If you require additional details for a particular procedure code, you have the ability to add a question to the procedure code. This will require your staff to answer the question each time the code is used on an EHR encounter.

Setup

In the EHR, navigate to the utility menu and select CPT Code Questions under Clinical Admin Tools.

You must have the Clinical Administrator role to access this utility.

CPT questions utility.png

Existing procedure code questions will be displayed below.

CPT question screen.png

Add a procedure code question

To add a new question, type the procedure code or description into the search field in the upper right corner. Then select the desired procedure code.

CPT question, select code.png

The selected procedure code will be displayed on the list. Click the icon to expand the code and then type the question into the field to save it.

CPT question, add question.png

The procedure code will be displayed along with the question.

CPT question, saved question.png

Edit a procedure code question

To edit a procedure code question, find the procedure code on the list and click the pencil icon to the right.

CPT question, pencil icon.png

Type the new question into the field to save it.

CPT question, edit.png

Remove a procedure code question

To remove a procedure code question, find the procedure code on the list and click the trash can to the right.

CPT question, trash can.png

Procedure code questions on encounters

Once your procedure code questions have been set up, you will be prompted to answer the question any time the procedure code is added to an encounter. Type the answer to the question and click OK.

CPT question popup.png

The question and answer will be displayed on the encounter.

CPT on encounter.png

CPT question PDF.png

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