This article explains how to configure DX mapping and pointers, allowing you to change the diagnosis pointers on a per-patient and per-service basis.
Overview: When you access a patient case, the order of the diagnosis codes is the order they appear on the claim. By default, the claim will pull the first four diagnosis codes, listed from top to bottom.
Why Change DX Mapping? There are times when a specific service requires the diagnosis pointers to be in a different order than the default setting. This can be configured initially or edited after the service has been applied to a ledger or billed.
Methods in Setting or Updating DX Mapping:
Setting Up DX Mapping On Default Charges:
Navigate to Default Services:
Go to the patient's default services section.
Select the Service to Change:
For example, if you need to change the DX mapping for therapeutic exercises, locate this service.
Override Default Mapping:
In the DX mapping column, click "Override."
A confirmation message will appear—click "Yes."
Click the plus sign to add the new order of DX codes.
Select the Order of DX Codes:
Click the checkboxes in the order you want the codes to appear.
Hit "Save."
Reviewing Changes:
The new DX mapping order will be indicated by a red box around the service.
Click into the service to view the updated details. Note that this order is different from the case level.
Applying Changes During Patient Visits From The Transaction Modal:
If an office is entering a service through the transaction modal, they would pull the patient up on the left click on the transaction icon (looks like a dollar) > add the service in the ICDs box > click on the plus sign then a screen will pop up listing the DX codes that are listed on the patient's case. The order they are checked off, is the order it will create the DX pointers.
Note, if the service is set up as a default service with DX mapping already applied, it will pull up automatically.
Applying Changes During Patient Visits From The SOAP Notes Screen:
If the doc has a patient pulled up on the soap notes screen towards the top is a white box that says charges > click on that here they can add charges (or it will pull up the default charges on a patient's case if set). This will look and act exactly like the transaction modal. Click on the plus under IDCs for that service and select the pointers.
Note, if the service is set up as a default service with DX mapping already applied, it will pull up automatically.
Applying Changes To A Charge On A Ledger
If DX mapping did not take place at the time charges were entered, you can apply DX mapping after the fact by editing the ledger.
Navigate to the patient's ledger > click on the Edit button under the Edit column - This will look and act exactly like the transaction modal.
Click on the plus under IDCs for that service and select the pointers.
Applying Changes To A Charge On A Ledger After It Has Been Billed
You cannot edit a charge once it has been billed, therefore you have to first rebill the service in order to make any changes to the DX mapping.
Navigate to the patient's ledger > Insurance History tab > click Set to Rebill on ALL services rendered on the specific day in question > Save.
Navigate to the patient's ledger > click on the Edit button under the Edit column - This will look and act exactly like the transaction modal.
Click on the plus under IDCs for that service and select the pointers.
Conclusion:
By default, the claim will pull the first 12 DX codes from the patient's case. However, each service will default to point to the first four DX codes in the case. You can direct them differently by setting up DX mapping for various services as needed. This flexibility ensures that the correct diagnosis codes are used for specific services.