Procedure Code Master

The Procedure Code Master table stores the information needed to create the electronic billing file that is sent for payment.

Every service your agency provides must have a matching procedure code set up correctly. If it is not set up properly, claims may be rejected.

Follow these steps to add or update a procedure code.

NAVIGATION: MAINTAIN menu > Master Tables > Service/Procedure Codes > Procedure Codes

  1. CODE field
    1. Type the full procedure code.
    2. Example: W9029-U5-HI
  2. NATIONAL PROCEDURE field
    1. Enter the main part of the code (without modifiers).
    2. Example: W9029
  3. DESCRIPTION field
    1. Enter a clear description of the code.
    2. Example: 2 Person Home Needs Group 1
  4. Begin Date: Enter the start date for when this code becomes active.
  5. Target Area: Select the correct program:
    1. ID (Intellectual Disabilities)
    2. MH (Mental Health)
    3. EI (Early Intervention)
  6. If your code includes modifiers (like W9029-U5-HI), you must complete the Type/Modifiers section.
    1. Enter the first modifier (U5) in the PRICE MODIFIER 1 field.
    2. Enter the second modifier (HI) in the INFO MODIFIER 1 field.

      ⚠️ If modifiers are not entered correctly, billing will be rejected.
  7. Click back into the CODE field at the top of the screen.
  8. Click SAVE.
  9. Your procedure code is now ready for billing use.

VIDEO: How to Enter and Work with Procedure Codes

2/2026

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