Editing Codes

    To edit an existing or suggested code, left click on the code to bring up the encoder and Code Editor windows. If the user is set up with dual monitors, the encoder window can be moved to the second monitor to remain open as they work through validation of each the engine suggested codes. From the Code Editor window, users can update codes from the code drop-down menu, via Direct Entry, or Encoder. The POA indicator and code status (Admit, Principal, or Secondary) can also be updated in the Code Editor.

    To change a code, place the curser in the drop-down box where the code to be changed is displayed. Code parts, such as the code extension, can be edited instead of removing the whole thing.

    Code Editor Window Code Editor Window

    Users have the option to minimize and restore the Code Editor window to continue viewing documents or other areas of the chart as they are working to complete additional details for the procedure code.

    Code Editor IconDescription
    Edit Icon Edit IconThis button launches the encoder for the existing code
    Direct Entry Button Direct Entry ButtonAdds a new line for direct entry of additional codes
    +Encoder Button +Encoder ButtonLaunches the encoder for selection of a code
    OK Button OK ButtonSaves any changes for the current session of Code Editor
    Cancel Button Cancel ButtonCloses window without saving changes from the current session of Code Editor
    X Icon X IconDeletes the selected code from the chart
    Minimize Editor Window Minimize Editor WindowMinimizes Code Editor window so that the main screen can be viewed
    Restore Code Editor Button Restore Code Editor ButtonRestores the Code Editor window to full size for review and completion

    Adding Procedure Code Data

    Procedure Code Editor Procedure Code Editor

    Procedure codes typically require additional information such as Physician and Date of Service for the procedure indicated along with procedure details. These fields are configured according to facility requirements and may look different per organization.

    To enter in a date and physician to the procedure codes, right-click on the procedure code and then select Edit Procedure Info from the menu. After selecting a procedure code, the Code Editor window for the selected procedure code will open.

    Add Procedure Date

    To enter the procedure date, start entering the date in MM/DD/YYYY format or click on the calendar to select the procedure date.

    Add Physician

    To add the physician, click into the Add physician… drop-down menu. Start entering the name of the physician who completed the procedure, then select the physician’s name to complete this field. At least 3 characters of the physician’s last name are needed to view the drop-down listing. Continue entering characters of the physician’s last name to narrow the listing of physicians to choose from. 

    Add Additional Procedure Details

    Click on the ellipsis … button under the Action heading.

    Users have the option to minimize and restore the Code Editor window to continue viewing documents or other areas of the chart as they are working to complete additional details for the procedure code.

    Minimize Editor Window Minimize Editor Window

    Restore Code Editor Button Restore Code Editor Button  

    Mass Editing Codes

    Mass editing of codes can be accessed by right clicking and selecting “Edit All Codes” on any of the code headers such as assigned diagnosis, assisted procedures, admit diagnosis.

    Right Click Edit All Codes Right Click Edit All Codes

    Each code has a checkbox, and each section has an ‘ALL’ checkbox. If the user clicks the All checkbox, a checkmark will appear in all codes under it. Any change made to one of those checked codes will be reflected in all other checked codes.

    Edit All Codes Editor Edit All Codes Editor

    The CPT code section has a Modifier column with a plus sign. Clicking the plus will open up the details window to add/change Modifier, plus other items that are included in that window. Clicking on the ellipsis symbol next to the Episode field will also open the details. The user can add up to 4 modifiers, unless they are using the Solventum™ Coding and Reimbursement System (CRS) then they will be able to add up to 5 modifiers.

    PCS and CPT codes can be updated together. If there is a check mark, the change will be made to both the CPT and the Procedure Code. When both CPT and Procedure are selected together, only the Physician and Date can be changed.

    Add Another Episode

    Right clicking on a procedure allows the user to add another instance of the same procedure without needing to duplicate the effort of recoding the procedure.

    Add Another Episode Add Another Episode

    From Edit Procedure Info, you can also update additional information for the selection of procedure codes to add procedure date, add physician, and update additional details such as

    • Anesthesiologist
    • Anesthesia Type
    • Tissue Sample
    • Procedure Location
    • Minutes)

    These fields are configured according to facility requirements and may look different per organization.