CS PracticeWorks Software
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1 CS PracticeWorks Software ICD-10 s Handout This handout is designed for all users of CS PracticeWorks practice management software and provides instructions on using the ICD-10 diagnostic code set. The ICD-10 code set for reporting medical diagnoses and in-patient procedures replaces the existing ICD-9 code set. Both versions are available in the software, but ICD-10 is the new default. You can still use ICD-9 codes for procedures performed before October 1, 2015, for existing claims, and for types of claims that do not require ICD-10 codes. Selecting a Transaction List 1 Select Lists > Transaction s. 2 Select the Diagnostic codes filter. 3 Select ICD-9 or ICD Select OK, Add, or Edit. The Transaction Definition window is displayed. The ICD version defaults to the version being viewed or edited from the previous window. The Insurance code field displays the selected code. When adding a code, enter it here. Note: You cannot change the version of an existing code. When editing a code, the option to select the other ICD version is disabled. 1 of 5
2 ICD-10 s continued... Entering ICD-10 s Manually 1 From the Transaction s List, select Diagnostic codes. 2 Click Add. 3 Use the Insurance code field to enter the new code. The code must consist of three to seven characters. When there are more than three characters, enter a decimal point between the third and fourth characters. Example: S42.321A The first character must be a letter A-Z, except U. The second and third characters must be numbers. The fourth seventh characters (after the decimal point) can be letters or numbers. 2 of 5
3 ICD-10 s continued... Assigning Diagnosis s You can assign up to four unique diagnosis codes to a patient's claim. Diagnosis codes labeled A - D are populated with diagnosis codes found on the patient's ledger. For procedures performed before October 1, 2015 use only ICD-9 codes. For procedures performed on or after October 1, 2015, use only ICD-10 codes. To assign diagnosis codes to a medical claim: 1 Use the Insurance Submittal Information window during check-out, or select Lists > Insurance Claims, select a claim and click Submission Details. In the Diagnosis or nature of injury section, enter up to four ICD codes in the fields labeled A - D. 1 In the Medical section, use the Diagnostic code checkboxes to associate ICD-10 codes (A, B, C, or D) with the medical procedure codes. Note: When no diagnosis codes are present, you can select either ICD-9 or ICD-10 codes. When at least one code has been assigned, you can only select from the code version being used. 3 of 5
4 ICD-10 s continued... To assign diagnosis codes to a dental claim: 1 Use the Insurance Submittal Information window during check-out, or select Lists > Insurance Claims, select a claim and click Submission Details. 2 In the Diagnosis section, click Add. 3 Use the Diagnostic code filter and select up to four codes for the claim (fields labeled A-D). 4 Select a procedure from the Dental section. 5 Select A, B C, or D to add the corresponding diagnosis code to the procedure. 4 of 5
5 ICD-10 s continued... Printed Claims 2012 ADA Dental Claim Form The Diagnostic s print in Box 34a, lines A, B, C and D. The Diagnostic Pointers print in column 29a. The appropriate Diagnosis List Qualifier must print in Box 34: A is printed in the left-hand box when the diagnosis codes are ICD-10. B is printed in the right-hand box for both ICD-9 and ICD HCFA Medical Claim Form The Diagnostic s print in Box 21, lines A, B, C and D. The Diagnostic Pointers print in column 24E. The appropriate ICD Indicator must print in Box 21: 9 is printed when the diagnosis codes are ICD-9. 0 is printed when the diagnosis codes are ICD of 5
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