How to See Provider Recommended DX/CPT Codes in Claims

Providers can suggest CPT and DX codes directly on the claim ticket. To recommend these codes: 

1. Navigate to Log Book under the Pathology tab. 

2. To suggest CPT and DX codes, results must be received in the system from the lab.  To locate the claim, use the Patient Name or Order # search options at the top of the screen. Ensure that your Filters Options are set to Where Order is Marked As Results Received, then click Search.

3. Under the Reports tab, click View Pathology Packet.

4. On the right side of the screen, click Edit Action Plan.

5. Scroll down to enter the  Final DX and Final CPT. Please note that the date of service will be the same for both the order and the claim ticket.

Billing clerks can accept or reject the code recommendations made by providers on the claim ticket. To accept or reject the recommended codes:

1. Go to Account Search under the Billing tab.

2. Search for a patient’s claim by using their name and the date of service. 

3. Click the Setting Icon and then Edit Ticket to open the ticket details. 

4. The suggested DX and CPT codes will be highlighted. To add or remove all recommended codes, click Accept/Reject DX/CPT Edits. For individual codes, click the checkmark icon or the 'X' icon next to each code.