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User Guide - Add/Edit CPT/HCPCS Codes

User Guide - Add/Edit CPT/HCPCS Codes

Owned by Susannah Bear Garlid (Unlicensed)
Last updated: Oct 18, 2023 by Stephanie Smith
2 min read

Description: In this topic, the user will learn how to add and edit CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System) codes. CPT/HCPCS Codes are used for billing purposes on service codes. Default codes can be added to service codes. Modifiers can be updated on funding accounts. Codes and modifiers can be manually added or edited on individual billing entries in the billing module.

*Please note: If CPT/HCPCS codes are not added or edited, the default code and modifiers from the service code and funding account will be applied to the billing entries.

Role Required: Super User, Billing Team (can only manage CPT/HCPCS codes and modifiers on billing entries)

Permission Required: Funding Source Admin (can only add default CPT/HCPCS codes on service codes and add modifiers on funding account)

Add Default CPT/HCPCS Codes on Service Code

  1. Log in to DCI

  2. Select Settings on the main menu

  3. Select Funding Sources on the submenu

  4. Use the filters to search for the funding source and click Search

  5. Click anywhere in the funding source row to open the Funding Source Details page

  6. Click the Service Codes tab

  7. Click anywhere in the service code row to open the details page

  8. Click Actions

  9. Select Edit Service Code from the drop-down menu

  10. Add Default CPT Code or Default HCPCS Code

  11.  

    1. This is a 5-digit code

    2. Only CPT or HCPCS Code can be entered

  12. Click Save and Yes to confirm

Add Modifiers on Client Funding Account

  1. Log in to DCI

  2. Select Authorization on the main menu

  3. Select Funding Accounts on the submenu

  4. Use the filters to search for the funding account by client name, service code, units, cost center, or status and click Search.

  5. Click anywhere in the funding account row to open the Account Details page

  6. Click Actions 

  7. Select Edit Account from the drop-down menu

  8. Add Default CPT or HCPCS Modifiers

  9. Click Save and Yes to confirm

Manage CPT/HCPCS Codes and Modifiers on Billing Entries

  1. Log in to DCI

  2. Select Billing on the main menu

  3. Select CPT/HCPCS Codes on the submenu

  4. Use the filters to search for the desired client and service code (and specific date range if necessary), and click Search.

  5.  

    1.  Please note that Client Name and Service Code are required search fields

  6. Select the checkbox next to pending entries for which CPT/HCPCS should be added/edited or click the header checkbox to select all displayed entries

  7. Click the blue Add/Edit CPT/HCPCS button

  8.  

    1. Enter the 5-digit CPT or HCPCS code. Only CPT or HCPCS Code can be entered, not both.

    2. Additionally, there are four 2-digit fields which are available modifier fields.

  9. Click Save and Yes to confirm

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