Include Multiple Diagnosis Codes on Electronic Claims

If a patient has more than one diagnosis code saved in a note, TherapyNotes allows you to either include up to four diagnoses, or only the primary diagnosis on the electronic claim. Currently, CMS-1500 forms generated through TherapyNotes only include the primary diagnosis listed in the corresponding clinical note. This article overviews how to include multiple diagnosis for one patient on an electronic claim.

Note: If some services for a single patient include multiple diagnosis codes and others only include the primary diagnosis, TherapyNotes will split the services into different electronic claims for $0.14 each. Additionally, if the multiple diagnoses are listed in a different order in two different notes, those services will be split into two separate $0.14 electronic claims.

Check Setting for Diagnosis Codes on Claims

The setting to include multiple diagnosis codes on claims is automatically turned on for new accounts. Older accounts should have a Practice Administrator, Practice Biller, or Clinical Administrator turn on the setting.

Click the User Icon > Settings > Practice Billing
Under Diagnosis Codes on Claims select up to four diagnosis codes in the dropdown.
Click the Save Billing Settings button.

Verify Diagnosis Codes in Notes

Next, the clinician must include all diagnosis codes in the clinical note. The primary diagnosis code is the first valid code listed.

Submit Claims

Finally, the Practice Biller has the option to include multiple diagnoses or only the primary diagnosis code when submitting electronic claims. To submit claims, follow one of these pathways:

Click Billing > Submit Electronic Claims OR
Click Patients > Patient name > Billing tab > Submit Electronic Claims OR
Click Payers > Payer name > Billing tab > Submit Electronic Claims

A dropdown appears on the bottom of the Submit Electronic Claims screen. To include multiple diagnosis codes, configure the dropdown to Include up to four diagnosis codes per service. If you only want to include one diagnosis code, select Include only the primary diagnosis code per service.