Using ICD-10 Codes within TherapyNotes – TherapyNotes

ICD-10 codes must be entered for all appointments with a date of service. ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD), produced by the World Health Organization (WHO). TherapyNotes simplifies this process with its built-in ICD-10 search, allowing you to quickly find and select the correct diagnosis and automatically fill in the ICD-10 code.

Searching for an ICD-10 Code within TherapyNotes

Role Required: Clinician

You can search for an ICD-10 code in treatment plans, progress notes, psychological evaluations, and consultation notes. Simply create the type of note that fits your needs.

Under the Diagnosis section, enter a search term in the diagnosis code field, and a list of matching results will appear. For example, searching for “Insomnia” will display all relevant codes in the dropdown menu.

Note: When a behavioral health clinician searches for an ICD-10 code, TherapyNotes prioritize codes starting with “F” and then “Z” to make finding the most relevant codes easier.

Custom Codes

Role Required: Clinical Administrator

To navigate to the Custom Codes, click Settings > Notes and Coding > Diagnosis Codes.

The Custom Codes tab allows users to add and manage custom diagnosis codes and descriptions for their practice.

To add a custom code, enter the code in the Dx Code field and a description in the Description field.
Once both fields contain a value, click Add Custom Code.
Selecting Add Custom Code will add the new code to the top of the list of previously defined codes. Added codes can be removed by selecting the X button to the right of the code in the list.
Once the custom codes are added/removed, click Save Settings

Note: TherapyNotes requires that each custom code has a unique value. Duplicate custom codes are not allowed, ensuring that every code in your list remains distinct.

Non-Billable Codes

To navigate to the Non-Billable ICD-10CM-Codes, click Settings > Notes and Coding > Diagnosis Codes.

This function can be used by a practice to designate specific ICD-10 codes as non-billable. Codes may be set as nonbillable in two different ways.

To set all ICD-10 codes that have a description that contains the word "unspecified" as a non-billable code, select the checkbox option labeled Mark all diagnosis codes contain the word "Unspecified" as nonbillable.
Designating a specific ICD-10 code as non-billable. To do this, search for an existing ICD-10 code by either the code or by the description and then select the code from the list. Selecting the ICD-10 code will then add it to the list of non-billable codes.

Note: When searching for an ICD-10 code within the notes, the non-billable codes will be at the bottom of the results list under the heading Non-Billable ICD-10-CM Codes.

Removing Non-Billable Codes

You can remove an ICD-10 code from the list of non-billable codes by selecting the X button to the right of the code in the list.

The non-billable code changes are not saved unless you click Save Settings.