used as a reference for the coding staff.