Diagnosis Codes

Diagnosis codes populate the CMS 1500 form in order of the diagnosis codes listed, and display by charge. Loop 2300, Segment/Data Element HI01-2 through HI12-2

Locate the claim.

Locate the claim.

Open the specific patient account, and click on the Claims Tab to locate the appropriate claim; OR double click on the correct claim from the Claims Manager.

  1. Click to highlight the appropriate claim in the Claims grid, and display Claim Details for selected claim. Double click on the charge/line item to be edited, and open Charge Details.

Edit charge and view diagnosis codes.

Edit charge and view diagnosis codes.

Diagnosis codes will be pulled from the diagnosis codes attached to charges. Diagnosis codes will populate Block 21 based on the order of how the charges are entered. Each charge can relate to up to 4 diagnosis codes, and each claim can have up to 12 diagnosis codes. Any more than 12 total diagnosis codes per visit. Any additional charges with different diagnosis codes will have to be placed on another paper form.