Begin the exam, then select the Coding category to open the documentation fields. If this portion of the exam has already been documented by another provider, select the check box as appropriate. If any codes were marked for diagnoses as part of a previous portion of the exam (such as when entered as part of a physical finding when evaluating Ocular Health, or added in Assessment & Plan), they will automatically appear here. To add an additional diagnosis code, click "+Add new CPT." To select a diagnosis code that has been saved as part of a previous exam, click "View & Pull from other encounters":
Select CPT
Select the check box next to each CPT code to open its documentation fields. Review each required field (marked by asterisk) and add documentation as necessary, then repeat for each additional CPT. When finished, click "Send to Billing" to add those code to the invoice that will be generated for this exam:
Click to confirm send to billing. Use the check box to prevent this dialog box from reappearing when you click "Send selected to billing":
The "Send to Billing" column will now indicate which code(s) has been billed. These items can still be edited by re-opening the documentation menu, or removed by clicking the trash can icon:
