Procedure Code Field Descriptions

Required fields are indicated in red. 

  • Code: Enter the Procedure code (numbers and/or letters).

  • Code Type: Select the type of Procedure code (CPT/HCPCS, Other Medical or Retail). 

  • Claim Defaults: Select any applicable claim defaults for the code, as well as the default price, number of units and default charge status for the code.

  • Modifiers: Add any applicable global or Situational modifiers to the code if applicable.

  • Drug Information: If applicable, include a drug price, units, and drug unit measure (GR, ML, UN, etc.) as well as drug codes and code format.

  • Effective Date: Effective code date for reporting and tracking purposes only.

  • Termination Date: Termination code date for reporting and tracking purposes only.

  • Superbill Options: Configure Superbill options (Enable code to print on superbill and enter code category and description that will reflect on the superbill). 

  • Statement Options: Configure Statement options (Enter a code description that will reflect on the statement).