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Topic starter
We have a challenge where the ICD 9 reference list in the chart allows the physician to choose ICD 9 codes that are valid according to the ICD9 book, but not valid for billing as they require a 4th or 5th digit.
Our preference would be to remove these from the reference list in the chart but I have not found a way to do this. We have talked about custom lists and forms that will direct the physician to the correct ICD9 but that is a lot of extra work, so we would prefer editing the reference list.
Any ideas appreciated.
Posted : October 24, 2014 1:21 pm
We would agree with this suggestion. I would even question if the codes that require a 4th or 5th digit are even valid for charting purposes since the provider should be documenting to the level of specificity. This has been the major complaint by our providers with CPS 12 since we upgraded. Definitely something that needs to be addressed before ICD10 takes affect.
Posted : October 27, 2014 3:47 am
to my knowledge, there is no way to remove them from the reference list, same with medications. What you can do is make a custom list for the most commonly used codes or build a form with the most commonly used forms on it. Easier way would to be to build a custom list for each provider, run analytics to find which provider orders what and build them each their own if it suits them.
Posted : October 28, 2014 7:41 am
We have this very complaint in EMR9.8. Providers are using Reference list and choose codes that require a 5th digit or sometimes the code omits the 0 at the beginning. There are codes with only 2 numbers preceding the period (.) that I have been trying to educate the providers are NOT valid. But when they are in a hurry they choose what comes up.
Posted : October 30, 2014 5:01 am
Topic starter
Thank you everyone, I did enter an enhancement request to GE today. Perhaps if we all start asking for some flexibility to edit this list on some level we can convince GE.
Here is what I submitted.
We have a challenge which I have also brought to the CHUG community and have received the same concerns there. We would like to be able to edit the reference list for ICD9 codes on the EMR side, in essence the same way we inactivate them on the PM side. The challenge is the physician will not use a custom list, and chooses the first ICD9 code that works, not knowing they need a 4th or 5th digit. We want to be able to remove from the reference list those codes that are not billable, for example any codes that require a 4th or 5th digit should not be available for coding purposes. Leaving those codes there allows the provider to choose them, then they are hung up on the billing side as the billers have to either seek out the code prior to billing or catch the denial on the backend. This delays payment and claim processing.
Posted : November 3, 2014 8:20 am
