Procedure Code Master

The procedure code master table contains the information necessary for the electronic billing file that needs submitted for payment. This information is required for each service code that you provide.

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

  1. In the CODE field, type the full procedure code, i.e., W9029-U5-HI.
  2. In the NATIONAL PROCEDURE field, enter the main code, i.e., W9029.
  3. In the DESCRIPTION field, type the description for the procedure code, i.e., 2 Person Home Needs Group 1.
  4. Enter a begin date.
  5. In the TARGET AREA, select the target for the code.  The options are ID, MH, or EI.
  6. If the code has modifiers, i.e., W9029-U5-HI, the TYPE/MODIFIERS section needs completed.  
    1. The first modifier (U5) needs added in the PRICE MODIFIER 1 field
    2. the second modifier (HI) needs added in the INFO MODIFIER 1 field.
  7. Click into the CODE field at the top of the PROCEDURE CODE MASTER dialog box.  Click the SAVE button.

VIDEO: How to Enter and Work with Procedure Codes

7/2023

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